The Indian Journal of Nutrition and Dietetics

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Association of Perceived Psychosocial Stress with Metabolic Syndrome among Young Adults in Urban Workforce


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1 Department of Food and Nutrition, Lady Irwin College, University of Delhi, Delhi, India
     

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The objectives of the study were to ascertain Metabolic Syndrome (MetS) among young employees in the Business Process Outsourcing (BPO) industry and to determine its association with perceived psychosocial stress through a cross-sectional study. MetS was diagnosed using Adult Treatment Panel III (ATPIII 2001) and International Diabetes Federation (IDF 2005) criteria among 415 calling level BPO employees (274 males; 141 females) in National Capital Region, India. Perceived psychosocial stress was assessed using perceived stress scale focussing on four aspects - stress at work, stress at home, financial stress and major stressful life events in past one year along with additional questions on perceived state of depression. The results showed that MetS was present among 11.8% employees according to ATPIII criteria (14.6% males;6.4% females) and 18.3% according to IDF criteria (22.3% males;10.6% females); and was significantly higher in males compared to females (ATPIII:p=0.014; IDF:p=0.004). Psychosocial stress was perceived among higher proportion of female employees as compared to male employees; however, these differences were not significant. MetS among employees was significantly associated with self-perceived depression for past 12 months (ATPIII:p=0.010; IDF:p=0.029) and past 2 weeks (ATPIII:p=0.011; IDF:p=0.012). It was concluded that with nearly 1/5th of the young employees having MetS and self-perceived depression, it becomes imperative to make feasible changes in their lifestyle by introducing stress management techniques, which can prove helpful in preventing development of non-communicable diseases in the future.

Keywords

Metabolic Syndrome, Young Adults, Psychosocial Stress, Depression, Cardiovascular Disease, Non-Communicable Diseases.
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  • National Institutes of Health. Third report of the National Cholesterol Education Program Expert panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Executive summary. Bethesda, Md: National Institutes of Health, National Heart Lung and Blood Institute, 2001.

  • World Health Organization. Non-communicable diseases, country profiles; 2014. Internet: http://www.who.int/nmh/countries/ind_en.pdf?ua=1 (Accessed on 15 May 2015)

  • Yamamoto, K., Okazaki, A. and Ohmori, S. The relationship between psychosocial stress, age, BMI, CRP, lifestyle and the metabolic syndrome in apparently healthy subjects. Physiol. Anthropol., 2011, 30, 15-22.

  • Engum, A. The role of depression and anxiety in onset of diabetes in a large populationbased study. J. Psychosom. Res., 2007, 62, 31-38.

  • Raikkonen, K., Matthews, K.A. and Kuller, L.H. Depressive symptoms and stressful life events predict metabolic syndrome among middle-aged women: A comparison of World Health Organization, Adult Treatment Panel III, and International Diabetes Foundation definitions. Diab. Care., 2007, 30, 872-877.

  • Raikkonen, K., Matthews, K.A. and Kuller, L.H. The relationship between psychological risk attributes and the metabolic syndrome in healthy women: Antecedent or consequence? Metabolism, 2002, 51, 1573-1577.

  • Kinder, L.S., Carnethon, M.R., Palaniappan, L.P., King, A.C. and Fortmann, S.P. Depression and the metabolic syndrome in young adults: Findings from the Third National Health and Nutrition Examination Survey. Psychosom. Med., 2004, 66, 316-322.

  • Bjorntorp, P. Visceral obesity: a civilization syndrome. Obes. Res., 1993, 1, 206–222.

  • Bjorntorp, P. Do stress reactions cause abdominal obesity and comorbidities? Obesity. Reviews, 2001, 2, 73–86.

  • Bjorntorp, P. and Rosmond, R. Hypothalamic origin of the metabolic syndrome X. Ann. New York Aca. Sci., 1999, 892, 297–307.

  • Evans, D.L., Charney, D.S., Lewis, L., Golden, R.N., Gorman, J.M. and Krishnan, K.R. et al. Mood disorders in the medically ill: Scientific review and recommendations. Biol. Psychiatry., 2005, 58, 175-189.

  • Verhaak, P.F., Heijmans, M.J., Peters, L. and Rijken, M. Chronic disease and mental disorder. Soc. Sci. Med., 2005, 60, 789-797.

  • Räikkönen, K., Keltikangas-Järvinen, L., Adlercreutz, H. and Hautanen, A. Psycholsocial stress and the insulin resistance syndrome. Metab., 1996, 45, 1533–1538.

  • Bacquer, D.D., Van Risseghem, M., Clays, E., Kittel, F., De Backer, G. and Braeckman, L. Rotating shift work and the metabolic syndrome: a prospective study. Int. J. Epidemiol., 2009, 38, 848–854.

