Bhayangkara Hospital Denpasar, Indonesia
* Corresponding author
Bhayangkara Hospital Denpasar, Indonesia
Kalideres General Public Hospital, Indonesia
Ciputra Hospital, Indonesia
Sanglah General Hospital Denpasar, Indonesia

Article Main Content

Introduction: Metabolic syndrome is defined as a cluster of cardiovascular risk factors which includes hyperglycemia, central obesity, hypertension and dyslipidemia. This study aimed to describe the clinical profile of metabolic syndrome among police officers.

Material and Methods: A cross-sectional study was conducted among the police officers who performed the screening program at Bhayangkara Hospital Denpasar. The data was obtained by anamnesis, physical examination from anthropometric measurements and blood pressure, and laboratory findings. All data was computerized and analyzed using SPSS v.24. Criteria of metabolic syndrome was established using modified 3rd Adult Treatment Panel, International Diabetes Federation.

Results: The prevalence of metabolic syndrome among the police officers who performed the screening program in the period of January-June 2019 was 68.7%. Males (87.3%) were found to be more frequent than females (12.7%), and the most prevalent age were ranging from 36-45 years old (62.7%). A significant association was found between the metabolic syndrome event and gender (OR=0.169, 95% CI=0.078-0.366, p-value <0.001).

Conclusions: The prevalence of metabolic syndrome among the police officers was high, especially in male. The most frequent component of metabolic syndrome found in both male and female was central obesity. Association was found between metabolic syndrome and gender. 

