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Association Between Occupational Standing Time and Metabolic Syndrome in Korean Male Workers

근로자의 서서하는 작업시간과 대사증후군의 관련성

  • Kim, Ki-Woong (Occupational Safety and Health Research Institute, KOSHA)
  • 김기웅 (한국산업안전보건공단 산업안전보건연구원)
  • Received : 2014.08.06
  • Accepted : 2014.09.15
  • Published : 2014.09.30

Abstract

Purpose: In this study, we sought to understand the risk factor for chronic disease of workers by studying the association between occupational standing time and metabolic syndrome(MetS) in full-time 300 male workers. Materials: Data on age, life habit, work related information of the subjects were surveyed using self-reported questionnaire and interview. MetS was identified based on the report of Alberti et al.(2009). As for the data analysis, SPSS 19.0 was used to conduct the descriptive statistic, ANOVA, Pearson correlation coefficient and multiple logistic regression analysis. Results: Daily working hour affects on the lifting heavy objects, running and strenuous exercise(r=-0.137, p<0.01), and total physical function decreased with the increase in age(r=-0.145, p<0.01). Also, obese was significantly associated with genuflection and bend over(r=-0.110, p<0.05). On multiple logistic regression analysis for the diagnostic indices of MetS, occupational standing time were significantly associated with waist circumference(odds ratio=0.885, ${\beta}$ value=-0.122, 95% CI=0.797-0.983, p<0.05) and triglyceride (odds ratio=0.873, ${\beta}$ value=-0.136, 95% CI=0.800-0.953, p<0.01). Conclusions: These results suggest that the working posture may be important risk factor in pathogenesis and growing of MetS and cardiovascular disease.

