Circadian Rhythm Alteration and Metabolic Syndrome

There is growing scientific evidence that connects circadian rhythm abnormalities with cardiovascular risk factors. Due to their work schedules, shift workers are exposed to changes in their circadian rhythm that are associated with metabolic syndrome (MS). Aim: To determine the relationship between shift work and metabolic syndrome. Methodology: This is a cross-sectional observational study. The sample included 300 adult volunteers, health workers of a public hospital in the city of Riobamba, Ecuador. The diagnosis of MS was made based on the criteria bythe Adult Treatment Panel III (ATP III). In addition, sleep quality was assessed through the Pittsburg sleep quality index. Cluster analysis of K-means was used to identify representative groups. In addition, chi-squared test and ANOVA were used to determine the association between variables. Results: Three conglomerates based on age and sex were established, which were numbered consecutively 1, 2 and 3. Conglomerate 1 had a statistically higher percentage of people who worked in shifts, suffered MS and had worse sleep quality than the other two conglomerates. In conclusión, shift work is related to the risk of suffering from MS and poor quality of sleep. Keywords: shift work, metabolic syndrome, sleep quality, k medias clusters. Resumen Introducción: La evidencia creciente conecta las alteraciones del ritmo circadiano con factores de riesgo cardiovascular. Los trabajadores por turnos debido a sus horarios de trabajo están expuestos a alteraciones de su ritmo circadiano que se asocian a síndrome metabólico (SM). Objetivo: Determinar la relación entre trabajo por turnos y síndrome metabólico. Metodología: Estudio observacional transversal. La muestra incluyó 300 voluntarios adultos, empleados sanitarios de un hospital público de la ciudad de Riobamba, Ecuador. El diagnóstico de SM se realizó con base en los criterios del Adult Treatment Panel III (ATP III). Además, se evaluó la calidad del sueño a través del índice de la calidad de sueño de Pittsburg. Se utilizó el análisis de clúster de K medias para identificar grupos representativos, además Chi2 y ANOVA para determinar asociación entre las variables. Resultados: Se establecieron tres clusters basados en edad y sexo, los que fueron numerados de forma consecutiva 1, 2 y 3. El cluster 1 tuvo un porcentaje estadísticamente más alto de personas que trabajaban por turnos, sufrían SM y que presentaron peor calidad de sueño que los otros dos clusters. Conclusiones: El trabajo por turnos se relaciona con el riesgo de sufrir SM y mala calidad de sueño. Palabras clave: trabajo por turnos, síndrome metabólico, calidad del sueño, análisis de k medias.

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Prevalence and determinants of metabolic syndrome: a cross-sectional survey of general medical outpatient clinics using National Cholesterol Expanded Program-Adult Treatment Panel III criteria in Botswana

Diabetes Metabolic Syndrome and Obesity Targets and Therapy ◽

10.2147/dmso.s109007 ◽

2016 ◽

Vol Volume 9 ◽

pp. 273-279 ◽

Cited By ~ 8

Author(s):

Bernard Omech ◽

Jose-Gaby Tshikuka ◽

Julius Mwita ◽

Billy Tsima ◽

Oathokwa Nkomazana ◽

...

Keyword(s):

Metabolic Syndrome ◽

Outpatient Clinics ◽

Adult Treatment ◽

Adult Treatment Panel ◽

Cross Sectional Survey ◽

Cross Sectional

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The Prevalence of Metabolic Syndrome and Different Obesity Phenotype in Iranian Male Military Personnel

American Journal of Men s Health ◽

10.1177/1557988316683120 ◽

2016 ◽

Vol 11 (2) ◽

pp. 404-413 ◽

Cited By ~ 12

Author(s):

Moloud Payab ◽

Shirin Hasani-Ranjbar ◽

Yaser Merati ◽

Alireza Esteghamati ◽

Mostafa Qorbani ◽

...

