Determinants of metabolic syndrome in obese workers: gender differences in perceived job-related stress and in psychological characteristics identified using artificial neural networks

Luisella Vigna, Amelia Brunani, Agostino Brugnera, Enzo Grossi, Angelo Compare, Amedea S. Tirelli, Diana M. Conti, Gianna M. Agnelli, Lars L. Andersen, Massimo Buscema, Luciano Riboldi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: The metabolic syndrome (MS) is a multifactorial disorder associated with a higher risk of developing cardiovascular diseases and type 2 diabetes. However, its pathophysiology and risk factors are still poorly understood. In this study, we investigated the associations among gender, psychosocial variables, job-related stress and the presence of MS in a cohort of obese Caucasian workers. Methods: A total of 210 outpatients (142 women, 68 men) from an occupational medicine service was enrolled in the study. Age, BMI, waist circumference, fasting glucose, blood pressure, triglycerides and HDL cholesterol were collected to define MS. In addition, we evaluated eating behaviors, depressive symptoms, and work-related stress. Data analyses were performed with an artificial neural network algorithm called Auto Semantic Connectivity Map (AutoCM), using all available variables. Results: MS was diagnosed in 54.4 and 33.1% of the men and women, respectively. AutoCM evidenced gender-specific clusters associated with the presence or absence of MS. Men with a moderate occupational physical activity, obesity, older age and higher levels of decision-making freedom at work were more likely to have a diagnosis of MS than women. Women with lower levels of decision-making freedom, and higher levels of psychological demands and social support at work had a lower incidence of MS but showed higher levels of binge eating and depressive symptomatology. Conclusion: We found a complex gender-related association between MS, psychosocial risk factors and occupational determinants. The use of these information in surveillance workplace programs might prevent the onset of MS and decrease the chance of negative long-term outcomes. Level of evidence: Level V, observational study.

Original languageEnglish
Pages (from-to)73-81
Number of pages9
JournalEating and Weight Disorders
Volume24
Issue number1
DOIs
Publication statusPublished - 2019

Fingerprint

Psychological Stress
Semantics
Decision Making
Psychology
Bulimia
Occupational Medicine
Waist Circumference
Feeding Behavior
Workplace
Social Support
Type 2 Diabetes Mellitus
HDL Cholesterol
Observational Studies
Fasting
Triglycerides
Outpatients
Cardiovascular Diseases
Obesity
Exercise
Depression

Keywords

  • ANN
  • Depression
  • Eating disorders
  • Gender
  • Metabolic syndrome
  • Obesity
  • Occupational determinants
  • Occupational physical activity

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Determinants of metabolic syndrome in obese workers : gender differences in perceived job-related stress and in psychological characteristics identified using artificial neural networks. / Vigna, Luisella; Brunani, Amelia; Brugnera, Agostino; Grossi, Enzo; Compare, Angelo; Tirelli, Amedea S.; Conti, Diana M.; Agnelli, Gianna M.; Andersen, Lars L.; Buscema, Massimo; Riboldi, Luciano.

In: Eating and Weight Disorders, Vol. 24, No. 1, 2019, p. 73-81.

Research output: Contribution to journalArticle

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abstract = "Objective: The metabolic syndrome (MS) is a multifactorial disorder associated with a higher risk of developing cardiovascular diseases and type 2 diabetes. However, its pathophysiology and risk factors are still poorly understood. In this study, we investigated the associations among gender, psychosocial variables, job-related stress and the presence of MS in a cohort of obese Caucasian workers. Methods: A total of 210 outpatients (142 women, 68 men) from an occupational medicine service was enrolled in the study. Age, BMI, waist circumference, fasting glucose, blood pressure, triglycerides and HDL cholesterol were collected to define MS. In addition, we evaluated eating behaviors, depressive symptoms, and work-related stress. Data analyses were performed with an artificial neural network algorithm called Auto Semantic Connectivity Map (AutoCM), using all available variables. Results: MS was diagnosed in 54.4 and 33.1{\%} of the men and women, respectively. AutoCM evidenced gender-specific clusters associated with the presence or absence of MS. Men with a moderate occupational physical activity, obesity, older age and higher levels of decision-making freedom at work were more likely to have a diagnosis of MS than women. Women with lower levels of decision-making freedom, and higher levels of psychological demands and social support at work had a lower incidence of MS but showed higher levels of binge eating and depressive symptomatology. Conclusion: We found a complex gender-related association between MS, psychosocial risk factors and occupational determinants. The use of these information in surveillance workplace programs might prevent the onset of MS and decrease the chance of negative long-term outcomes. Level of evidence: Level V, observational study.",
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author = "Luisella Vigna and Amelia Brunani and Agostino Brugnera and Enzo Grossi and Angelo Compare and Tirelli, {Amedea S.} and Conti, {Diana M.} and Agnelli, {Gianna M.} and Andersen, {Lars L.} and Massimo Buscema and Luciano Riboldi",
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T2 - gender differences in perceived job-related stress and in psychological characteristics identified using artificial neural networks

