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Association of industrial work schedules with development of metabolic syndrome, insulin resistance, and serum adipokine concentrations

Kalahasthi Ravibabu
Kalahasthi Ravibabu
, 
Surender Jakkam
Surender Jakkam
, 
Jamalpur Ravi Prakash
Jamalpur Ravi Prakash
 oraz 
Vinay Kumar Adepu
Vinay Kumar Adepu
   | 30 kwi 2021
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Article Category: Original article
Data publikacji: 30 kwi 2021
Zakres stron: 69 - 77
DOI: https://doi.org/10.2478/abm-2021-0009
Słowa kluczowe
© 2021 Kalahasthi Ravibabu et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Background

Association of work schedule in industrial workers with the progression of metabolic syndrome, insulin resistance, and serum adipokine concentrations is incompletely explored.

Objective

To determine the association of work schedule with the progression of metabolic syndrome, insulin resistance, and adipokine concentrations in industrial workers.

Methods

In a cross-sectional study design of industrial workers we compared metabolic syndrome, insulin resistance, and adipokines concentration between workers in the day shift (n = 52), rotational shift (n = 21), and night shift (n = 15). The international Diabetes Federation criteria were used to diagnose metabolic syndrome. We used a homeostatic model assessment of insulin resistance (HOMA-IR). Serum insulin, leptin, and adiponectin concentrations were measured using enzyme-linked immunosorbent assays. Serum glucose, triglyceride, and high-density lipoprotein cholesterol (HDL-C) concentrations were monitored using Prietest clinical chemistry reagents.

Results

The proportional difference in metabolic syndrome (0.31, 95% confidence interval [CI] 0.036–0.587, P = 0.026), median difference of leptin (0.61, 95% CI 0.186–1.034, P = 0.005), and leptin-to-adiponectin ratio (LAR; 0.45, 95% CI 0.235–0.665, P < 0.001) was significantly higher, and serum adiponectin was lower (–2.00, 95% CI −4.197 to 0.197, P = 0.07) in the night-shift workers compared with that of day-shift workers. Among rotational-shift workers, the proportional difference between metabolic syndrome (0.14, 95% CI −0.098 to 0.378, P = 0.25), median difference of leptin (0.25, 95% CI −0.124 to 0.624, P = 0.19), and LAR (0.09, 95% CI −0.099 to 0.279, P = 0.35) was higher, and serum adiponectin concentration was lower (−0.73, 95% CI −2.660 to 1.208, P = 0.46) compared with that of day-shift workers; however, the altered differences were not significant. We observed a higher proportion of difference in HOMA-IR in shift workers (night and rotation) than in day-shift workers.

Conclusion

Night-shift workers are vulnerable to a higher risk of metabolic syndrome, HOMA-IR, and adipokine changes.
eISSN:
1875-855X
Język:
Angielski
Częstotliwość wydawania:
6 razy w roku
Dziedziny czasopisma:
Medicine, Assistive Professions, Nursing, Basic Medical Science, other, Clinical Medicine
Kanał RSS czasopisma