  • Sookoian, S., Gemma, C., Fernandez Gianotti, T., Burgueño, A., Alvarez, A., González, C.D. and Pirola, C.J. Effects of rotating shift work on biomarkers of metabolic syndrome and inflammation. J. Int. Med., 2007, 261, 285–292.

  • Karlsson, B.H., Knutsson, A.K., Lindahl, B.O. and Alfredsson, L.S. Metabolic disturbances in male workers with rotating three-shift work. Results of the WOLF study. Int. Arch. Occup. Environ. Health., 2003, 76, 424–430.

  • Nagaya, T., Yoshida, H., Takahashi, H. and Kawai, M. Markers of insulin resistance in day and shift workers aged 30–59 years. Int. Arch. Occup. Environ. Health., 2002, 75, 562– 568.

  • Karlsson, B., Knutsson, A. and Lindahl, B. Is there an association between shift work and having a metabolic syndrome? Results from a population based study of 27,485 people. Occup. Environ. Med., 2001, 58, 747–752.

  • Kuruvilla, S. and Ranganathan, A. Globalisation and outsourcing: Confronting new human resource challenges in India’s business process outsourcing industry. Indus. Relat. J., 2010, 41, 136–153.

  • Macfarlane, S.B. Conducting a descriptive survey: choosing a sampling strategy. Trop. Doct., 1997, 27, 14-21.

  • International Diabetes Federation. The IDF consensus worldwide definition of the metabolic syndrome; 2005. Internet: http://www.idf.org/webdata/docs/ Metabolic_syndrome_definition.pdf (Accessed 12 March 2015).

  • WHO STEPS Instrument; 2008. Internet: http://www.who.int/chp/steps/ STEPS_Instrument_v2.1.pdf (Accessed on: 21 June 2015)

  • Rosengren, A., Hawken, S., Ounpuu, S., Sliwa, K., Zubaid, M., Almahmeed, W.A., Blackett, K.N., Sitthi-amorn, C., Sato, H. and Yusuf, S. INTERHEART investigators. Association of psychosocial risk factors with risk of acute myocardial infarction in 11119 cases and 13648 controls from 52 countries (the INTERHEART study): case-control study. Lancet., 2004, 364, 953-962.

  • Ulijaszek, S.J. and Kerr, D.A. Anthropometric measurement error and the assessment of nutritional status. British J. Nutri., 1999, 82, 165-177.

  • World Health Organization Western Pacific Region, International Association for the Study of Obesity, International Obesity Task Force. The Asia-Pacific Perspective: Redefining Obesity and its Treatment. Sydney, Health Communications Australia, 2000.

  • Grundy, S.M., Cleeman, J.I., Daniels, S.R., Donato, K.A., Eckel, R.H., Franklin, B.A., Gordon, D.J., Krauss, R.M., Savage, P.J., Smith, S.C. Jr, Spertus, J.A. and Costa, F. Diagnosis and management of the metabolic syndrome: An american heart association/ national heart, lung and blood institute scientific statement. Circulation, 2005, 112, 27352752.

  • Kim, M.H., Kim, M.K., Choi, B.Y. and Shin, Y.J. Prevalence of metabolic syndrome and its association with cardiovascular disease in Korea. J. Korean. Med. Sci., 2004, 19, 195-201.

  • Kim, E. and Oh, S.W. Gender differences in the association of occupation with metabolic syndrome in Korean adults. Korean. J. Obes., 2012, 21, 108-114.

  • Saberi, H.R., Moravveji, A.R., Fakharian, E., Kashani, M.M. and Dehdashti, A.R. Prevalence of metabolic syndrome in bus and truck drivers in Kashan, Iran. Diabetol. Metab. Syndr., 2011, 3, 8.

  • Kamble, P., Deshmukh, P.R. and Garg, N. Metabolic syndrome in adult population of rural Wardha, central India. Indian. J. Med. Res., 2010, 132, 701–705.

  • Mangat, C., Goel, N.K. and Walia, D.K. et al. Metabolic Syndrome: a challenging health Issue in highly urbanized Union Territory of North India. Diabetol. Metab. Syndr., 2010, 2, 19.

  • Perel, P., Langenberg, C., Ferrie, J., Moser, K., Brunner, E. and Marmot, M. Household wealth and the metabolic syndrome in the Whitehall II study. Diabetes Care., 2006, 29, 2694–2700.

  • Sarkar, S., Das, M. and Mukhopadhyay, B. High prevalence of metabolic syndrome and its correlates in two tribal populations of India and the impact of urbanization. Ind. J. Med. Res., 2006, 123, 679-686.