AU - Vigna, Luisella

AU - Brunani, Amelia

AU - Brugnera, Agostino

AU - Grossi, Enzo

AU - Compare, Angelo

AU - Tirelli, Amedea S.

AU - Conti, Diana M.

AU - Agnelli, Gianna M.

AU - Andersen, Lars L.

AU - Buscema, Massimo

AU - Riboldi, Luciano

PY - 2019

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N2 - Objective: The metabolic syndrome (MS) is a multifactorial disorder associated with a higher risk of developing cardiovascular diseases and type 2 diabetes. However, its pathophysiology and risk factors are still poorly understood. In this study, we investigated the associations among gender, psychosocial variables, job-related stress and the presence of MS in a cohort of obese Caucasian workers. Methods: A total of 210 outpatients (142 women, 68 men) from an occupational medicine service was enrolled in the study. Age, BMI, waist circumference, fasting glucose, blood pressure, triglycerides and HDL cholesterol were collected to define MS. In addition, we evaluated eating behaviors, depressive symptoms, and work-related stress. Data analyses were performed with an artificial neural network algorithm called Auto Semantic Connectivity Map (AutoCM), using all available variables. Results: MS was diagnosed in 54.4 and 33.1% of the men and women, respectively. AutoCM evidenced gender-specific clusters associated with the presence or absence of MS. Men with a moderate occupational physical activity, obesity, older age and higher levels of decision-making freedom at work were more likely to have a diagnosis of MS than women. Women with lower levels of decision-making freedom, and higher levels of psychological demands and social support at work had a lower incidence of MS but showed higher levels of binge eating and depressive symptomatology. Conclusion: We found a complex gender-related association between MS, psychosocial risk factors and occupational determinants. The use of these information in surveillance workplace programs might prevent the onset of MS and decrease the chance of negative long-term outcomes. Level of evidence: Level V, observational study.

AB - Objective: The metabolic syndrome (MS) is a multifactorial disorder associated with a higher risk of developing cardiovascular diseases and type 2 diabetes. However, its pathophysiology and risk factors are still poorly understood. In this study, we investigated the associations among gender, psychosocial variables, job-related stress and the presence of MS in a cohort of obese Caucasian workers. Methods: A total of 210 outpatients (142 women, 68 men) from an occupational medicine service was enrolled in the study. Age, BMI, waist circumference, fasting glucose, blood pressure, triglycerides and HDL cholesterol were collected to define MS. In addition, we evaluated eating behaviors, depressive symptoms, and work-related stress. Data analyses were performed with an artificial neural network algorithm called Auto Semantic Connectivity Map (AutoCM), using all available variables. Results: MS was diagnosed in 54.4 and 33.1% of the men and women, respectively. AutoCM evidenced gender-specific clusters associated with the presence or absence of MS. Men with a moderate occupational physical activity, obesity, older age and higher levels of decision-making freedom at work were more likely to have a diagnosis of MS than women. Women with lower levels of decision-making freedom, and higher levels of psychological demands and social support at work had a lower incidence of MS but showed higher levels of binge eating and depressive symptomatology. Conclusion: We found a complex gender-related association between MS, psychosocial risk factors and occupational determinants. The use of these information in surveillance workplace programs might prevent the onset of MS and decrease the chance of negative long-term outcomes. Level of evidence: Level V, observational study.

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KW - Eating disorders

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KW - Occupational determinants

KW - Occupational physical activity

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