Influence of Occupational Type and Lifestyle Risk Factors on Prevalence of Metabolic Syndrome among Male Workers: A Retrospective Cohort Study (original) (raw)
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Original Article
Korean Journal of Adult Nursing 2016;28(2):180-190.
Published online: April 30, 2016
1Hanwha Techwin R&D Center, Seongnam
2College of Nursing, Hanyang University, Seoul, Korea
Corresponding author: Hwang, Seon Young College of Nursing, Hanyang University, 222 Wangsimni-ro, Seondong-gu, Seoul 04763, Korea. Tel: +82-2-2220-0702, Fax: +82-2-2220-1163, E-mail: seon9772@hanyang.ac.kr
• Received: February 5, 2016 • Accepted: April 19, 2016
Copyright © 2016 Korean Society of Adult Nursing
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Abstract
- Purpose
This study examined the influence of occupational type and lifestyle habits on the prevalence of metabolic syndrome (MetS) among Korean male workers. - Methods
Through secondary analysis of their four-year health examination data, 3,892 subjects were divided into four subgroups according to the presence of MetS now and four years ago. - Results
Nineteen percent (n=739) suffered from MetS and these 739 subjects were classified into following occupations: 7.1% were office workers, 17.6% were non-office workers, and 42.2% were drivers. Multiple logistic regression analyses showed that when the data adjusted for age, the predicting factors on the prevalence of MetS were heavy drinking (OR 1.34, 95% CI 1.09~1.64) and the occupation of non-office workers (OR 2.99, 95% CI 2.13~4.18) and drivers (OR 7.97, 95% CI 4.89~10.83) among workers without MetS four years ago. Among workers already with a history of MetS, the predicting factors were less exercise (OR 1.55, 95% CI 1.02~2.35) and drivers (OR 2.21, 95% CI 1.03~2.94). - Conclusion
Heavy drinking and less exercise and drivers were reported as influencing factors on the prevalence of MetS by this sample. The findings suggest that employers need to provide their employees with screening and management program for those at risk of MetS. - Key Words: Metabolic syndrome; Occupational health; Life style; Risk factors
Figure 1.
Current lifestyle habits of male workers with metabolic syndrome by occupational type.
Table 1.
Comparison Male Workers' Characteristics by of Occupational Type (_N_=3,892)
| Variables | Office workers (n=774) | Non-Office workers (n=2,568) | Drivers (n=550) | x2 or F | p |
|---|---|---|---|---|---|
| n (%) or M±SD | n (%) or M±SD | n (%) or M±SD | |||
| Age (year) | 42.7±7.3a | 41.1±9.1b | 53.1±7.2c | 456.03 | <.001 |
| b<a<c | |||||
| Body Mass Index | 24.4±2.8a | 23.9±3.2b | 24.7.8±3.0c | 18.66 | <.001 |
| a=c>b | |||||
| Systolic blood pressure | 118.5±11.7a | 120.7±12.5b | 124.1±12.9c | 33.20 | <.001 |
| a<b<c | |||||
| Diastolic blood pressure | 73.8±9.1a | 76.4±9.2b | 76.9±9.7c | 27.85 | <.001 |
| a<b=c | |||||
| Fasting blood glucose | 96.2±14.9a | 100.9±24.6b | 101.3±33.1c | 12.01 | <.001 |
| a<b=c | |||||
| HDL cholesterol | 50.6±11.6a | 50.3±12.2b | 44.3±10.7c | 60.83 | <.001 |
| c<a=b | |||||
| Triglyceride | 144.6±87.7a | 158.9±101.8b | 202.1±107.7c | 57.06 | <.001 |
| a<b<c | |||||
| LDL cholesterol | 121.8±28.3a | 117.3±31.8b | 116.9±33.7c | 6.67 | .001 |
| a>b=c | |||||
| No. of MetS Risk Factors | 1.2±1.2a | 1.4±1.1b | 1.9±1.2c | 72.63 | <.001 |
| a<b<c | |||||
| Current smoking | 259 (33.5) | 1,261 (49.1) | 220 (40.0) | 64.61 | <.001 |
| Heavy drinking | 249 (32.2) | 523 (20.4) | 97 (17.6) | 55.92 | <.001 |
| Lack of exercise | 654 (84.5) | 2,175 (84.7) | 345 (62.7) | 150.88 | <.001 |
| Prevalence of 1st year | 31 (4.0) | 453 (17.6) | 172 (31.3) | 173.91 | <.001 |
| MetS 2nd year | 42 (5.4) | 391 (15.2) | 174 (31.6) | 168.58 | <.001 |
| 3rd year | 60 (7.8) | 406 (15.8) | 194 (35.3) | 179.99 | <.001 |
| 4th year | 55 (7.1) | 452 (17.6) | 232 (42.2) | 266.60 | <.001 |
Table 2.
