Metabolic syndrome among police officers in a police station from the city of Aracaju, Sergipe State, Brazil

Ilva Santana Santos Fontes, Clarissa Gomes Sampaio, Carla Geane dos Santos, Angela Maria Melo Sá Barros, Diego Santos Fontes, Irlan Massai Calaça dos Santos, Luciano Jorge dos Santos Junior

Abstract


Aims: To assess the prevalence of metabolic syndrome and its components in the military officers of a police unit in Aracaju, Sergipe.

Methods: A cross-sectional study involving a military police unit located in Aracaju, capital of Sergipe state, Brazil, was conducted in the period June-July 2016. All active military policemen in the unit who agreed to participate were selected for the study. To participate, they were asked to sign the consent form and should not be on leave, departure, vacation, or transfer process to another unit. For data collection a questionnaire with demographic information was used, and a form was filled with anthropometric data and results of laboratory tests carried out during the medical routine periodic review. Metabolic syndrome was defined according to criteria of the National Cholesterol Education Program's Adult Treatment Panel III. Univariate analysis was performed to examine associations between the variables of interest, using the Pearson's chi-square test and adopting the value of p< 0.05 as statistically significant.

Results: During the study period 115 military policemen were stationed in the unit under study and 96 (83.5%) among them met the criteria for inclusion in the study. Of these, the majority were male (96.6%) with children (84.4%), married (52.2%), had education level through high school (35.4%), self-reported brown (61.5%), earned between five and six minimum wage (42.7%), were aged between 36 and 45 years (59.1%), and were soldiers (53.1%). A total of seven (7.3%) among the study participants had metabolic syndrome. Regarding the components of metabolic syndrome, increased waist circumference indicating risk for cardiovascular disease was identified in 34.4% of the participants; overweight was identified in 57.3%; hypertension in 11.5%; high triglycerides in 29.5%; decreased level of high-density lipoprotein cholesterol in 60.4%; and high fasting blood glucose in 31.3%. The corporal rank was associated with metabolic syndrome: a military with corporal rank had a risk eleven times higher of having criteria for metabolic syndrome compared to other ranks (odds ratio 11.86; 95% confidence interval 10.88-12.84; p=0.005).

Conclusions: The military policemen of the investigated sample had a lower prevalence of metabolic syndrome when compared to other Brazilian studies. The corporal rank had a higher risk of developing metabolic syndrome, which should be investigated in more depth by studies that look for the relationship between functional characteristics of each military rank and presence of clinical and laboratory components of metabolic syndrome.

Keywords


metabolic syndrome; obesity; insulin resistance; blood pressure; cardiovascular risk; police officer.

References


I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome Metabólica. Arq Bras Cardiol. 2005;84:1-27. http://dx.doi.org/10.1590/S0066-782X2005000100001

Ferrari, CKB. Atualização: fisiopatologia e clínica da síndrome metabólica. Arq Cat Med. 2007;36(4):90-5.

Godoy-Matos AF, Oliveira J, Guedes EP, Carraro L, Lopes AC, Mancini MC, Suplicy HL, Brito CLS, Bystronski DP, Mombach KD, Stenzel LM, Repetto G, Radominski RB, Halpern ZSC, Villares SMF, Arrais RF, Rodrigues MDB, Mazza FC, Bittar T, Benchimol AK; Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica (Abeso). Diretrizes Brasileiras de Obesidade. 3ª ed. São Paulo: AC Farmacêutica; 2009.

Gottlieb MGV. Origem da síndrome metabólica: aspectos genético-evolutivos e nutricionais. Sci Med. 2008;18(1):31- 8.

Minayo MCS, Assis SG, Oliveira RVC. Impacto das atividades profissionais na saúde física e mental dos policiais civis e militares do Rio de Janeiro (RJ, Brasil). Ciênc Saúde Coletiva. 2011;16(4):2199-209. http://dx.doi.org/10.1590/S1413-81232011000400019

Instituto Brasileiro de Geografia e Estatística (IBGE). Cidades: Sergipe – informações básicas dos municípios. 2015 [cited 2016]. Available from: http://www.cidades.ibge.gov.br/xtras/uf.php?lang=&coduf=28&search=sergipe

Sergipe. Secretaria de Segurança Publica de Sergipe (SSP/SE). Histórico do Batalhão de Choque da Policia de Sergipe [Internet]. Aracaju; 2014 [cited 2016 Oct 05]. Available from: http://www.pm.se.gov.br/institucional/historico/

Oliveira PLM, Bardagi MP. Estresse e comprometimento com a carreira em policiais militares. Bol Psicol. 2009; 59(131):153-66.

