• Actividad física en el trabajo y su asociación con síndrome metabólico: un estudio de base poblacional en Perú

      Bernabé Ortiz, Antonio; Arsentales Montalva, Valeria; Tenorio Guadalupe, María Del Rosario; Universidad Peruana de Ciencias Aplicadas (UPC) (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-01-15)
      Introduction: The priority role of physical activity, both in the prevention and in the management of the components of the metabolic syndrome, has been widely established in the last decade. Objectives: To evaluate the association between physical activity levels at work and the presence of metabolic syndrome among individuals aged ≥20 years in different geographical settings of Peru. Materials and methods: A secondary analysis of a population-based survey was conducted. Five population strata of Peru were included. The data were in accordance with the methodology of the National Institute of Statistics and Informatics. The diagnosis of metabolic syndrome was established according to internationally consensus criteria, based on the anthropometric, biochemical and clinical parameters that are involved in its diagnosis. The exposure of interest was physical activity at work, split into high, moderate and low levels. To evaluate the association of interest, the Poisson regression model was used and crude and adjusted models were created. Results: The data of 4029 individuals were analyzed, average age of 42.1 years (SD 15.3) and 2013 (50.0%) were women. A total of 1011 (25.1%; 95% CI: 23.8% - 26.5%) subjects presented metabolic syndrome, and this percentage varied according to the study region. Metabolic syndrome was more frequent in Lima (29.6%) and the rest of the Coast (30.8%), and less frequent in the rural Sierra (17.4%, p<0.001). The multivariate model showed evidence of association between physical activity at work and the presence of metabolic syndrome. When compared to those who had high physical activity levels at work, those who reported moderate levels of physical activity were 1.51 (95% CI: 1.25-1.81) more likely to have metabolic syndrome, whereas among those with low levels of physical activity levels at work the association was stronger (1.71, 95% CI: 1.42 - 2.07). Conclusions: Low levels of physical activity at work are strongly associated with the presence of metabolic syndrome. For this reason, measures to increase the performance of physical activity at work should be promoted to contribute to the reduction of the prevalence of MS in our population.
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