Prevalence of Metabolic Syndrome Current and Four Years ago (_N_=3,892)
| Variables | MetS (Current) | Non-MetS (Current) | x2 | p |
|---|---|---|---|---|
| MetS (4 yrs ago)Non-MetS (4 yrs ago) | Group 4: n=257, 6.6%Group 3: n=482, 12.4% | Group 2: n=399, 10.3%Group 1: n=2,754, 70.8% | 209.07 | <.001 |
Table 3.
Differences in Male Workers' Characteristics of Four Sub-groups (_N_=3,892)
| Variables | Group 1 (n=2,754) | Group 2 (n=399) | Group 3 (n=482) | Group 4 (n=257) | x2 or F (p) | Scheffé |
|---|---|---|---|---|---|---|
| n (%) or M±SD | n (%) or M±SD | n (%) or M±SD | n (%) or M±SD | |||
| Age(year) | 41.9±9.0a | 45.3±10.3b | 45.2±9.4c | 49.1±9.3d | 68.76 (<.001) | a<b=c<d |
| Body mass index | 23.5±2.8a | 24.2±3.0b | 26.2±3.1c | 26.9±3.4d | 194.23 (<.001) | a<b<c<d |
| Occupation | 388.49 (<.001) | |||||
| Non-Office workers | 1,807 (70.4) | 309 (12.0) | 308 (12.0) | 144 (5.6) | ||
| Office workers | 700 (90.4) | 19 (2.5) | 43 (5.6) | 12 (1.6) | ||
| Drivers | 247 (44.9) | 71 (12.9) | 131 (23.8) | 101 (18.4) | ||
| Total cholesterol | 197.5±34.7a | 202.0±35.5b | 208.5±39.0c | 206.1±38.5d | 16.38 (<.001) | a<c=d |
| HDL cholesterol | 51.6±11.7a | 50.8±12.3b | 41.3±9.1c | 40.3±9.7d | 172.67 (<.001) | a=b>c=d |
| Triglyceride | 136.9±80.2a | 151.7±88.4b | 264.5±122.5c | 256.7±106.2d | 383.06 (<.001) | a=b<c=d |
| LDL cholesterol | 118.8±30.7a | 120.7±31.0b | 114.9±34.2c | 114.0±33.5d | 4.47 (.004) | b>c=d |
| Current smoking | 1,194 (43.4) | 190 (47.6) | 229 (47.5) | 127 (49.4) | 7.24 (.065) | |
| Heavy drinking | 629 (22.8) | 80 (20.1) | 102 (21.2) | 58 (22.6) | 2.00 (.573) | |
| Lack of exercise | 2,263 (82.2) | 311 (77.9) | 392 (81.3) | 208 (80.9) | 4.23 (.237) |
Table 4.
Predicting Factors on the Current Prevalence of MetS Compared with Non-MetS
| Variables | Group 3 (n=482) vs Group 1 (n=2,754) | Group 4 (n=257) vs Group 2 (n=399) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| B | SE | Exp (B) | 95% CI | p | B | SE | Exp (B) | 95% CI | p | ||
| Age (year) | 0.02 | .01 | 1.02 | 1.01~1.04 | <.001 | 0.02 | .01 | 1.02 | 1.00~1.04 | .026 | |
| Current smoking | 0.17 | .10 | 1.18 | 0.96~1.45 | .112 | 0.17 | .17 | 1.18 | 0.73~1.43 | .335 | |
| Lack of exercise (<<3 times/week) | 0.26 | .14 | 1.29 | 0.98~1.68 | .061 | 0.44 | .21 | 1.55 | 1.02~2.35 | .041 | |
| Heavy drinking (≥≥3 times/week) | 0.29 | .10 | 1.34 | 1.09~1.64 | .005 | 0.02 | .17 | 1.02 | 0.73~1.43 | .903 | |
| Occupation type | Non-office workers | 1.09 | .17 | 2.99 | 2.13~4.18 | <.001 | -0.18 | .39 | 0.84 | 0.39~1.81 | .646 |
| Drivers | 2.08 | .21 | 7.97 | 4.89~10.83 | <.001 | 0.79 | .42 | 2.21 | 1.03~2.94 | .050 |
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Influence of Occupational Type and Lifestyle Risk Factors on Prevalence of Metabolic Syndrome among Male Workers: A Retrospective Cohort Study
Korean J Adult Nurs. 2016;28(2):180-190. Published online April 30, 2016
Figure
Influence of Occupational Type and Lifestyle Risk Factors on Prevalence of Metabolic Syndrome among Male Workers: A Retrospective Cohort Study
Figure 1. Current lifestyle habits of male workers with metabolic syndrome by occupational type.
