Association between Sleep Quality and Metabolic Syndrome among Healthcare Workers in Southern Iran: A Cross-sectional Study
Sleep Quality and Metabolic Syndrome
Abstract
Sleep quality has emerged as a determinant of metabolic homeostasis. Healthcare workers (HCWs) exposed to occupational stress and demanding schedules, are vulnerable to sleep disturbances and metabolic dysregulation. We investigated the potential link between sleep quality and metabolic syndrome (MetS) among HCWs. A cross-sectional study was carried out using information from 5925 health workers in the SUMS Employee Health Cohort Study (SUMS EHCS), which was a branch of the PERSIAN cohort study launched by the Ministry of Health, Medicine, and Medical Education of Iran in 2013. MetS prevalence was 23.5% (ATP III) and 30.2% (IDF). 65.7% exhibited poor sleep quality. Univariable analysis showed associations between MetS (ATP III) and age, underlying disease and chronic stressors. In multivariable models, only underlying disease remained significant. Surprisingly, no significant association was found between MetS and sleep quality. Our findings suggest that underlying diseases and chronic stressors play a more substantial role in MetS among HCWs. While poor sleep quality is prevalent, it may not be an independent contributor to MetS in this cohort. Comprehensive interventions addressing multiple factors are crucial for HCW health. Longitudinal studies are essential to unravel the relationship between sleep quality, stress and metabolic health in this population.
Keywords :
Healthcare workers; metabolic syndrome; sleep quality,
Abstrak
Kualiti tidur telah menjadi faktor penting dalam homeostasis metabolik. Pekerja penjagaan kesihatan (HCWs) yang terdedah kepada tekanan pekerjaan dan jadual yang ketat berisiko mengalami gangguan tidur dan disfungsi metabolik. Kami menyiasat hubungan yang berpotensi antara kualiti tidur dan sindrom metabolik (MetS) di kalangan HCWs. Kajian rentas secara menegak telah dijalankan menggunakan data daripada 5925 pekerja kesihatan dalam Kajian Kohort Kesihatan Pekerja SUMS (SUMS EHCS), yang merupakan sebahagian daripada kajian kohort PERSIAN yang dilancarkan oleh Kementerian Kesihatan, Perubatan dan Pendidikan Perubatan Iran pada tahun 2013. Prevalens MetS adalah 23.5% (ATP III) dan 30.2% (IDF). Sebanyak 65.7% menunjukkan kualiti tidur yang buruk. Analisis univariat menunjukkan hubungan antara MetS (ATP III) dan usia, penyakit asas serta stres kronik. Dalam model multivariat, hanya penyakit asas yang kekal signifikan. Menariknya, tiada hubungan signifikan ditemui antara MetS dan kualiti tidur. Penemuan kami mencadangkan bahawa penyakit asas dan stres kronik memainkan peranan yang lebih besar dalam MetS di kalangan HCWs. Walaupun kualiti tidur yang buruk adalah perkara biasa, ia mungkin bukan penyumbang utama kepada MetS dalam kohort ini. Intervensi yang komprehensif untuk menangani pelbagai faktor adalah penting untuk kesihatan HCWs. Kajian longitudinal adalah penting untuk memahami hubungan antara kualiti tidur, tekanan dan kesihatan metabolik dalam populasi ini.
Kata Kunci :
Kualiti tidur; pekerja penjagaan kesihatan; sindrom metabolik,
Correspondance Address
Alireza Mirahmadizadeh. Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Tel: 07136122302 Email: mirahmadia@sums.ac.ir