Metabolic Syndrome and Associated Components Among Police Officers: A 7 and 12-Year Longitudinal Analysis.

John M Violanti, Desta Fekedulegn, Anna Mnatsakanova, Ja K Gu, Samantha Service, Penelope Allison, Tara A Hartley
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Abstract

Objective: This study estimated risk of metabolic syndrome (MetSyn) and its components among police officers including differences by sex.

Methods: Police officers were examined at baseline and two follow-up examinations after 7 and 12 years. MetSyn was defined using the 2005 guidelines from the American Heart Association/National Heart, Lung, and Blood Institute. Risk for incident MetSyn and its components at follow-up exams and risk ratios in males compared to females were estimated using modified Poisson regression.

Results: The 7- ( n = 276) and 12- ( n = 191) year incidence of MetSyn was 20.4% and 22.2%, respectively. MetSyn components with lowest and highest incidence were reduced HDL cholesterol and abdominal obesity. The 7-year risk of developing glucose intolerance was two-fold higher in males compared to females.

Conclusions: Longitudinal analysis of incidence of MetSyn and its components is important for understanding future cardiovascular disease morbidity and mortality.

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警察代谢综合征及其相关成分:一项7年和12年的纵向分析。
目的:本研究估计警察代谢综合征(MetSyn)及其组成部分的风险,包括性别差异。方法:对警务人员进行基线检查,并在7年和12年后进行两次随访检查。MetSyn是根据AHA/NHLBI 2005年指南定义的。使用修正泊松回归估计随访检查中MetSyn事件及其组成部分的风险以及男性与女性的风险比。结果:7年(n = 276)和12年(n = 191)的MetSyn发病率分别为20.4%和22.2%。MetSyn成分发生率最低和最高的降低了高密度脂蛋白胆固醇和腹部肥胖。男性7年发生葡萄糖耐受不良的风险是女性的两倍。结论:MetSyn及其成分的纵向分析对了解未来心血管疾病(CVD)的发病率和死亡率具有重要意义。
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