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In which group of children and adolescents should a family doctor look for metabolic syndrome?

100%
Banaś I., Lewek P., Kardas P.
Family Medicine & Primary Care Review
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2016
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issue 3
217-220
2
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The relationship between working schedule patterns and the markers of the metabolic syndrome: Comparison of shift workers with day workers

88%
Mohebbi I., Shateri K., Seyedmohammadzad M.
International Journal of Occupational Medicine and Environmental Health
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2012
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vol. 25
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issue 4
383-391
EN
Objectives: This study examined the effect of shift work on developing the metabolic syndrome by comparing groups of exposed and unexposed Iranian drivers. Methods: We considered as night-shift drivers those drivers whose shifts included at least 15 h per week between 9:00 p.m. and 7:00 a.m. Daytime drivers were defi ned as drivers working regularly without shift work. 3039 shift work drivers were selected. These were matched with non-shift workers. The differences in baseline characteristics and the prevalence of the components of the metabolic syndrome were assessed with Student's t test, and chi-square tests. Results: We found central adiposity in 52.0% of the shift workers versus 42.6% of the day workers (p < 0.0001). The hypertension component was not signifi cantly related to shift work (p > 0.05); but there were signifi cant differences as regards other components of the metabolic syndrome (p < 0.0001). Among the shift workers, the odds ratios of the increased FBS, low HDL-C, higher TG levels, as well as higher waist circumference were 1.992 (95% CI: 1.697-2.337), 1.973 (95% CI: 1.759-2.213), 1.692 (95% CI: 1.527-1.874), and 1.460 (95% CI: 1.320-1.616), respectively. The metabolic syndrome was more common among the shift workers (OR = 1.495; 95% CI: 1.349-1.657). Conclusion: In evaluating such results, further consideration is needed to fi nd pathophysiological clarifi cation; in turn, stress linked to shift work must be considered to likely have had a relevant infl uence on the outcome. In our opinion, shift work acts as an occupational factor for the metabolic syndrome.
3
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Vitamin D – dietary intake, supplementation and metabolic status of Polish adults

75%
Kamińska S., Pikala M., Dziankowska-Zaborszczyk E., Bielecki W., Rębowska E., Kozakiewicz K., Nadrowski P., Drygas W., Kwaśniewska M.
International Journal of Occupational Medicine and Environmental Health
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2020
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vol. 33
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issue 1
107-118
EN
ObjectivesContrary to popular opinion on the preventive properties of vitamin D, results of previous studies have been inconclusive. The aim of this research was to evaluate the associations between the intake of vitamin D and metabolic abnormalities in a representative sample of Polish adults.Material and MethodsWithin the framework of the Multi-Center National Population Health Examination Survey (referred to as WOBASZ), a random sample of 2381 adult residents of Poland (53.8% of whom were women) was examined. All the study subjects were extensively reviewed, including 24-h dietary recall. The intake of vitamin D was assessed on the basis of dietary and supplements reviews. Metabolic abnormalities were evaluated using measurements of waist circumference (WC), blood pressure (BP), serum triglycerides (TG), high-density lipoprotein cholesterol (HDL-C) and fasting glycemia. Metabolic syndrome was defined according to the International Diabetes Federation.ResultsOf all the study participants, about 4.4 % of women and 2.6% of men declared a regular supplementation of vitamin D. Among women, a significant inverse correlation between vitamin D supplementation and the mean systolic BP was found (p < 0.01). A more substantial relationship was noted after dividing the study subjects according to their body mass. Among obese men, there was a significant inverse relationship between vitamin D intake and the mean systolic BP (p < 0.01) and diastolic BP (p < 0.05), as well as a positive correlation with HDL-C (p < 0.05). Among obese women, a negative correlation was found between vitamin D supplementation and the mean systolic BP (p < 0.01) and diastolic BP (p < 0.05), and a positive correlation with TG (p < 0.05). Among non-obese male subjects, a negative correlation between vitamin D intake and WC was observed.ConclusionsThe obtained findings suggest that the correlation between vitamin D intake and metabolic abnormalities may depend on the obesity status. A higher vitamin D intake may reduce BP and increase HDL-C in obese subjects. The positive relationship between vitamin D intake and TG concentration in women needs further investigation.
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