Asociación entre el número de pasos realizados durante el trabajo y los indicadores de síndrome metabólico en policías militares de la ciudad de São Paulo: Estudio de promoción de la salud de la Policía Militar (HPMP)
DOI:
https://doi.org/10.33448/rsd-v11i2.25376Palabras clave:
Composición corporal; Medicina del trabajo; Enfermedades metabólicas; Enfermedades cardiovasculares; Nivel de actividad física.Resumen
Se evaluó el número de pasos (STEPS) en 25 policías militares (MPOs: diurno n = 14 y nocturno n= 11) del Estado de São Paulo (PMESP) durante el patrullaje en el centro de São Paulo y su asociación con indicadores de síndrome metabólico (MetS). Adicionalmente, fue medida la composición corporal y los parámetros antropométricos de los participantes: Índice de Masa CorporaSel (IMC), masa libre de grasa (FFM), masa de músculo esquelético (SMM); así como los datos clínicos y de laboratorio: presión arterial sistólica (PAS) y diastólica (PAD), niveles plasmáticos en glucosa en ayunas, hemoglobina glicosilada A1c (HbA1c), insulina, colesterol HDL, triacilglicerol (TG) y proteína C reactiva (PCR). De acuerdo con el número de pasos realizados durante las 12 horas diarias de trabajo, las MPO se dividieron en tres grupos: 600-2.000, 2.001-8.000 y > 8.000 pasos. En promedio, los participantes realizaron 5169 ± 614 pasos por turno de 12 h. Mientras que los MPO del periodo nocturno caminaron un 25% más que los del periodo diurno (6188 ± 1069 vs. 4367 ± 664), esta diferencia no fue estadísticamente significativa. En cuanto al IMC, FFM (13,4%), SMM (14,5%), niveles plasmáticos de colesterol HDL (32,2%) y PAD (19,1%), el grupo que caminó entre 600-2000 pasos mostró valores significativamente más altos en comparación con los demás grupos. Adicionalmente, la edad, disminución de la actividad física, IMC y la permanencia en el PMESP fueron asociadas con un aumento en los indicadores de MetS. En general, las MPO que realizaron menos de 2000 pasos por turno, presentaron alteraciones de composición corporal y plasma, así como una mayor prevalencia de MetS (64%) comparado con los policías que fueron categorizados como físicamente activos.
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Derechos de autor 2022 Leandro Porto dos Santos; Diego Ribeiro de Souza; Renata Gorjao; Adriana Cristina Levada-Pires; Elaine Hatanaka; Maria Fernanda Cury-Boaventura; Douglas Vicente Russo Junior; Odair Bacca; Eliane Borges da Silva; Raquel Freitas Zambonatto; Laureane Nunes Masi; Roberto Barbosa Bazotte; Rui Curi; Tania Cristina Pithon-Curi; Sandro Massao Hirabara
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