Annals of Occupational and Environmental Medicine

  • Volume 35
  • /
  • Pages.12.1-12.12
  • /
  • 2023
  • /
  • 1225-3618(pISSN)
  • /
  • 2052-4374(eISSN)
The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
권호 표지
DOI QR코드

DOI QR Code

Relationship between job stress and impaired fasting glucose in male steel industry workers: a cross-sectional study

  • Hyun-Kyo Lee (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Inho Lee (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Jisuk Yun (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Yong-Jin Lee (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Eun-Chul Jang (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Young-Sun Min (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Soon-Chan Kwon (Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital)
  • Received : 2023.02.08
  • Accepted : 2023.05.08
  • Published : 2023.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The purpose of this study is to investigate the relationship between job stress and impaired fasting glycemia (IFG) of male workers in a manufacturing industry. Methods: Data were collected from 5,886 male workers in a manufacturing industry who participated in the medical examination from June 19 to August 14, 2020 through self-reported questionnaires. The general characteristics of the subjects, shift work, high blood pressure, dyslipidemia, and job stress were included. Job stress was measured using the Korean Occupational Stress Scale (KOSS) consisting of 8 items and 43 questions. Multivariable logistic regression analysis was used to investigate the IFG association with job stress. Results: Among the various factors that can cause job stress, only high job demand was associated with a risk of IFG (odds ratio, 1.43; 95% confidence interval, 1.13-1.82) especially in non-shift worker. For all other factors, no statistically significant results were obtained. Conclusions: In this study of male workers engaged in the Korean steel manufacturing industry, the 'job demand' item among job stress of non-shift worker was related to IFG.

Keywords

Acknowledgement

We would like to thank Harrisco (www.harrisco.net) for English language editing.

