Abstract
Background: India is considered as “Diabetic Capital of the world”. Patients of diabetics are more prone to lipid abnormalities. Indian Work force undergo irregular duty hours which aggravate the co-morbidities of diabetes. To increase the productivity of the nation, work force ought to remain healthy. This is a high time to protect them in terms of health by screening and creating awareness regarding the lifestyle management.
Objectives: Sickness absenteeism is commonly observed in working environment. By promoting the health of employees, we can prevent such events.
Materials and Methods: By adopting purposive random sampling method, about 200 diabetic subjects from ESIC Medical college and Hospital were selected (100 subjects from general shift and 100 subjects from rotation shift). Anthropometric profile and lipid profile were assessed and compared. Physical activity, dietary habits and personal habits were also taken into account. The obtained results were subjected to a statistical analysis.
Results: The Mean BMI was 26kg/m2 and 29 kg/m2 for general and shift workers, respectively. Total cholesterol was reported to be 186g/dl and 201g/dl for general shift workers and rotation shift workers, respectively. This observation was statistically significant. The respective LDL, VLDL, triglycerides levels were found to be 117g/dl, 32 g/dl, 161g/dl for general shift workers and 125 g/dl, 37g/dl and 183g/dl for rotation shift workers.
Conclusion: As per the proverb, “prevention is better than cure”, it is essential to prevent future cardiac complications by taking necessary precautionary measures to control the lipid abnormalities by balanced diet, adequate sleep, regular physical activity and monitoring the lipid profile.
Keywords: Lipid profile, Life style Modification, Diabetes, BMI.
References
- Costa, (2010). Shift work and health: Current problems and preventive actions.Safe Health Work 1(2): 112-123
- Forsman, P.M., Vila, B.J, Short, R.A (2013). Efficient driver drowsiness detection at moderate levels of drowsiness. Acc Anal Prev. 50: 341-350
- Tae won Kim, Jong-Hyun Jeong, Seung Chul Hong. (2015). The impact of sleep and circadian disturbance on hormones and metabolism. International journal of Endocrinology.
- Amanda Maria Cason Shandor. (2012). The Health impact of nursing shift work. Cornerstone, M.Sc Thesis.
- Elaine Cristina Marqueze., Melissa , Claudia Roberta de castro., Moreno. (2013). Effect of irregular shift work and physical activity on cardiovascular risk factors in truck drivers. Rev Saude Publica. 47(3): 497-505.
- Luenda E-Charles., Ja.K.Gu., Cathy A. Tinney-Zara,De., (2016). Separate and association of shift work and sleep quality with lipids. Saf Health Work. 7(2):111-119.
- Batic-Mujananovic Zildic., Beganlic A., Kuslijugic (2006). The effect of cigarette smoking on HDL Cholesterol level. Med Arch. 60 (6): 90-2.
- He BM., Zhao S.P., Peng Y. (2013). Effect of Cigarette smoking on HDL quantity and function: Implication for atherosclerosis. J Cell Biochem. 114(11): 2431-6.
- Saber H.R, Moraweji A.R. (2010). Gastro intestinal complaints in shift working and day working nurses in Iran. J Circadian Rhythms. 7, 8:9.
- Peplonska B., Bukowska A., Sobala W. (2015). Association of rotating night shift work with BMI and abdominal obesity among nurses and midwives. 10(7).
- Albert N.M, Butler, R.(2014). Factors related to healthy diet and physical activity in hospital based clinical nurses. 19 (3): 5.
- Mohsen Gadallah., Sally A. Hakim., Waleed Salah Eldin. (2017). Association of rotating night shift with lipid profile among nurses in an Egyptian tertiary university hospital. Eastern Mediterranean Health Journal.
- Hameed Akbari., Ramazan Mirzaei., Tahereh Nasra. (2015). Evaluation of the effect of shift work on serum cholesterol and triglycerides levels. Iran Red Crescent Medical Journal. 17(1).
- Masoumeh Ghiasvand., Ramin Heshmat., Reza Gopira., Vahid Hagh Panah. (2006). Shift working and risk of lipid disorders: A cross sectional study. Lipid Health Disorders . 5:9.
- The Hindu. (2018). The skill level of the Indian work force. Dated 30th May 2018.
Corresponding Author
Dr S.Sivabalamurugan
Diabetologist, ESIC Medical College & Hospital, KK Nagar, Chennai, India