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2021, Number 3

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Enfermería Universitaria 2021; 18 (3)

Circadian and metabolic alterations among nursing personnel in a northeastern public hospital in Mexico

Zepeda-Ríos PA, Quintana-Zavala MO, López-Teros V, Candia-Plata MC, Bautista-Jacobo A, García-Puga JA
Full text How to cite this article

Language: Spanish
References: 45
Page: 314-328
PDF size: 300.17 Kb.


Key words:

Metabolic syndrome, circadian rhythm, chronobiology disorders/complications, working shifts, nursing staff, Mexico.

ABSTRACT

Introduction: Metabolic alterations are linked to biologic rhythms because these cycles control physiologic patterns including sleep/awake, body temperature, blood pressure, and hormones release.
Objective: To identify the relationship between the metabolic syndrome components and the circadian alterations among nursing personnel in a public hospital in Mexico.
Method: This is a correlational study. The sample was constituted of 30 nursing professionals working in 2 shifts. Data were collected using three registers: a) bio socio-demographic and labor-related backgrounds; b) metabolic syndrome; c) circadian cycle. Chi-square, Pearson’s R, Spearman’s Rho, and Shapiro-Wilk normality test were calculated. The study approval was granted by the Ethics Committee of the Health Institution. The corresponding informed consent was obtained from all participants.
Results: 43.3 % of the nursing personnel qualified for the metabolic syndrome diagnostic criteria. 100 % of the nurses working the night shift showed circadian alterations in terms of sleep patterns. Alcohol consumption and high levels of triglycerides were positively and significantly related to insomnia (p ≤ 0.001; p ≤ 0.05).
Conclusion: The metabolic syndrome is a health problem with a high prevalence in all kinds of nursing personnel. Bodyweight and triglyceride levels were indicators suggesting altered sleep patterns. This situation highlights the importance of designing and implementing strategies aimed at preventing and addressing metabolic syndrome among nursing personnel as a labor health priority.


REFERENCES

  1. González-Chávez A, Simental L, Elizondo-Argueta S, Sánchez-Zúñiga J, Gutiérrez-Salgado G,Guerrero-Romero F. Prevalencia del síndrome metabólico entre adultos mexicanos no diabéticos,usando las definiciones de la OMS, NCEP-ATPIIIa e IDF. Rev Med Hosp Gen Mex. 2008; 71(1): 11-9.https://bit.ly/3gxtjrq

  2. Lizarzaburu-Robles JC. Síndrome metabólico: concepto y aplicación práctica. An. Fac. med. 2013;74(4): 315-20. https://doi.org/10.15381/anales.v74i4.2705

  3. Romero-Martínez M, Shamah-Levy T, Vielma-Orozco E, Heredia-Hernández O, Mojica-Cuevas J,Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2018-19: metodología y perspectivas.Salud Publica Mex. 2019; 61(6): 917-23. https://doi.org/10.21149/11095

  4. Barba-Evia JR. México y el reto de las enfermedades crónicas no transmisibles. El laboratoriotambién juega un papel importante. Rev Latinoam Patol Clín Med Lab. 2018; 65(1): 4-17.https://bit.ly/33b3eeE

  5. Álvarez-Núñez BJ. Consecuencias de la disincronía circadiana en la salud del trabajador. CES SaludPública. 2013; 4(2): 111-5. https://bit.ly/3ic7kao

  6. Saderi N, Escobar C, Salgado-Delgado R. La alteración de los ritmos biológicos causa enfermedadesmetabólicas y obesidad. Rev Neurol. 2013; 57(2): 71-8. https://doi.org/10.33588/rn.5702.2013007

  7. Ángeles-Castellanos M, Rojas-Granados A, Escobar C. De la frecuencia cardiaca al infarto. Cronobiologíadel sistema cardiovascular. Rev Fac Med UNAM. 2009; 52(3): 117–21.https://bit.ly/34HCuCZ

  8. García-Maldonado G, Sánchez-Juárez IG, Martínez-Salazar GJ, Llanes-Castillo A. Cronobiología:correlatos básicos y médicos. Rev Med Hosp Gen Méx. 2011; 74(2): 108-14. https://bit.ly/3MP6Yoa

  9. Van Dycke KCG, Pennings JLA, Van Oostrom CTM, Van Kerkhof LWM, Van Steeg H, Van derHorst GTJ, et al. Biomarkers for circadian rhythm disruption independent of time of day.PLoS One. 2015; 10(5): e0127075. https://doi.org/10.1371/journal.pone.0127075

  10. Karlsson B, Knutsson A, Lindahl B. Is there an association between shift work and having a metabolicsyndrome? Results from a population based study of 27 485 people. Occup Environ Med.2001; 58: 747-52. http://dx.doi.org/10.1136/oem.58.11.747

