Ahmad Faris, Awang
(2010)
The association of shift work and
metabolic syndrome among female
nurses in Hospital Universiti Sains
Malaysia, Kubang Kerian, Kelantan.
Masters thesis, Universiti Sains Malaysia.
Abstract
Shift workers were found to be at risk for coronary heart disease (CHD). Lately many
health organizations have clustered the risk factors for CHD and diabetes to a syndrome
called metabolic syndrome. This study was designed to determine the prevalence of
metabolic syndrome using the definition by NCEP (ATP III), to describe the
characteristic of female nurses in HUSM, Kubang Kerian with metabolic syndrome and
to determine the association between shift work and metabolic syndrome among female
nurses in HUSM, Kubang Kerian, Kelantan. A cross sectional study was conducted between January to April 2009 among 404
female nurses in HUSM, Kubang Kerian. There were 227 shift workers and 177 day
workers. All workers who fulfilled the study criteria were included in this study. Data
questionnaire which consists of sociodemographic, occupational
history and physical activity as well as DASS 42 questions (validated Malay version).
Anthropometric, blood pressure measurement and fasting venous blood were taken from
each subject for fasting lipid profile and fasting blood sugar. Data were analysed by ttest,
chi-square test and multiple logistic regression. Majority of the respondents were Malay nurses with the mean age (SD) of 42.1 (7.19)
years old. The mean (SD) duration of employment was 17.8 (6.33) years. Majority of
nurses were physically inactive (91.1%) and 14.1% were having stress. The overall
prevalence of metabolic syndrome was 24.3% (95% CI: 20.1, 28.5). The significant
factors associated with metabolic syndrome after multivariables analyses were total
duration of employment (years) and one way commuting time to work (minutes). High prevalence of metabolic syndrome indicates that nurses are occupational high risk
group for CHD. Occupational factors significantly associated with metabolic syndrome
in this study are total duration of employment and one way commuting time to work,
however there is no significant relationship between metabolic syndrome with shift
work and stress.
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