Keywords

References

  1. Alberti KGMM, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart J-C, James WPT, Loria CM, Smith SC. Harmonizing the metabolic syndrome: A joint interim statement of the international diabetes federation task force on epidemiology and prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009;120:1640-1645 https://doi.org/10.1161/CIRCULATIONAHA.109.192644
  2. Anubhuti SA. Role of neuropeptides in appetite regulation and obesity-A review. Neuropeptides 2006;40: 375-401 https://doi.org/10.1016/j.npep.2006.07.001
  3. Balasubramanian V, Adalarasu K, Regulapati R. Comparing dynamic and stationary standing postures in an assembly task. Int J Ind Ergnomics 2009; 39:649-654 https://doi.org/10.1016/j.ergon.2008.10.017
  4. Beltran-Sanche H, Harhay MO, Harhay MM, McElligott S. Prevalence and trends of metabolic syndrome in the adults U.S. population, 1999-2010. J Am College of Cardiology 2013;62(8):697-703 https://doi.org/10.1016/j.jacc.2013.05.064
  5. Bertrais S, Beyeme-Ondoua JP, Czernichow S, Galan P, Hercberg S, Oppert JM. Sedentary behaviors, physical activity, and metabolic syndrome in middle-aged French subjects. Obes Res 2005;13(5): 936-944 https://doi.org/10.1038/oby.2005.108
  6. Blanck HM, McCullough ML, Patel AV, Gillespie C, Calle EE, Cokkinides VE, Galuska DA, Khan LK, Serdula MK. Sedentary behavior, recreational physical activity, and 7-year weight gain among postmenopausal U.S. women. Obesity (Silver Spring) 2007;15(6):1578-1588 https://doi.org/10.1038/oby.2007.187
  7. Chau JY, van der Ploeg HP, Merom D, Chey T, Bauman AE. Cross-sectional associations between occupational and leisure-time sitting, physical activity and obesity in working adults. Preventive Medicine 2012;54:195-200 https://doi.org/10.1016/j.ypmed.2011.12.020
  8. Chen H, Guo X. Obesity and functional disability in elderly Americans. J Am Geriatr Soc 2008;56:689-694 https://doi.org/10.1111/j.1532-5415.2007.01624.x
  9. Dempsey PG. A critical review of biomechanical, epidemiological, physiological criteria for designing manual materials handling tasks. Ergonomics 1998;41:73-88 https://doi.org/10.1080/001401398187332
  10. Despres JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature 2006;444: 881-887 https://doi.org/10.1038/nature05488
  11. Ducan MJ, Gilson N, Vandelanotte C. Which population groups are most unaware of CVD risks associated with sitting time?. Preventive Medicine 2014;65:103-108 https://doi.org/10.1016/j.ypmed.2014.05.009
  12. Grontved A, Hu FB. Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality. J Am Med Association 2011;305:2448-2455 https://doi.org/10.1001/jama.2011.812
  13. Guallar-Castillon P, Perez RF, Garcia EL, Leon-Munoz LM, Aguilera MT, Graciani A, Gutierrez-Fisac JL, Banegas JR, Rodriguez-Artalejo F. Magnitude and management of metabolic syndrome in Spain in 2008-2010: The ENRIC study. Revista Espanola Cardiologia 2014;67(5):367-373 https://doi.org/10.1016/j.recesp.2013.08.014
  14. Hajat C, Shather Z. Prevalence of metabolic syndrome and prediction of diabetes using IDF versus ATPIII criteria in a Middle East population. Diabetes Research & Clinical Practice 2012;98:481-486 https://doi.org/10.1016/j.diabres.2012.09.037
  15. Halim I, Omar AR, Saman AM, Othman I. Assessment of muscle fatigue associated with prolonged standing in the workplace. Safe & Health at Work 2012;3:31-42 https://doi.org/10.5491/SHAW.2012.3.1.31
  16. Heo K-H, Koo J-W, Won YL, Kim MK, Ko KS, Lee M-Y, Kim TK, Kim K-W. Changes of physiological levels of th risk factors contributing to induction of metabolic syndrome in workers chronically exposed to styrene. Journal of Korean Society of Occupational & Environmental Hygiene 2009;19(1):30-38.
  17. Hirschler V, Molinari C, Maccallini G, Aranda C, Oestreicher K. Comparison of different anthropometric indices for identifying dyslipidemia in school children. Clinical Biochemistry 2011;44:659-664 https://doi.org/10.1016/j.clinbiochem.2011.02.004
  18. Hu FB, Li TY, Colditz GA, Willett WC, Manson JE. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA 2003;289(14):1785-1791 https://doi.org/10.1001/jama.289.14.1785
  19. Jakes RW, Day NE, Khaw KT, Luben R, Oakes S, Welch A, Bingham S, Wareham NJ. Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study. Eur J Clin Nutr 2003;57(9):1089-1096 https://doi.org/10.1038/sj.ejcn.1601648
  20. Janssen I, Heymsfield SB, Ross R. Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc 2002;50:889-896 https://doi.org/10.1046/j.1532-5415.2002.50216.x
  21. Kim K-W, Heo K-H, Won YL, Ko KS, Kim TG, Lee M-Y, Park J, Paik S-G. Overweight of Korean male workers and genetic polymorphism of insulin receptor substrate 1 (IRS1) gene. Animal Cells & Systems 2009;13:127-132 https://doi.org/10.1080/19768354.2009.9647203