  11. Boudreau P, Dumont GA, Boivin DB. Circadian adaptation to night shift work influences sleep,performance, mood and the autonomic modulation of the heart. PLoS One. 2013; 8(7): e70813.https://doi.org/10.1371/journal.pone.0070813

  12. McGlynn N, Kirsh VA, Cotterchio M, Harris MA, Nadalin V, Kreiger N. Shift work and obesityamong canadian women: A cross-sectional study using a novel exposure assessment tool. PLoSOne. 2015; 10(9): e0137561. https://doi.org/10.1371/journal.pone.0137561

  13. Itani O, Kaneita Y. The association between shift work and health: A review. Sleep Biol. Rhythms.2016; 14: 231-9. https://doi.org/10.1007/s41105-016-0055-9

  14. Muñoz del Carpio-Toia A, Perez-Villasante L. Características y hábitos de sueño en operadores demaquinaria pesada que trabajan por turnos diurnos y nocturnos en mina a gran altitud geográfica-Latino América. Arch Med. 2017; 13(2): 1-9. https://bit.ly/3N4RgWj

  15. Yu K, Yi YH, Kim YJ, Cho BM, Lee SY, Lee JG, et al. Shift work is associated with metabolic syndromein young female korean workers. Korean J Fam Med. 2017; 38(2): 51-6.https://doi.org/10.4082/kjfm.2017.38.2.51

  16. Borba-Brum MC, Fernandes-Dantas Filho F, Schnorr CC, Borchardt-Bottega G, Rodrigues TC. Shiftwork and its association with metabolic disorders. Diabetol Metab Syndr. 2015; 7(45): 1-7.https://doi.org/10.1186/s13098-015-0041-4

  17. Escobar C, Ángeles-Castellanos M, Espitia-Bautista EN, Marinus-Buijs R. Food during the night isa factor leading to obesity. Rev. Mex. de trastor. aliment. 2016; 7(1): 78–83.http://dx.doi.org/10.1016/j.rmta.2016.01.001

  18. Salgado-Delgado RC, Fuentes-Pardo B, Escobar-Briones C. La desincronización interna como promotorade enfermedad y problemas de conducta. Salud Ment. 2009; 32(1): 69-76.https://bit.ly/34KJUpv

  19. Erren TC, Reiter RJ. Defining chronodisruption. J. Pineal Res. 2009; 46(3): 245-7.https://doi.org/10.1111/j.1600-079X.2009.00665.x

  20. Subramani SK, Mahajan S, Chauhan P, Yadav D, Mishra M, Pakkirisamy U, et al. Prevalence of metabolicsyndrome in Gwalior region of central India: A comparative study using NCEP ATP III, IDFand Harmonized criteria. Diabetes Metab Syndr. 2019; 13(1): 816-21.https://doi.org/10.1016/j.dsx.2018.12.003

  21. Flo E, Pallesen S, Magerøy N, Moen BE, Grønli J, Nordhus IH, et al. Shift work disorder in nurses -assessment, prevalence and related health problems. PLoS One. 2012; 7(4): e33981.https://doi.org/10.1371/journal.pone.0033981

  22. Alberti KGMM, Zimmet P, Shaw J. Metabolic syndrome-a new world-wide definition. A consensusstatement from the International Diabetes Federation. Diabet Med. 2006; 23(5): 469-80.https://doi.org/10.1111/j.1464-5491.2006.01858.x

  23. Organización Mundial de la Salud. Manual de vigilancia STEPS de la OMS: el método STEP wisede la OMS para la vigilancia de los factores de riesgo de las enfermedades crónicas. Ginebra:OMS; 2006. https://bit.ly/3HHC5yV

  24. Loef B, Van Baarle D, Van der Beek AJ, Beekhof PK, Van Kerkhof LW, Proper KI. The associationbetween exposure to different aspects of shift work and metabolic risk factors in health careworkers, and the role of chronotype. PLoS One. 2019; 14(2): e0211557.https://doi.org/10.1371/journal.pone.0211557

  25. Ferrante D, Virgolini M. Salud pública y factores de riesgo: vigilancia de factores de riesgo de enfermedadesno transmisibles. Rev. argent. cardiol. 2005; 73(3): 221-7. https://bit.ly/3rIylrD

  26. Palacios-Rodríguez RG, Paulín-Villalpando P, López-Carmona JM, Valerio-Acosta MML, Cabrera-Gaytán DA. Síndrome metabólico en personal de salud de una unidad de medicina familiar. RevMed Inst Mex Seguro Soc. 2010; 48(3): 297-302. https://bit.ly/3KNczJI

  27. Cruz-Domínguez MP, González-Márquez F, Ayala-López EA, Vera-Lastra OL, Vargas-Rendón GH,Zárate-Amador A, et al. Sobrepeso, obesidad, síndrome metabólico e índice cintura/talla en elpersonal de salud. Rev Med Inst Mex Seguro Soc. 2015; 53(Suppl. 1): 36-41. https://bit.ly/3q7xq2w

