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


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Figure 1

Flow diagram for participants.
Flow diagram for participants.

Proportional difference and 95% CI of metabolic syndrome and HOMA-IR in industrial workers according to work schedule

Metabolic disorder Comparison Proportion difference 95% CI of difference Z P
Metabolic syndrome Night vs. day shift 0.60–0.290.31 0.036 to 0.587 2.2 0.026*
Rotation vs. day shift 0.43–0.290.14 −0.098 to 0.378 1.2 0.25
HOMA-IR Night vs. day shift 0.47–0.330.14 −0.135 to 0.415 1.0 0.32
Rotation vs. day shift 0.43–0.330.10 −0.140 to 0.344 0.8 0.41

International Diabetes Foundation definition of metabolic syndrome

Parameters Defining level
Waist circumference Male ≥90 cm
Female ≥80 cm
Serum triglyceride ≥150 mg/dL
Serum HDL-C <40 mg/dL in male
<50 mg/dL in female
Blood pressure (SBP or DBP) SBP ≥130 mm Hg
or
DBP ≥85 mm Hg
Fasting serum glucose (mg/dL) ≥100 mg/dL

Diagnosis of metabolic syndrome = WC + any 2 criteria

Median difference and 95% CI of serum adipokine levels in industrial workers according to work schedule

Adipokine Comparison Median difference 95% CI of difference P
Leptin Night vs. day shift 1.64–1.030.61 0.186 to 1.034 0.005**
Rotation vs. day shift 1.28–1.030.25 −0.124 to 0.624 0.19
Adiponectin Night vs. day shift 2.51–4.51−2.00 −4.197 to 0.197 0.07
Rotation vs. day shift 3.78–4.51−0.73 −2.660 to 1.208 0.46
LAR Night vs. day shift 0.67–0.220.45 0.235 to 0.665 <0.001**
Rotation vs. day shift 0.31–0.220.09 −0.099 to 0.279 0.35

Anthropometric and metabolic variables of industrial workers according to work schedule

Parameters Day shift (n = 52) Rotation shift (n = 21) Night shift (n = 15) P
Age (years) 33.4 ± 8.8 35.3 ± 11.3 32.2 ± 9.4 0.53
Height (cm) 161.4 ± 9.1 164.0 ± 7.7 162.7 ± 8.9 0.51
Weight (kg) 61.8 ± 11.5 64.2 ± 10.7 64.4 ± 9.9 0.60
BMI (kg/m2) 23.7 ± 4.0 24.0 ± 3.8 24.3 ± 3.3 0.86
Waist circumference (cm) 83.8 ± 9.1 86.9 ± 9.8 87.4 ± 12.1 0.31
SBP (mm Hg) 122.8 ± 15.9 128.3 ± 17.9 124.5 ± 20.9 0.43
DBP (mm Hg) 74.4 ± 11.5 72.6 ± 8.9 77.4 ± 16.4 0.57
Glucose (mg/dL) 89.0 ± 17.7 106.8 ± 56.1 85.8 ± 25.7 0.27
Triglyceride (mg/dL) 143 ± 71 165 ± 108 195 ± 128 0.34
HDL-C (mg/dL) 36.1 ± 8.3 33.9 ± 7.2 33.5 ± 9.3 0.55
Insulin (μIU/ml) 11.8 ± 10.7 16.2 ± 13.9 15.4 ± 15.4 0.47
eISSN:
1875-855X
Język:
Angielski
Częstotliwość wydawania:
6 razy w roku
Dziedziny czasopisma:
Medicine, Assistive Professions, Nursing, Basic Medical Science, other, Clinical Medicine