  22. Koh SB, Chang SJ, Kang MG, Cha BS, Park JK. Reliability and validity on measurement instrument for health status assessment in occupational workers. The Korean Society for preventive Medicine 1997;30(2):251-266
  23. Krause N, Lynch JW, Kaplan GA, Cohen RD, Salonen R, Salonen JT. Standing at work and progression of carotid atherosclerosis. Scand J Work Environ Health 2000;26: 227-236 https://doi.org/10.5271/sjweh.536
  24. Masuo K, Katsuya T, Fu Y, Rakugi H, Ogihara T, Tuck M. $\beta$2-Adrenoceptor polymorphisms relate to insulin resistance and sympathetic overactivity as early markers of metabolic disease in nonobese, normotensive individuals. Am J Hypertention 2005;18: 1009-1014 https://doi.org/10.1016/j.amjhyper.2005.01.006
  25. McCrady SK, Levine JA. Sedentariness at work; how much do we really sit. Obesity 2009;17(11):2103-2105 https://doi.org/10.1038/oby.2009.117
  26. McCulloch J. Health risk associated with prolonged standing. Work 2002;19(2):201-205
  27. Ministry of Employment and Labor (MoEL). 2012 Annual report for analysis of accident and work-related disease(MoEL Publication No. 11-1490000-000022-10).; 2013. p.10-13.
  28. Misra A, Madhavan M, Vikram NK, Pandey RM, Dhingra V, Luthra K. Simple anthropometric measures identify fasting hyperinsulinemia and clustering of cardiovascular risk factors in Asian Indian adolescents. Metabolism Clinical Experimental 2006;55:1569-1573 https://doi.org/10.1016/j.metabol.2006.06.029
  29. Morris JN, Heady JA, Raffle PA, Roberts CG, Parks JW. Coronary heart disease and physical activity of work (parts 1 and 2). Lancet 1953;265:1053-7, 1111-20.
  30. Ngomo S, Messing K, Perrault H, Comtois A. Orthostatic symptoms, blood pressure and working postures of factory and service workers over and observed workday. Appl Ergonomics 2008;39:729-736 https://doi.org/10.1016/j.apergo.2007.11.004
  31. Oliver D. Older people who fall: Why they matter and what you can do. Community Nurs 2007;12:500-507 https://doi.org/10.12968/bjcn.2007.12.11.27481
  32. Park E, Choi SJ, Lee HY. The prevalence of metabolic syndrome and related risk factors based on the KNHANES V 2010. Korean J Agricultural Medcine Community Health 2013;38:1-13 https://doi.org/10.5393/JAMCH.2013.38.1.001
  33. Pate RR, O'Neill JR, Lobelo F. The evolving defınition of "sedentary." Exerc Sport Sci Rev 2008;36(4):173-178 https://doi.org/10.1097/JES.0b013e3181877d1a
  34. Pope DP, Hunt JM, Birrell FN, Silman AJ, Macfarlane GJ. Hip pain onset in relation to cumulative workplace and leisure time mechanical load: a population based case-control study. Annals of the Rheumatic Disease 2003;62:322-326 https://doi.org/10.1136/ard.62.4.322
  35. Prado-Lu JLD. Anthropometric measurement of Filipino manufacturing workers. Int J Ind Ergonomics 2007; 37:497-503 https://doi.org/10.1016/j.ergon.2007.02.004
  36. Reaven GM. Banting lecture: Role of insulin resistance in human disease. Diabetes 1988;37:1595-1607 https://doi.org/10.2337/diab.37.12.1595
  37. Ryde GC, Brown HE, Peeters GMEE, Gilson ND, Brown WJ. Desk-Based Occupational Sitting Patterns. Weight-Related Health Outcomes. Am J Prev Med 2013;45(4):448-452 https://doi.org/10.1016/j.amepre.2013.05.018
  38. Santos AC, Ebrahim S, Barros H. Alcohol intake, smoking, sleeping hours, physical activity and the metabolic syndrome. Preventive Medicine 2007; 44:328-334 https://doi.org/10.1016/j.ypmed.2006.11.016
  39. Schaap LA, Koster A, Visser M. Adiposity, muscle mass, and muscle strength in relation to functional decline in older persons. Epidemiol Rev 2013;35:51-65 https://doi.org/10.1093/epirev/mxs006
  40. Valentine RJ, Misic MM, Rosengren KS, Woods JA, Evans EM. Sex impacts the relation between body composition and physical function in older adults. Menopause 2009;16(3):518-523 https://doi.org/10.1097/gme.0b013e31818c931f
  41. Vincent HK, Vincent KR, Lamb KM. Obesity and mobility disability in the older adult. Obes Rev 2010;11(8):568-579 https://doi.org/10.1111/j.1467-789X.2009.00703.x
  42. Wagner A, Dallongeville J, Haas B, Ruidavets JB, Amouyel P, Ferrieres J, Simon C, Arveiler D. Sedentary behaviour, physical activity and dietary patterns are independently associated with the metabolic syndrome. Diabetes and Metabolism 2012;38:428-435 https://doi.org/10.1016/j.diabet.2012.04.005
  43. Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, Khunti K, Yates T, Biddle SJ. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia 2012;55(11): 2895-2905 https://doi.org/10.1007/s00125-012-2677-z
  44. Woods SC, Seeley RJ. Hormonal mediation of energy homeostasis in obesity, diabetes and related disorders. Drug Discovery Today: Disease Mechanisms 2005;2(3): 321-326 https://doi.org/10.1016/j.ddmec.2005.08.004