References

  1. Liu J, Ren ZH, Qiang H, Wu J, Shen M, Zhang L, et al. Trends in the incidence of diabetes mellitus: results from the Global Burden of Disease Study 2017 and implications for diabetes mellitus prevention. BMC Public Health 2020;20(1):1415.
  2. Vijayakumar G, Manghat S, Vijayakumar R, Simon L, Scaria LM, Vijayakumar A, et al. Incidence of type 2 diabetes mellitus and prediabetes in Kerala, India: results from a 10-year prospective cohort. BMC Public Health 2019;19(1):140.
  3. Forouhi NG, Wareham NJ. Epidemiology of diabetes. Medicine (Abingdon) 2014;42(12):698-702.
  4. Tuei VC, Maiyoh GK, Ha CE. Type 2 diabetes mellitus and obesity in sub-Saharan Africa. Diabetes Metab Res Rev 2010;26(6):433-45.
  5. Giovannucci E, Harlan DM, Archer MC, Bergenstal RM, Gapstur SM, Habel LA, et al. Diabetes and cancer: a consensus report. Diabetes Care 2010;33(7):1674-85.
  6. Long AN, Dagogo-Jack S. Comorbidities of diabetes and hypertension: mechanisms and approach to target organ protection. J Clin Hypertens (Greenwich) 2011;13(4):244-51.
  7. Santaguida PL, Balion C, Hunt D, Morrison K, Gerstein H, Raina P, et al. Diagnosis, prognosis, and treatment of impaired glucose tolerance and impaired fasting glucose. Evid Rep Technol Assess (Summ) 2005;(128):1-11.
  8. Tominaga M, Eguchi H, Manaka H, Igarashi K, Kato T, Sekikawa A. Impaired glucose tolerance is a risk factor for cardiovascular disease, but not impaired fasting glucose. The Funagata Diabetes Study. Diabetes Care 1999;22(6):920-4.
  9. Seeman TE, Crimmins E. Social environment effects on health and aging: integrating epidemiologic and demographic approaches and perspectives. Ann N Y Acad Sci 2001;954(1):88-117.
  10. Baillien E, De Cuyper N, De Witte H. Job autonomy and workload as antecedents of workplace bullying: a two-wave test of Karasek's Job Demand Control Model for targets and perpetrators. J Occup Organ Psychol 2011;84(1):191-208.
  11. Karasek RA Jr. Job demands, job decision latitude, and mental strain: Implications for job redesign. Adm Sci Q 1979;24(2):285-308.
  12. Demerouti E, Bakker AB, de Jonge J, Janssen PP, Schaufeli WB. Burnout and engagement at work as a function of demands and control. Scand J Work Environ Health 2001;27(4):279-86.
  13. Yau YH, Potenza MN. Stress and eating behaviors. Minerva Endocrinol 2013;38(3):255-67.
  14. Tareen RS, Tareen K. Psychosocial aspects of diabetes management: dilemma of diabetes distress. Transl Pediatr 2017;6(4):383-96.
  15. Huth C, Thorand B, Baumert J, Kruse J, Emeny RT, Schneider A, et al. Job strain as a risk factor for the onset of type 2 diabetes mellitus: findings from the MONICA/KORA Augsburg cohort study. Psychosom Med 2014;76(7):562-8.
  16. Link BG, Phelan J. Social conditions as fundamental causes of disease. J Health Soc Behav 1995;35(Spec No):80-94.
  17. Tsigos C, Chrousos GP. Hypothalamic-pituitary-adrenal axis, neuroendocrine factors and stress. J Psychosom Res 2002;53(4):865-71.
  18. Sjors Dahlman A, Jonsdottir IH, Hansson C. The hypothalamo-pituitary-adrenal axis and the autonomic nervous system in burnout. Handb Clin Neurol 2021;182:83-94.
  19. Kivimaki M, Steptoe A. Effects of stress on the development and progression of cardiovascular disease. Nat Rev Cardiol 2018;15(4):215-29.
  20. Lagraauw HM, Kuiper J, Bot I. Acute and chronic psychological stress as risk factors for cardiovascular disease: insights gained from epidemiological, clinical and experimental studies. Brain Behav Immun 2015;50:18-30.
  21. Penninx BW, Milaneschi Y, Lamers F, Vogelzangs N. Understanding the somatic consequences of depression: biological mechanisms and the role of depression symptom profile. BMC Med 2013;11(1):129. 
  22. Prpic-Krizevac I, Canecki-Varzic S, Bilic-Curcic I. Hyperactivity of the hypothalamic-pituitary-adrenal axis in patients with type 2 diabetes and relations with insulin resistance and chronic complications. Wien Klin Wochenschr 2012;124(11-12):403-11.
  23. Cohen S, Janicki-Deverts D, Doyle WJ, Miller GE, Frank E, Rabin BS, et al. Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proc Natl Acad Sci U S A 2012;109(16):5995-9.
  24. Rosmond R, Dallman MF, Bjorntorp P. Stress-related cortisol secretion in men: relationships with abdominal obesity and endocrine, metabolic and hemodynamic abnormalities. J Clin Endocrinol Metab 1998;83(6):1853-9.
