Association between metabolic syndrome and healthcare work status in Ekiti State, Nigeria.
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
African Field Epidemiology Network (AFENET), Kampala, Uganda
Abstract
Introduction: metabolic syndrome portends an increased risk of cardiovascular events and death.
Evidence showed that healthcare workers are at higher risk of cardiovascular events because of their
engagement in night-shift work. Therefore, this study determined the association between
metabolic syndrome and healthcare work status in Ekiti State, Nigeria.
Methods: this was a cross-sectional study involving 105 healthcare workers and 143 non-healthcare
workers. The diagnosis of metabolic syndrome was made based on the International Diabetic
Federation criteria: Abdominal obesity plus, any two of: elevated blood pressure ≥ 130/85 mmHg or
previous diagnosis of hypertension on the use of antihypertensive medications; impaired fasting
glucose; elevated triglycerides; and low HDL-cholesterol. Factors associated with metabolic
syndrome were analysed using univariable and multivariable analysis.
Results: men comprised 37.9% of the study population and the mean age was 42.1 ± 9.7 years. The
prevalence of metabolic syndrome was similar in both groups (HCWs-29.5% vs non-HCWs- 28.0%,
p-value=0.789); overall prevalence was 28.6%. Abdominal obesity, elevated total cholesterol and
elevated LDL-cholesterol occurred more frequently in HCWs than in non-HCWs: (68.6% vs 55.2%,
p-value=0.034; 65.7% vs 39.2%, p-value= < 0.001 and 50.5 vs 28.7%; p-value < 0.001) respectively.
Female sex (aOR:3.67, 95% CI: 1.74-7.45; p < 0.001) and obesity (aOR:4.39, 95% CI: 2.31-8.37; p <
0.001) were associated with metabolic syndrome.
Conclusion: a similar prevalence of metabolic syndrome was observed in the healthcare workers
and the non- healthcare workers. However, abdominal obesity, elevated total cholesterol and
elevated LDL-cholesterol occurred more frequently in healthcare workers than in non- healthcare
workers
Description
Keywords
Metabolic syndrome, cardiovascular diseases, night shift, healthcare workers, abdominal obesity, elevated cholesterol
Citation
Pan African Medical Journal 39; 257:26201:1-11.