环境与职业医学2025，Vol.42Issue(11)：1358-1363,6.DOI:10.11836/JEOM25112
山西省某铝厂男性职工代谢综合征患病情况及其影响因素
Prevalence of metabolic syndrome and its influencing factors among male workers in an alu-minum factory in Shanxi Province
摘要
Abstract
[Background]Some studies have suggested that exposure to multiple metals is closely linked to the development of metabolic syndrome(MS)in the populations,but the effect of aluminum ex-posure on MS remains unclear. [Objective]To analyze the prevalence and influencing factors of MS among employees with alu-minum exposure in Shanxi Province. [Methods]Cluster sampling was employed to survey male frontline workers in an aluminum fac-tory in Shanxi Province.Data on general demographic information,lifestyle,occupational histo-ry,medical history,and family history of chronic diseases were collected through questionnaires.The concentration of fasting blood glucose was determined using the glucose oxidase technique,and blood lipid levels were determined using the peroxidase method.Serum aluminum levels were detected using inductively coupled plasma-mass spectrometry(ICP-MS),and blood bio-chemical indicators were measured using the peroxidase method.Based on the China's 2020 diagnostic criteria for MS,the participants were and divided into an MS group and a non-MS group.Variables with statistical significance in univariate analysis were included to construct a logistic regression model. [Results]A cohort of 312 workers participated in this research,with 84 individuals diagnosed with MS,yielding a prevalence rate of 26.92%.The logistic regression model revealed that body mass index(BMI)≥24.0 kg·m-2(OR=1.967,95%CI:1.057,3.659),alcohol con-sumption(OR=1.883,95%CI:1.063,3.336),experiencing major life event(OR=3.886,95%CI:1.509,10.008),family history of hypertension(OR=2.112,95%CI:1.162,3.837),serum aluminum concentration(OR=1.024,95%CI:1.012,1.035),alanine aminotransferase(ALT)level(OR=1.032,95%CI:1.011,1.054),and white blood cell(WBC)count(OR=1.210,95%CI:1.001,1.465)were significant influencing factors for MS. [Conclusion]BMI≥24.0 kg·m-2,alcohol consumption,experiencing major life event,family history of hypertension,elevated serum alu-minum concentration,increased ALT level,and elevated WBC count are risk factors for MS among occupationally aluminum-exposed workers.关键词
代谢综合征/铝/工人/体质量指数/饮酒Key words
metabolic syndrome/aluminum/worker/body mass index/alcohol consumption分类
医药卫生引用本文复制引用
李沐家,辛宇璐,卢炀,丁晓慧,王林平,路小婷,宋静..山西省某铝厂男性职工代谢综合征患病情况及其影响因素[J].环境与职业医学,2025,42(11):1358-1363,6.基金项目
山西省自然科学基金面上项目(202303021211123) （202303021211123）
山西省高等教育"百亿工程"科技引导专项项目(BYBLD001) （BYBLD001）
