Affiliations: [a] Environmental and Occupational Health Research Center, Shahroud University of Medical Sciences, Shahroud, Iran
| [b] Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran
| [c] Department of Epidemiology, Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud Iran | [d]
Department of Physiology, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
| [e] Health Care Management, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Correspondence:
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Address for correspondence: Mohammad Khammarnia, Health School, Department of Public Health, Prof. Hesabi Square, Zahedan, Iran. E-mail: [email protected].
Abstract: BACKGROUND:Metabolic syndrome (MetS) is a group of risk factors that are associated with increased risk for atherosclerotic cardiovascular disease. OBJECTIVE:The objective of this study was to determine the prevalence of metabolic syndrome and its individual components among Iranian bakery workers. METHODS:A cross-sectional study enrolling 163 randomly selected bakery workers from Semnan province (Northeast Iran), was conducted in 2017. A standard questionnaire was used for data collection. Analyses were performed using t-test, one-way ANOVA and Latent Class Analysis (LCA) in R software. RESULTS:The prevalence of MetS was 19.8% among bakery workers. More bakery workers with MetS had no regular exercise (p = 0.001) and worked more than eight hours a day (p = 0.001). In this study, the International Diabetes Federation (IDF) diagnostic criteria had more agreement with the American Heart Association (AHA) (49.1%) than the World Health Organization (WHO) and Adult Treatment Panel (ATP) criteria. Also, the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATPIII) had the highest sensitivity for diagnosing MetS. The sensitivity of the four diagnostic methods, WHO, IDF, ATP and AHA, were 45.2%, 61.7%, 67.9% and 64.8%; and their specificity were 98.2%, 100%, 100% and 100%, respectively. CONCLUSION:The prevalence of MetS is high among bakery workers in Iran. Increased physical activity and intake of fruit and vegetables are recommended for the prevention of MetS.