Keyword(s):

Metabolic Syndrome ◽

Waist Circumference ◽

Military Personnel ◽

Fasting Blood Glucose ◽

Overweight And Obesity ◽

Military Hospital ◽

Adult Treatment ◽

Adult Treatment Panel ◽

Cross Sectional ◽

Obesity Phenotype

Obesity, especially when concentrated in the abdominal area, is often associated with the presence of metabolic syndrome. Stress, particularly occupational stress, is one of the most important factors contributing to the increased prevalence of metabolic syndrome components among different populations. This study aimed to investigate the prevalence of overweight and obesity as well as the criteria for metabolic syndrome and its risk factors and different obesity phenotype in a population of military personnel aged 20 to 65 years. This study is a retrospective cross-sectional study in which data are extracted from the database of a military hospital (2,200 participants). The records of participants contained information such as age, marital status, educational level, weight, height, body mass index, blood pressure, waist circumference, history of drug use and smoking, as well as the results of tests including lipid profile and fasting blood glucose. The Adult Treatment Panel III criteria as well as two national criteria were used to identify metabolic syndrome among participants. Data analysis was p1erformed using SPSS version 16. The average age of participants was 33.37 (7.75) years. The prevalence of metabolic syndrome according to Iranian cutoff was 26.6% for the waist circumference >90 cm (585 persons) and 19.6% for the waist circumference >95 cm (432 persons). The rate of metabolic syndrome was identified as 11.1% (432 cases) according to Adult Treatment Panel III criteria. Results of the current study identified that the prevalence of metabolic syndrome among military individuals is less than other populations, but the prevalence of the syndrome is higher than other military personnel in other countries.

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The global magnitude of metabolic syndrome among antiretroviral therapy (ART) exposed and ART-naïve adult HIV-infected patients in gedio-zone, southern Ethiopia: Comparative cross-sectional study, using the Adult Treatment Panel III criteria

Diabetes & Metabolic Syndrome Clinical Research & Reviews ◽

10.1016/j.dsx.2019.07.051 ◽

2019 ◽

Vol 13 (5) ◽

pp. 2833-2841 ◽

Cited By ~ 3

Author(s):

Girma Tenklou Bune ◽

Alemayehu Worku Yalew ◽

Abera Kumie

Keyword(s):

Metabolic Syndrome ◽

Antiretroviral Therapy ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Adult Treatment ◽

Adult Treatment Panel ◽

Sectional Study ◽

Cross Sectional

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Síndrome metabólico: concepto y aplicación práctica

Anales de la Facultad de Medicina ◽

10.15381/anales.v74i4.2705 ◽

2014 ◽

Vol 74 (4) ◽

pp. 315 ◽

Cited By ~ 14

Author(s):

Juan Carlos Lizarzaburu Robles

Keyword(s):

Metabolic Syndrome ◽

Education Program ◽

National Cholesterol Education Program ◽

International Diabetes Federation ◽

Adult Treatment ◽

Adult Treatment Panel ◽

The Metabolic Syndrome ◽

Tejido Adiposo ◽

Síndrome Metabólico ◽

America Latina

El síndrome metabólico (SM) es un conjunto de anormalidades metabólicas consideradas como un factor de riesgo para desarrollar enfermedad cardiovascular y diabetes. Los componentes del SM se han definido según diferentes guías y consensos. Las definiciones propuestas por el National Cholesterol Education Program Adult Treatment Panel III (ATP III) y la International Diabetes Federation (IDF) son las más utilizadas en las diferentes publicaciones; sin embargo, se han realizado actualizaciones para diferentes poblaciones según la etnia y ubicación geográfica, como es el caso de la Asociación Latinoamericana de Diabetes (ALAD), que define un perímetro abdominal determinado para la región América Latina. En el año 2009, la publicación Harmonizing the Metabolic Syndrome sugirió un consenso para el diagnóstico de SM tratando de unificar los criterios de las diferentes organizaciones. Respecto a la fisiopatología del SM, la resistencia a insulina ha sido considerada como base del desarrollo del conjunto de anormalidades que lo conforman, sugiriendo a la obesidad abdominal o central como responsable del desarrollo de la insulino resistencia. Las adipoquinas producidas por el tejido adiposo abdominal actuarían directa o indirectamente en el desarrollo de los componentes del síndrome. Es importante mencionar que el síndrome metabólico ha sido considerado un equivalente diagnóstico de prediabetes, por ser predictor de diabetes. El incremento en la prevalencia del SM a nivel mundial le ha otorgado una gran importancia en la prevención y control de riesgo de la enfermedad cardiovascular y la diabetes. En el presente artículo revisaremos importantes aspectos sobre la definición y diagnóstico del síndrome metabólico.

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