Vilarinho RMF, Lisboa, MTL. Diabetes mellitus: fatores de risco em trabalhadores de enfermagem. Acta Paul Enferm. 2010;23(4):557-61. http://dx.doi.org/10.1590/S0103-21002010000400018

Jesus GM, Jesus EFA. Predisposição para desenvolver resistência insulínica em policiais militares. Pensar Prat. 2010;13(2):1-15.

Tahan F, Pereira JC. Avaliação de risco cardiovascular por indicadores antropométricos em policiais militares de um batalhão do Sul de Minas Gerais. Rev Bras Gastroenterol. 2015;14(4):230-6.

Cordeiro AKR. Avaliação da Síndrome Metabólica em Policiais Militares do Segundo Batalhão de Policia Militar da Paraíba [monografia]. [João Pessoa]: Universidade Federal da Paraíba; 2015. 27 p.

Leite EB, Anchieta VCC. Identificação de Síndrome Metabólica em Policiais Civis do Distrito Federal. Brasília Med. 2013;50(3):186-93. http://dx.doi.org/10.14242/2236-5117.2014v50n3a88p186

Garbarino S, Magnavita N. Work stress and metabolic syndrome in police officers. a prospective study. PLoS One. 2015 Dec 7;10(12):e0144318. http://dx.doi.org/10.1371/journal.pone.0144318

Oliveira AF. Nutrição e síndrome metabólica em policiais militares do oeste do Paraná [tese]. [São Paulo]: Universidade Federal de São Paulo (UNIFESP); 2009. 118 p.

Barbosa RO, Silva EF. Prevalência de fatores de risco cardiovascular em policiais militares. Rev Bras Cardiol. 2013;26(1):45-53.

Oliveira CM, Cruz MM. Sistema de vigilância em saúde no Brasil: avanços e desafios. Saúde Debate. 2015;39(104):255-67. http://dx.doi.org/10.1590/0103-110420151040385

Rocha RM, Barra GB, Campos EC, Rosa C, Garcia EC, Amato AA, Azevedo MF. Prevalence of the rs1801282 single nucleotide polymorphism of the PPARG gene in patients with metabolic syndrome. Arch Endocrinol Metab. 2015 Aug;59(4):297-302. http://dx.doi.org/10.1590/2359-3997000000086

Braga Filho RT, D'Oliveira A. The Prevalence of Metabolic Syndrome Among Soldiers of the Military Police of Bahia State, Brazil. Am J Mens Health. 2014 Jul;8(4):310-5. http://dx.doi.org/10.1177/1557988313510928

Wirth MD, Burch J, Shivappa N, Violanti JM, Burchfiel CM, Fekedulegn D, Andrew ME, Hartley TA, Miller DB, Mnatsakanova A, Charles LE, Steck SE, Hurley TG, Vena JE, Hébert JR. Association of a dietary inflammatory index with inflammatory indices and metabolic syndrome among police officers. J Occup Environ Med. 2014 Sep;56(9):986-9. http://dx.doi.org/10.1097/JOM.0000000000000213

Lucena MM. Risco cardiovascular em policiais e bombeiros de Campina Grande - Paraíba. [monografia]. [João Pessoa]: Universidade Federal da Paraíba; 2014. 33 p.

Bello-Rodriguez BM, Sanchez-Cruz G, Delgado-Bustillo F, Asiama G. The relationship between metabolic syndrome and target organ damage in Ghanaian with stage-2 hypertension. Ghana Med J. 2013 Dec;47(4):189-96.

Hartley TA, Burchfiel CM, Fekedulegn D, Andrew ME, Knox SS, Violanti JM. Associations between police officer stress and the metabolic syndrome. Int J Emerg Ment Health. 2011;13(4):243-56.

Batista UM. Prevalência de sobrepeso, obesidade e Fatores de Risco para doenças cardiovasculares em policiais militares masculinos efetivos de Goiânia – GO [dissertação]. [Goiania]: Universidade de Trás-Os-Montes e Alto Douro; 2011. 153 p.

Fonseca ISS, Araújo TM. Prevalência de transtornos mentais comuns entre indústriarios bahianos. Rev Bras Saúde Ocup. 2014;39 (129):35-49. http://dx.doi.org/10.1590/0303-7657000065012

Carlotto, MS. Síndrome de Burnout em professores: prevalência e fatores associados. Psic Teor e Pesq. 2011;27(4):403-10. http://dx.doi.org/10.1590/S0102-37722011000400003




DOI: http://dx.doi.org/10.15448/1980-6108.2016.3.24160

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