  25. Li W, Yi G, Chen Z, Dai X, Wu J, Peng Y, et al. Is job strain associated with a higher risk of type 2 diabetes mellitus? A systematic review and meta-analysis of prospective cohort studies. Scand J Work Environ Health 2021;47(4):249-57.
  26. Cosgrove MP, Sargeant LA, Caleyachetty R, Griffin SJ. Work-related stress and Type 2 diabetes: systematic review and meta-analysis. Occup Med (Lond) 2012;62(3):167-73.
  27. Kroenke CH, Spiegelman D, Manson J, Schernhammer ES, Colditz GA, Kawachi I. Work characteristics and incidence of type 2 diabetes in women. Am J Epidemiol 2007;165(2):175-83.
  28. Norberg M, Stenlund H, Lindahl B, Andersson C, Eriksson JW, Weinehall L. Work stress and low emotional support is associated with increased risk of future type 2 diabetes in women. Diabetes Res Clin Pract 2007;76(3):368-77.
  29. Sui H, Sun N, Zhan L, Lu X, Chen T, Mao X. Association between work-related stress and risk for type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies. PLoS One 2016;11(8):e0159978.
  30. Korean Industrial Health Association. https://kiha21.or.kr/doc_download/special_ko_2018.pdf. Updated 2018. Accessed January 12, 2023. 
  31. Korean Industrial Health Association. https://kiha21.or.kr/doc_download/night_ko_2018.pdf. Updated 2018. Accessed January 12, 2023. 
  32. Nam Y, Kwon SC, Lee YJ, Jang EC, Ahn SH. Relationship between job stress and functional dyspepsia in display manufacturing sector workers: a cross-sectional study. Ann Occup Environ Med 2018;30(1):62.
  33. Ahn SH, Lee YJ, Jang EC, Kwon SC, Min YS, Ryu SH. A study of job stress, suicidal ideation and suicide attempts in display manufacturing workers: a cross-sectional study. Ann Occup Environ Med 2020;32:e16.
  34. Lee HY, Shin J, Kim GH, Park S, Ihm SH, Kim HC, et al. 2018 Korean Society of Hypertension Guidelines for the management of hypertension: part II-diagnosis and treatment of hypertension. Clin Hypertens 2019;25(1):20.
  35. Rhee EJ, Kim HC, Kim JH, Lee EY, Kim BJ, Kim EM, et al. 2018 guidelines for the management of dyslipidemia in Korea. J Lipid Atheroscler 2019;8(2):78-131.
  36. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med 2005;17(4):297-317.
  37. Choi YI, Kim EJ, Park EY. Validity of the Korean occupational stress scale in occupational therapists. J Korea Contents Association 2011;11(7):225-33.
  38. Kang DM, et al. Modern Understanding of Job Stress. 2nd ed. Seoul, Korea: Koryo Medical Book; 2016. 
  39. Lewis GF, Carpentier A, Adeli K, Giacca A. Disordered fat storage and mobilization in the pathogenesis of insulin resistance and type 2 diabetes. Endocr Rev 2002;23(2):201-29.
  40. Kivimaki M, Kawachi I. Work stress as a risk factor for cardiovascular disease. Curr Cardiol Rep 2015;17(9):74.
  41. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord 2013;12(1):14.
  42. Gill JM, Cooper AR. Physical activity and prevention of type 2 diabetes mellitus. Sports Med 2008;38(10):807-24.
  43. Toshihiro M, Saito K, Takikawa S, Takebe N, Onoda T, Satoh J. Psychosocial factors are independent risk factors for the development of Type 2 diabetes in Japanese workers with impaired fasting glucose and/or impaired glucose tolerance. Diabet Med 2008;25(10):1211-7.
  44. Han K, Lee YJ, Kim J, Kim JH, Lee HJ. Effect of an employee assistance program (EAP) on reducing the risk of type 2 diabetes mellitus in Korea: A retrospective cohort study. J Occup Health 2019;61(1):72-80. 
  45. Lee JY, Lee JW, Choi WS, Myong JP. Dose-response relationship between night work and the prevalence of impaired fasting glucose: the Korean worker's special health examination for night workers cohort. Int J Environ Res Public Health 2021;18(4):1854.
  46. Toker S, Gavish I, Biron M. Job demand-control-support and diabetes risk: the moderating role of self-efficacy. Eur J Work Organ Psychol 2013;22(6):711-24.
  47. Kang SH, Boo YJ, Lee JS, Ji WB, Yoo BE, You JY. Analysis of the occupational stress of Korean surgeons: a pilot study. J Korean Surg Soc 2013;84(5):261-6.
  48. Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 1998;3(4):322-55.
  49. Karve A, Hayward RA. Prevalence, diagnosis, and treatment of impaired fasting glucose and impaired glucose tolerance in nondiabetic U.S. adults. Diabetes Care 2010;33(11):2355-9.