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    Prevalence and predictors of diabetes and cardiometabolic risk among construction workers in Ireland: the Construction Workers Health Trust screening study.

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    Authors
    Thabit, Hood
    Burns, Nicole
    Shah, Shabahat
    Brema, Imad
    Crowley, Vivion
    Finnegan, Fran
    Daly, Brian
    Nolan, John J
    Affiliation
    Metabolic Research Unit, St James Hospital, Dublin, Ireland. ht312@medschl.cam.ac.uk
    Issue Date
    2013-07
    Keywords
    DIABETES MELLITUS
    SCREENING
    MeSH
    Adolescent
    Adult
    Blood Glucose
    Cardiovascular Diseases
    Diabetes Mellitus, Type 2
    Fasting
    Humans
    Ireland
    Male
    Metabolic Syndrome X
    Middle Aged
    Motor Activity
    Obesity
    Prevalence
    Risk Factors
    Triglycerides
    Waist Circumference
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    Citation
    Thabit H et al. Prevalence and predictors of diabetes and cardiometabolic risk among construction workers in Ireland: the Construction Workers Health Trust screening study. Diab Vasc Dis Res. 2013, 10 (4):337-45
    Journal
    Diabetes & vascular disease research : official journal of the International Society of Diabetes and Vascular Disease
    URI
    http://hdl.handle.net/10147/323367
    DOI
    10.1177/1479164113479808
    PubMed ID
    23624762
    Additional Links
    http://dvr.sagepub.com/content/10/4/337.long
    Abstract
    Construction workers (CW) are at increased risk for a range of chronic diseases. We screened 983 CW for diabetes and cardiometabolic risk. The age range was 18-64 years, with mean age of 36.3 years. Self-reported questionnaires, Finnish diabetes risk score and fasting blood tests were collected at the workplace. The unadjusted prevalence of pre-diabetes and type 2 diabetes mellitus were 3.6% and 1.2%, respectively; 21% of CW had the metabolic syndrome (MetS). The majority were either overweight (48.3%) or obese (21.8%). In a regression model, age remained the strongest predictor of fasting glucose (p < 0.001). Pre-diabetes and diabetes mellitus were significantly associated with presence of the MetS [odds ratio (OR) 5.6; 95% confidence interval (CI): 2.8-11.5, p < 0.001 and OR 5.5; 95% CI: 1.6-18.7, p = 0.006, respectively]. Subjects engaged in greater physical activity outside of work had lower body mass index (26.9 vs. 28.8 kg/m(2), p = 0.03), waist circumference (95.8 vs. 98.1 cm, p = 0.03) and fasting serum triglycerides (1.1 vs. 1.4 mmol/L, p = 0.03) compared to those who were sedentary. Despite their youth and a physically demanding occupation, CW are at risk of cardiometabolic diseases. This risk increases with age and the MetS. Screening tools may be useful to identify those who are at risk.
    Item Type
    Article
    Language
    en
    ISSN
    1752-8984
    ae974a485f413a2113503eed53cd6c53
    10.1177/1479164113479808
    Scopus Count
    Collections
    St. James's Hospital

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