Figure 1.
Influence of Occupational Type and Lifestyle Risk Factors on Prevalence of Metabolic Syndrome among Male Workers: A Retrospective Cohort Study
Table 1.
Comparison Male Workers' Characteristics by of Occupational Type (_N_=3,892)
| Variables | Office workers (n=774) | Non-Office workers (n=2,568) | Drivers (n=550) | x2 or F | p |
|---|---|---|---|---|---|
| n (%) or M±SD | n (%) or M±SD | n (%) or M±SD | |||
| Age (year) | 42.7±7.3a | 41.1±9.1b | 53.1±7.2c | 456.03 | <.001 |
| b<a<c | |||||
| Body Mass Index | 24.4±2.8a | 23.9±3.2b | 24.7.8±3.0c | 18.66 | <.001 |
| a=c>b | |||||
| Systolic blood pressure | 118.5±11.7a | 120.7±12.5b | 124.1±12.9c | 33.20 | <.001 |
| a<b<c | |||||
| Diastolic blood pressure | 73.8±9.1a | 76.4±9.2b | 76.9±9.7c | 27.85 | <.001 |
| a<b=c | |||||
| Fasting blood glucose | 96.2±14.9a | 100.9±24.6b | 101.3±33.1c | 12.01 | <.001 |
| a<b=c | |||||
| HDL cholesterol | 50.6±11.6a | 50.3±12.2b | 44.3±10.7c | 60.83 | <.001 |
| c<a=b | |||||
| Triglyceride | 144.6±87.7a | 158.9±101.8b | 202.1±107.7c | 57.06 | <.001 |
| a<b<c | |||||
| LDL cholesterol | 121.8±28.3a | 117.3±31.8b | 116.9±33.7c | 6.67 | .001 |
| a>b=c | |||||
| No. of MetS Risk Factors | 1.2±1.2a | 1.4±1.1b | 1.9±1.2c | 72.63 | <.001 |
| a<b<c | |||||
| Current smoking | 259 (33.5) | 1,261 (49.1) | 220 (40.0) | 64.61 | <.001 |
| Heavy drinking | 249 (32.2) | 523 (20.4) | 97 (17.6) | 55.92 | <.001 |
| Lack of exercise | 654 (84.5) | 2,175 (84.7) | 345 (62.7) | 150.88 | <.001 |
| Prevalence of 1st year | 31 (4.0) | 453 (17.6) | 172 (31.3) | 173.91 | <.001 |
| MetS 2nd year | 42 (5.4) | 391 (15.2) | 174 (31.6) | 168.58 | <.001 |
| 3rd year | 60 (7.8) | 406 (15.8) | 194 (35.3) | 179.99 | <.001 |
| 4th year | 55 (7.1) | 452 (17.6) | 232 (42.2) | 266.60 | <.001 |
HDL=high density lipoprotein; LDL=low density lipoprotein; MetS=Metabolic syndrome.
Table 2.
Prevalence of Metabolic Syndrome Current and Four Years ago (_N_=3,892)
| Variables | MetS (Current) | Non-MetS (Current) | x2 | p |
|---|---|---|---|---|
| MetS (4 yrs ago)Non-MetS (4 yrs ago) | Group 4: n=257, 6.6%Group 3: n=482, 12.4% | Group 2: n=399, 10.3%Group 1: n=2,754, 70.8% | 209.07 | <.001 |
MetS=Metabolic syndrome; Group 1 (Non-MetS → Non-MetS); Group 2 (MetS → Non-MetS); Group 3 (Non-MetS → MetS); Group 4 (MetS → MetS).
Table 3.