  28. Suárez-Otero R, Gutiérrez-Bernal J. Prevalencia de hipertensión y síndrome metabólico en unamuestra de población mexicana. Med Int Mex. 2006; 22(3): 183-8. https://bit.ly/3swHRgv

  29. Chamorro R, Farias R, Peirano P. Regulación circadiana, patrón horario de alimentación y sueño:enfoque en el problema de obesidad. Rev. chil. nutr. 2018; 45(3): 285-92.http://dx.doi.org/10.4067/s0717-75182018000400285

  30. Boivin DB, Boudreau P. Impacts of shift work on sleep and circadian rhythms. Pathol Biol (Paris).2014; 62(5): 292-301. https://doi.org/10.1016/j.patbio.2014.08.001

  31. Kuk JL, Lee S, Heymsfield SB, Ross R. Waist circumference and abdominal adipose tissue distribution:Influence of age and sex. Am J Clin Nutr. 2005; 81(6): 1330-4.https://doi.org/10.1093/ajcn/81.6.1330

  32. Dávila-Torres J, González-Izquierdo JJ, Barrera-Cruz A. Panorama de la obesidad en México. RevMed Inst Mex Seguro Soc. 2015; 53(2): 240-9. https://bit.ly/3IfV9Uk

  33. Mathiew-Quirós Á, Salinas-Martínez AM, Hernández-Herrera RJ, Gallardo-Vela JA. Síndrome metabólicoen trabajadores de un hospital de segundo nivel. Rev Med Inst Mex Seguro Soc. 2014;52(5): 580-7. https://bit.ly/3u4N93P

  34. Pérez-López J, Benavente-Marín JC, Wärnberg J, Pérez-López D, Barón-López FJ, Pérez-Farinós N.Duración de sueño en personas mayores con síndrome metabólico. Rev. lb. CC. Act. Fís. Dep. 2018;7(2): 119-27. https://doi.org/10.24310/riccafd.2018.v7i2.5096

  35. Figueiredo-De Martino MM, Basto-Abreu AC, Dos Santos-Barbosa MF, Marques-Teixeira JE. Therelationship between shift work and sleep patterns in nurses. Ciênc. saúde coletiva. 2013; 18(3):763-8. https://doi.org/10.1590/S1413-81232013000300022

  36. Travis RC, Balkwill A, Fensom GK, Appleby PN, Reeves GK, Wang XS, et al. Night shift work andbreast cancer incidence: Three prospective studies and meta-analysis of published studies. J NatlCancer Inst. 2016; 108(12): 1-9. https://doi.org/10.1093/jnci/djw169

  37. Lin Y, Nishiyama T, Kurosawa M, Tamakoshi A, Kubo T, Fujino Y, et al. Association between shiftwork and the risk of death from biliary tract cancer in Japanese men. BMC Cancer. 2015; 15(757):1-6. https://doi.org/10.1186/s12885-015-1722-y

  38. Barrera-Cruz A, Rodríguez-González A, Molina-Ayala MA. Escenario actual de la obesidad en México.Rev Med Inst Mex Seguro Soc. 2013; 51(3): 292-9. https://bit.ly/3IgNmWm

  39. Medina AG, Sierra JC. Influencia del trabajo por turnos en el estado emocional y en la calidad delsueño. Psicol. salud. 2004; 14(2): 147-54. https://bit.ly/3KRkfuJ

  40. Fatima Y, Doi SAR, Mamun AA. Sleep quality and obesity in young subjects: A meta-analysis.Obes Rev. 2016; 17(11): 1154-66. https://doi.org/10.1111/obr.12444

  41. Booker LA, Magee M, Rajaratnam SMW, Sletten TL, Howard ME. Individual vulnerability to insomnia,excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematicreview. Sleep medicine reviews. 2018; 41: 220-33. https://doi.org/10.1016/j.smrv.2018.03.005

  42. Vozoris NT. Insomnia symptoms are not associated with dyslipidemia: A population-basedstudy. Sleep. 2016; 39(3): 551-8. https://doi.org/10.5665/sleep.5524

  43. Zhan Y, Zhang F, Lu L, Wang J, Sun Y, Ding R, et al. Prevalence of dyslipidemia and its associationwith insomnia in a community based population in China. BMC Public Health. 2014; 14: 1-9.https://doi.org/10.1186/1471-2458-14-1050

  44. Arocha-Rodulfo JI, Ponte-Negretti CI, Ablan-Candia IF. Triglicéridos en ayunas y posprandiales,y su contribución al estudio del riesgo cardiometabólico. Clín. investig. arterioscler. 2009; 21(6):290-7. https://doi.org/10.1016/S0214-9168(09)72959-6

  45. Carranza-Madrigal J. Triglicéridos y riesgo cardiovascular. Med. Int Méx. 2017; 33(4): 511-4.https://cutt.ly/5StryP5




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