Working in Shifts and the Metabolic Syndrome: Epidemiological Evidence and Physiopathological Mechanisms

Ruxandra, Oţelea Marina; Rașcu, Agripina; Ileana, Ion; Anton, Adelina; Adela, Badiu; Ciobotaru, Camelia; Alexandra-Maria, Rascu; Cristina, Arghir Oana

doi:10.2478/arsm-2018-0026

Cited by 1 publication

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“…In the present study, we found no significant difference when comparing the proportion of rotational (8 h) and day-shift workers with metabolic syndrome. Working shift and progression of metabolic syndrome has been shown as epidemiological evidence of physiopathological mechanisms [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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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.

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Section: Discussionmentioning

confidence: 99%