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Sleep problems are a strong predictor of stress-related metabolic changes in police officers. A prospective study

Garbarino, Sergio ; Magnavita, Nicola Marquez-Romero, Juan Manuel

PloS one, 2019-10, Vol.14 (10), p.e0224259-e0224259 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Sleep problems are a strong predictor of stress-related metabolic changes in police officers. A prospective study
Autor: Garbarino, Sergio ; Magnavita, Nicola
Marquez-Romero, Juan Manuel
Assuntos: Adult ; Biology and Life Sciences ; Cardiovascular disease ; Complications and side effects ; Demographic aspects ; Female ; Health aspects ; Humans ; Hygiene ; Insomnia ; Job stress ; Law enforcement ; Longitudinal studies ; Male ; Mediation ; Medicine and Health Sciences ; Meta-analysis ; Metabolic diseases ; Metabolic disorders ; Metabolic syndrome ; Occupational Diseases - metabolism ; Occupational Diseases - physiopathology ; Occupational Diseases - psychology ; Occupational health ; Occupational stress ; People and Places ; Physical Sciences ; Police ; Police - psychology ; Police officers ; Population ; Prospective Studies ; Psychological aspects ; Psychological stress ; Public health ; Quality ; Reinforcement ; Research and Analysis Methods ; Risk factors ; Shift work ; Sleep ; Sleep and wakefulness ; Sleep disorders ; Sleepiness ; Social Sciences ; Stress ; Stress (Psychology) ; Stress, Psychological - metabolism ; Stress, Psychological - physiopathology ; Surveys and Questionnaires ; Systematic review ; Workers
É parte de: PloS one, 2019-10, Vol.14 (10), p.e0224259-e0224259
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Competing Interests: The authors have declared that no competing interests exist.
These authors are co-first authors on this work.
Descrição: Previous studies have shown that workers chronically exposed to occupational stress have an increased risk of metabolic syndrome (MetS) and sleep problems (SPs). The purpose of this study was to verify whether SPs mediate the relationship between stress and MetS. A 5-year prospective cohort study included 242 police officers from a rapid response unit engaged exclusively in maintaining law and order. Perceived stress levels were measured repeatedly with the demand-control-support and the effort-reward-imbalance questionnaires; insomnia symptoms were assessed with the Pittsburgh Sleep Quality Index; excessive daytime sleepiness was measured using the Epworth Sleepiness Scale. MetS and its components were evaluated at baseline and at follow-up. During 5-year follow-up period, 26 new cases of MetS were identified. Both occupational stress and SPs were significantly related to incident cases of MetS. Insomnia symptoms showed a highly significant association with MetS (aOR 11.038; CI95% 2.867-42.493). Mediation analysis confirmed that SPs mediate the relationship between stress and MetS. A reciprocal relationship was found between job stress and SPs. Work-related stress was a significant predictor of insomnia symptoms, short sleep duration, sleep dissatisfaction, and sleepiness. Compared to the reference group, police officers with SPs at baseline had significantly higher odds of reporting high stress at follow-up. SPs play a mediating role in the relationship between occupational stress and MetS. Prevention of MetS must include the control of stress factors and an increase in the resilience of workers, but correct sleep hygiene is also an essential factor.
Editor: United States: Public Library of Science
Idioma: Inglês

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Sleep problems are a strong predictor of stress-related metabolic changes in police officers. A prospective study

Garbarino, Sergio ; Magnavita, Nicola Marquez-Romero, Juan Manuel

United States: Public Library of Science

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