Arterial hypertension in rotating shift workers: The role of hypertriglyceridemic waist and hypertriglyceridemic waist-to-height ratio phenotypes.

Autor: Machado GDS; School of Nutrition, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil., Menezes-Júnior LAA; School of Nutrition, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil; Post-Graduate in Health and Nutrition, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil. Electronic address: luiz.menezes@ufop.edu.br., Neto RMDN; School of Medicine, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil., Freitas SN; School of Nutrition, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil., Oliveira FLP; Institute of Exact and Biological Sciences, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil., Pimenta FAP; School of Medicine, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil., Machado-Coelho GLL; Post-Graduate in Health and Nutrition, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil; School of Medicine, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil., Ribeiro SMLT; School of Nutrition, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil.
Jazyk: angličtina
Zdroj: Clinical nutrition ESPEN [Clin Nutr ESPEN] 2023 Dec; Vol. 58, pp. 235-241. Date of Electronic Publication: 2023 Oct 10.
DOI: 10.1016/j.clnesp.2023.10.003
Abstrakt: Objective: To examine the association of arterial hypertension and the hypertriglyceridemic waist phenotype (HWP) and hypertriglyceridemic waist-to-height phenotype (HWHP).
Methodology: This cross-sectional study was conducted with 1422 male rotating shift workers in Brazil. The HWP was defined as having a waist circumference ≥94 cm and serum triglycerides ≥150 mg/dL, whereas the HWHP was determined by having a waist-to-height ratio ≥0.5 and serum triglycerides ≥150 mg/dL. To provide a characterization of the sample, data were presented in both absolute and relative values, and Pearson's chi-square test was employed. To investigate the potential association between arterial hypertension and the presence of HWP or HWHP, multivariate logistic regression was conducted, accounting for sociodemographic, behavioral, and clinical variables. Furthermore, we conducted a stratified multivariate logistic regression analysis, considering the duration of shift work, to assess whether the results remained consistent depending on the length of work experience in shifts.
Results: A noteworthy association was observed between arterial hypertension and both HWP and HWHP, with HWHP exhibiting a stronger association with the disease. Furthermore, a positive association between arterial hypertension and these phenotypes was identified in workers with five or more years of shift work.
Conclusion: We recommend the utilization of HWHP as a screening tool, as it indicates a stronger association with arterial hypertension compared to HWP. Additionally, the duration of time spent working in shifts emerged as a significant factor influencing the presence of these phenotypes.
Competing Interests: Declaration of competing interest The authors declare no competing interests.
(Copyright © 2023 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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