  • Dallongeville, J., Cottel, D., Ferrieres, J., Arveiler, D., Bingham, A. and Ruidavets, J.B. Household income is associated with the risk of metabolic syndrome in a sex-specific manner. Diabetes. Care., 2005, 28, 409–415.

  • Gupta, R., Sarna, M., Thanvi, J., Rastogi, P., Kaul, V. and Gupta, V.P. High prevalence of multiple coronary risk factors in Punjabi Bhatia community: Jaipur Heart Watch-3. Ind. Heart. J., 2004, 56, 646-652.

  • Brunner, E.J., Marmot, M.G., Nanchahal, K., Shipley, M.J., Stansfeld, S.A. and Juneja, M. Social inequality in coronary risk: central obesity and the metabolic syndrome. Evidence from the Whitehall II study. Diabetologia., 1997, 40, 1341–1349.

  • Reddy, K.S., Prabhkaran, D., Chaturvedi, V., Jeemon, P., Thankappan, K.R., Ramakrishnan, L., Mohan, B.V., Pandav, C.S., Ahmed, F.U., Joshi, P.P., Meera, R., Amin, R.B., Ahuja, R.C., Das, M.S. and Jaison, T.M. Methods for establishing a surveillance system for cardiovascular diseases in Indian industrial populations. Bull. World. Health. Organ., 2006, 84, 461-469.

  • Miettola, J., Niskanen, L.K., Viinamäki, H. and Kumpusalo, E. Metabolic syndrome is associated with self-perceived depression. Scand. J. Prim. Health. Care., 2008, 26, 203-210.

  • Herva, A., Rasanen, P., Miettunen, J., Timonen, M., Laksy, K., Veijola, J., Laitinen, J., Ruokonen, A. and Joukamaa, M. Co-occurrence of metabolic syndrome with depression and anxiety in young adults: The Northern Finland 1966 Birth Cohort Study. Psychosom. Med. 2006, 68, 2131-2136.

  • Timonen, M., Laakso, M., Jokelainen, J., Rajala, U., Meyer Rochow, V.B. and KeinanenKiukaanniemi, S. Insulin resistance and depression: Cross sectional study. BMJ, 2005, 330, 171-178.

  • Eapen, D., Kalra, GL., Merchant, N., Arora, A. and Khan, B.V. Metabolic syndrome and cardiovascular disease in South Asians. Vasc. Health. Risk. Manag., 2009, 5, 731–743.

  • Misra, A. and Vikram, N.K. Factors, definitions, predictive value & Asian Indian ethnicity: complexities of the metabolic syndrome. Ind. J. Med. Res., 2008, 127, 293-296.

  • Chadha, A., Mehdi, A. and Malik, G. Preventive health care and Indian industry. J. Health. Studies., 2008, 1, 24-45.


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  • Association of Perceived Psychosocial Stress with Metabolic Syndrome among Young Adults in Urban Workforce

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Authors

Ishu Kataria
Department of Food and Nutrition, Lady Irwin College, University of Delhi, Delhi, India
Ravinder Chadha
Department of Food and Nutrition, Lady Irwin College, University of Delhi, Delhi, India
Renuka Pathak
Department of Food and Nutrition, Lady Irwin College, University of Delhi, Delhi, India

Abstract


The objectives of the study were to ascertain Metabolic Syndrome (MetS) among young employees in the Business Process Outsourcing (BPO) industry and to determine its association with perceived psychosocial stress through a cross-sectional study. MetS was diagnosed using Adult Treatment Panel III (ATPIII 2001) and International Diabetes Federation (IDF 2005) criteria among 415 calling level BPO employees (274 males; 141 females) in National Capital Region, India. Perceived psychosocial stress was assessed using perceived stress scale focussing on four aspects - stress at work, stress at home, financial stress and major stressful life events in past one year along with additional questions on perceived state of depression. The results showed that MetS was present among 11.8% employees according to ATPIII criteria (14.6% males;6.4% females) and 18.3% according to IDF criteria (22.3% males;10.6% females); and was significantly higher in males compared to females (ATPIII:p=0.014; IDF:p=0.004). Psychosocial stress was perceived among higher proportion of female employees as compared to male employees; however, these differences were not significant. MetS among employees was significantly associated with self-perceived depression for past 12 months (ATPIII:p=0.010; IDF:p=0.029) and past 2 weeks (ATPIII:p=0.011; IDF:p=0.012). It was concluded that with nearly 1/5th of the young employees having MetS and self-perceived depression, it becomes imperative to make feasible changes in their lifestyle by introducing stress management techniques, which can prove helpful in preventing development of non-communicable diseases in the future.

Keywords


Metabolic Syndrome, Young Adults, Psychosocial Stress, Depression, Cardiovascular Disease, Non-Communicable Diseases.

References