Abstract
We determined the prevalence of metabolic syndrome (MetS) among military police officers (MPOs) from the radio patrol program of the Military Police of Sao Paulo State (PMESP). Towards this goal, we analyzed the following characteristics: shift duty (daytime or nighttime patrol), service length in the PMESP, education level attained, weekly alcohol consumption, smoking, and physical activity of 93 MPOs. The MPO groups were created based on work shift [daytime (n=48) or nighttime (n=45)], and years of MPO experience [≤3 years (n=48) or ≥10 years (n=45)]. The overall prevalence of MetS among the 93 MPOs was 43%. There was a higher prevalence of MetS in the group with ≥ten years (53.3%) than that with ≤three years (33.3%); so, 1,6 times higher. The more prevalent MetS indicators (n=93) included waist circumference (76.3%), hypertension (55.9%), reduced plasma HDL-cholesterol levels (44%), hypertriglyceridemia (32.2%), and hyperglycemia (20.4%). Greater waist circumference, hypertension, hypertriglyceridemia, higher glycated hemoglobin A1c (HbA1c) levels, and MetS itself were associated with the service length (i.e., ≥ten years). The work shift was not associated with any MetS indicator. Those who were overweight or obese were 2.2. times more likely to develop MetS. Hypertriglyceridemia, the best indicator of the MetS, increased the chance of developing MetS by 16 times. Conclusion: MPOs exhibit a high prevalence of MetS, associated with the years of service and age.
Highlights
Metabolic syndrome (MetS) includes several abnormalities, such as abdominal obesity, peripheral insulin resistance, hyperlipidemia, and hypertension (Alberti et al, 2009; Zafar et al, 2018)
This study consisted of three phases: 1. Recruitment and screening of volunteers of the radio patrol program, based on information provided by the operation sectors (MPO who work for 8-12 hours, in uniform with ballistic vest and firearm, patrol the streets with a police vehicle); 2
We found that 1.8% of the military police officers (MPOs) had a body mass index (BMI) of >25 kg/m2
Summary
Metabolic syndrome (MetS) includes several abnormalities, such as abdominal obesity, peripheral insulin resistance, hyperlipidemia, and hypertension (Alberti et al, 2009; Zafar et al, 2018). It occurs mainly due to overnutrition and low physical activity, leading to obesity (Esquirol et al, 2009; Myers et al, 2019). MetS represents the leading risk factor for developing type 2 diabetes and cardiovascular diseases (Saklayen, 2018). There are reports of MetS prevalence among members of law enforcement. 25.7% and 38.5% of police officers exhibited MetS in Genoa, Italy (Garbarino & Magnavita, 2015), Buffalo, NY, USA (Baughman et al, 2016), and Bahia, Brazil (Filho & D’Oliveira Jr, 2014), respectively 24.5%. 25.7% and 38.5% of police officers exhibited MetS in Genoa, Italy (Garbarino & Magnavita, 2015), Buffalo, NY, USA (Baughman et al, 2016), and Bahia, Brazil (Filho & D’Oliveira Jr, 2014), respectively
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