References

  1. P.C. Negi, S. Sondhi, R. Merwaha, and S. Asotra, “Prevalence and risk determinants of metabolic syndrome in obese worksite workers in hill city of Himachal Pradesh, India,” Indian Heart J., vol. 71, pp. 45-51, 2019.
    DOI  |   Google Scholar
  2. H. Beltrán-Sánchez, M.O. Harhay, M.M. Harhay, S. McElligott, “Prevalence and trends of metabolic syndrome in the adult U.S. population, 1999-2010,” J Am Coll Cardiol., vol. 62, no. 8, pp. 697-703, 2013.
    DOI  |   Google Scholar
  3. D.R. Smith, S. Devine, P.A. Leggat, T. Ishitake, “Alcohol and tobacco consumption among police officers,” Kurume Med J., vol. 52, pp. 63-5, 2005.
    DOI  |   Google Scholar
  4. W.D. Franke, “What is the risk for metabolic syndrome in police officers?,” North Am J Med Sci., vol. 4, pp. 636-637, 2012.
    DOI  |   Google Scholar
  5. E.H. Herningtyas, T.S. Ng, “Prevalence and distribution of metabolic syndrome and its components among provinces and ethnic groups in Indonesia,” BMC Public Health, vol. 19, no. 1, pp. 377, 2019.
    DOI  |   Google Scholar
  6. S. Garbarino, N. Magnavita, “Work stress and metabolic syndrome in police officers: a prospective study,” PLoS One, vol. 10, no. 12, pp. e0144318, 2015.
    DOI  |   Google Scholar
  7. J. Thayyil, T.T. Jayakrishnan, M. Raja, J.M. Cherumanalil, “Metabolic syndrome and other cardiovascular risk factors among police officers,” N Am J Med Sci., vol. 4, no. 12, pp. 630-635, 2012.
    DOI  |   Google Scholar
  8. J. Zhang, Q. Liu, S. Long, C. Guo, H. Tan, “Prevalence of metabolic syndrome and its risk factors among 10,348 police officers in a large city of China: A cross-sectional study,” Medicine (Baltimore), vol. 98, no. 40, pp. e17306, 2019.
    DOI  |   Google Scholar
  9. S. Tharkar, S. Kumpatla, P. Muthukumaran, V. Viswanathan, “High prevalence of metabolic syndrome and cardiovascular risk among police personnel compared to general population in India,” J Assoc Physicians India, vol. 56, pp. 845-849, 2008.
     Google Scholar
  10. R.T. Filho, A. J. D'Oliveira, “The prevalence of metabolic syndrome among soldiers of the military police of Bahia State, Brazil,” Am J Mens Health, vol. 8, no. 4, pp. 310-315, 2014.
    DOI  |   Google Scholar
  11. T.A. Hartley, C.M. Burchfiel, D. Fekedulegn, M.E. Andrew, S.S. Knox, M. Violanti, “Associations between police officer stress and the metabolic syndrome,” Int J Emerg Ment Health, vol. 13, no. 4, pp. 243-256, 2011.
     Google Scholar
  12. P. Kumar, D. Mallik, D.K. Mukhopadhyay, A. Sinhababu, B.S. Mahapatra, P. Chakrabarti, “Prevalence of diabetes mellitus, impaired fasting glucose, impaired glucose tolerance, and its correlates among police personnel in Bankura District of West Bengal,” Indian J Public Health, vol. 57, no. 1, pp. 24-28, 2013.
    DOI  |   Google Scholar
  13. K. Suastika, P. Dwipayana, I.M.R. Saraswati, et al., “Prevalence of obesity, metabolic syndrome, impaired fasting glycemia, and diabetes in selected villages of Bali, Indonesia,” JAFES, vol. 26, no. 2, pp. 159-162, 2011.
    DOI  |   Google Scholar
  14. M. Matic, G. Bryzgalova, H. Gao, et al., “Estrogen signalling and the metabolic syndrome: targeting the hepatic estrogen receptor alpha action,” PloS One, vol. 8, no. 2, pp. e57458, 2013.
    DOI  |   Google Scholar
  15. H. Yan, W. Yang, F. Zhou, et al., “Estrogen improves insulin sensitivity and suppresses gluconeogenesis via the transcription factor Foxo1”, Diabetes, vol. 68, no. 2, pp. 291-304, 2019.
    DOI  |   Google Scholar
  16. P. Nestel, R. Lyu, L.P. Low, et al., “Metabolic syndrome: Recent prevalence in East and Southeast Asian populations,” Asia Pac J Clin Nutr., vol. 16, no. 2, pp. 362-367, 2007.
     Google Scholar
  17. A.O. Ogbera, “Prevalence and gender distribution of the metabolic syndrome,” Diabetol Metab Syndr., vol. 2, pp. 1, 2010.
    DOI  |   Google Scholar
  18. C. Kelliny, J. William, W. Riesen, et al., “Metabolic syndrome according to different definitions in a rapidly developing country of the African region,” Cardiovasc Diabetol., vol. 7, pp. 27, 2008.
    DOI  |   Google Scholar
  19. R.D. Marchi, C.M. Dell’Agnolo, T.C.R. Lopes, et al., “Prevalence of metabolic syndrome in pre-and postmenopausal women,” Arch Endocrinol Metab., vol. 61, no. 2, pp. 160-166, 2017.
    DOI  |   Google Scholar
  20. K. Suastika, P. Dwipayana, I.M.R. Saraswati, et al., “Relationship between age and metabolic disorders in the population of Bali,” Journal of Clinical Gerontology & Geriatrics, vol. 2, no.2, pp. 47-52, 2011.
    DOI  |   Google Scholar
  21. M. Nakhjavani, M. Imani, M. Larry, et al., “Metabolic syndrome in premenopausal and postmenopausal women with type 2 diabetes: loss of protective effects of premenopausal status,” J Diabetes Metab Disord., vol. 13, no. 1, pp. 102, 2014.
    DOI  |   Google Scholar
  22. Y.Y. Cheng, T.W. Kao, Y.W. Chang, et al., “Examining the gender difference in the association between metabolic syndrome and the mean leukocyte telomere length,” PLoS One, vol. 2, no. 7, pp. e0180687, 2017.
    DOI  |   Google Scholar
  23. M. Lee, H. Martin, M.A. Firpo, E.W. Demerath, “Inverse association between adiposity and telomere length: The Fels Longitudinal Study,” Am J Hum Biol., vol. 23, no. 1, pp. 100-106, 2011.
    DOI  |   Google Scholar
  24. P. Mani, H.Y. Ren, I.J. Neeland, et al., “The association between HDL particle concentration and incident metabolic syndrome in the multi-ethnic Dallas Heart Study,” Diabetes Metab Syndr, vol. 11, no. 1, pp. 175-179, 2017.
    DOI  |   Google Scholar