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Metabolic Syndrome and Carotid Intima Media Thickness in Urban Police Officers

Hartley, Tara A. MPA, MPH; Shankar, Anoop MD, PhD; Fekedulegn, Desta PhD; Violanti, John M. PhD; Andrew, Michael E. PhD; Knox, Sarah S. PhD; Burchfiel, Cecil M. PhD, MPH

Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e3182171995
Original Articles
Abstract

Objective: To examine the association between metabolic syndrome (MetSyn) and carotid intima media thickness (IMT) separately in male and female police officers.

Methods: MetSyn was defined using 2005 guidelines. B-mode ultrasound was used to measure mean and maximum (12 and 36 segments) carotid artery thickness. Analysis of covariance was used to compare mean IMT values across individuals categorized by number of MetSyn components. Adjustments were made for age, smoking status, and low-density lipoprotein cholesterol.

Results: Among 106 women, the adjusted mean common and maximum36 carotid IMT were significantly and positively associated with number of MetSyn components. No associations were found in men (n = 304). Adjusted carotid IMT values were inversely associated with low high-density lipoprotein cholesterol and directly with hypertension in women.

Conclusions: Number of MetSyn components was significantly associated with carotid IMT in female but not in male officers.

Author Information

From the Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention (Ms Hartley and Drs Fekedulegn, Andrew, and Burchfiel) and Department of Community Medicine, School of Medicine, West Virginia University (Ms Hartley and Drs Shankar and Knox), Morgantown, WVa; and Department of Social and Preventive Medicine (Dr Violanti), School of Public Health and Health Professions, University at Buffalo, NY.

Address correspondence to: Tara A. Hartley, MPA, MPH, Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 1095 Willowdale Road, MS 4050, Morgantown, WV 26505. E-mail: thartley@cdc.gov.

This work was supported by National Institute for Occupational Safety and Health contract number 200-2003-01580.

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the National Institute for Occupational Safety and Health.

©2011The American College of Occupational and Environmental Medicine