Assessment of metabolic syndrome in railway workers

Metabolic syndrome is currently the leading cause of the development of cardiovascular pathology.This is associated with an increase in the prevalence of overweight and obesity, which leads to a significant increase in related metabolic diseases. The production activities of workers in many railway professions, primarily locomotive crew workers, are characterized by high psychoemotional stress, which is an important risk factor for the development of metabolic syndrome. Objective: to establish an association between the prevalence of metabolic syndrome Materials and methods: 220 men have been included into the research, workers of railway transportation with arterial hypertension. All the men have been divided into two groups according to their profession. The first group consisted of 114 workers of locomotive brigades (engine drivers and their Assistants). 106 workers of a railway transportation of other specialties have been included in II group. General clinical part of the study included: collection of complaints, medical history, work experience and duration of the disease, examination, anthropometric data with determination of body mass index, waist circumference. Laboratory tests included assessment of biochemical parameters (total cholesterol (TC), high-density lipoprotein cholesterol (HDL), low-density lipoprotein cholesterol (LDL), triglycerides (TG), glucose, fasting blood sugar and 2 hours after meals). Results: The frequency of metabolic syndrome is 37% and 35%, respectively, in the first and second groups. Significant differences were found in the prevalence of abdominal obesity: among workers of locomotive crews, abdominal obesity was significantly more common by 14% than among engineers (office workers) (χ² = 8.42; p = 0.004). Among men of working age, workers in stressful professions (machinists and their Assistants) more often have a combination of three components of MS: hypertension with AO and an increase in the concentration of LDL-C >3 mmol/l. The following clusters of metabolic syndrome are more often observed in office workers (engineers): hypertension with AO and hypertriglyceridemia and hypertension with AO and hyperglycemia. Conclusions: The received results specify in necessity of carrying out of primary preventive maintenance arterial hypertension among workers of locomotive brigades.

metabolic syndrome, locomotive crew workers, abdominal obesity, arterial hypertension, occupational stress

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