Differences in Male Workers' Characteristics of Four Sub-groups (_N_=3,892)
| Variables | Group 1 (n=2,754) | Group 2 (n=399) | Group 3 (n=482) | Group 4 (n=257) | x2 or F (p) | Scheffé |
|---|---|---|---|---|---|---|
| n (%) or M±SD | n (%) or M±SD | n (%) or M±SD | n (%) or M±SD | |||
| Age(year) | 41.9±9.0a | 45.3±10.3b | 45.2±9.4c | 49.1±9.3d | 68.76 (<.001) | a<b=c<d |
| Body mass index | 23.5±2.8a | 24.2±3.0b | 26.2±3.1c | 26.9±3.4d | 194.23 (<.001) | a<b<c<d |
| Occupation | 388.49 (<.001) | |||||
| Non-Office workers | 1,807 (70.4) | 309 (12.0) | 308 (12.0) | 144 (5.6) | ||
| Office workers | 700 (90.4) | 19 (2.5) | 43 (5.6) | 12 (1.6) | ||
| Drivers | 247 (44.9) | 71 (12.9) | 131 (23.8) | 101 (18.4) | ||
| Total cholesterol | 197.5±34.7a | 202.0±35.5b | 208.5±39.0c | 206.1±38.5d | 16.38 (<.001) | a<c=d |
| HDL cholesterol | 51.6±11.7a | 50.8±12.3b | 41.3±9.1c | 40.3±9.7d | 172.67 (<.001) | a=b>c=d |
| Triglyceride | 136.9±80.2a | 151.7±88.4b | 264.5±122.5c | 256.7±106.2d | 383.06 (<.001) | a=b<c=d |
| LDL cholesterol | 118.8±30.7a | 120.7±31.0b | 114.9±34.2c | 114.0±33.5d | 4.47 (.004) | b>c=d |
| Current smoking | 1,194 (43.4) | 190 (47.6) | 229 (47.5) | 127 (49.4) | 7.24 (.065) | |
| Heavy drinking | 629 (22.8) | 80 (20.1) | 102 (21.2) | 58 (22.6) | 2.00 (.573) | |
| Lack of exercise | 2,263 (82.2) | 311 (77.9) | 392 (81.3) | 208 (80.9) | 4.23 (.237) |
HDL=high density lipoprotein; LDL=low density lipoprotein; Group 1 (Non-MetS → Non-MetS); Group 2 (MetS → Non-MetS); Group 3 (Non-MetS → MetS); Group 4 (MetS → MetS).
Table 4.
Predicting Factors on the Current Prevalence of MetS Compared with Non-MetS
| Variables | Group 3 (n=482) vs Group 1 (n=2,754) | Group 4 (n=257) vs Group 2 (n=399) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| B | SE | Exp (B) | 95% CI | p | B | SE | Exp (B) | 95% CI | p | ||
| Age (year) | 0.02 | .01 | 1.02 | 1.01~1.04 | <.001 | 0.02 | .01 | 1.02 | 1.00~1.04 | .026 | |
| Current smoking | 0.17 | .10 | 1.18 | 0.96~1.45 | .112 | 0.17 | .17 | 1.18 | 0.73~1.43 | .335 | |
| Lack of exercise (<<3 times/week) | 0.26 | .14 | 1.29 | 0.98~1.68 | .061 | 0.44 | .21 | 1.55 | 1.02~2.35 | .041 | |
| Heavy drinking (≥≥3 times/week) | 0.29 | .10 | 1.34 | 1.09~1.64 | .005 | 0.02 | .17 | 1.02 | 0.73~1.43 | .903 | |
| Occupation type | Non-office workers | 1.09 | .17 | 2.99 | 2.13~4.18 | <.001 | -0.18 | .39 | 0.84 | 0.39~1.81 | .646 |
| Drivers | 2.08 | .21 | 7.97 | 4.89~10.83 | <.001 | 0.79 | .42 | 2.21 | 1.03~2.94 | .050 |
MetS=Metabolic syndrome; Reference groups: Non- or Ex-smoking, exercise≥3 times/week, alcohol drinking<3 times/week, Office workers; Group 1 (Non-MetS → Non-MetS); Group 2 (MetS → Non-MetS); Group 3 (Non-MetS → MetS); Group 4 (MetS → MetS).
Table 1. Comparison Male Workers' Characteristics by of Occupational Type (N=3,892)
HDL=high density lipoprotein; LDL=low density lipoprotein; MetS=Metabolic syndrome.
Table 2. Prevalence of Metabolic Syndrome Current and Four Years ago (N=3,892)
MetS=Metabolic syndrome; Group 1 (Non-MetS → Non-MetS); Group 2 (MetS → Non-MetS); Group 3 (Non-MetS → MetS); Group 4 (MetS → MetS).
Table 3. Differences in Male Workers' Characteristics of Four Sub-groups (N=3,892)
HDL=high density lipoprotein; LDL=low density lipoprotein; Group 1 (Non-MetS → Non-MetS); Group 2 (MetS → Non-MetS); Group 3 (Non-MetS → MetS); Group 4 (MetS → MetS).
Table 4. Predicting Factors on the Current Prevalence of MetS Compared with Non-MetS
MetS=Metabolic syndrome; Reference groups: Non- or Ex-smoking, exercise≥3 times/week, alcohol drinking<3 times/week, Office workers; Group 1 (Non-MetS → Non-MetS); Group 2 (MetS → Non-MetS); Group 3 (Non-MetS → MetS); Group 4 (MetS → MetS).