fa ارتباط سندرم متابولیک با کیفیت زندگی کارکنان شرکت راه آهن شهر مشهد طب کار Occupational Medicine گزارش کوتاه Brief Report <span style="font-size:12pt"><span style="line-height:87%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:87%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:87%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span b="" lang="AR-SA" style="font-family:" zar="">با توجه به </span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">شیوع بالای سندرم متابولیک در ایران و تاثیر ابتلا به این سندرم بر کاهش کیفیت زندگی و عملکرد شناختی و اهمیت سلامت کارکنان شرکت راه آهن در افزایش کیفیت خدمات ریلی، این مطالعه با هدف بررسی کیفیت زندگی کارکنان شرکت راه آهن بر اساس ابتلای آن</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌ها به سندرم متابولیک انجام پذیرفت.</span></span><span lang="FA" style="line-height:87%"><span b="" style="font-family:" zar=""><span style="color:#0e101a"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:87%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:87%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:87%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:87%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">این مطالعه مقطعی- تحلیلی، بر روی 409 نفر از کارکنان صنعت ریلی که جهت انجام معاینات سالیانه به درمانگاه طب کار مراجعه کرده بودند، انجام شد. ویژگی</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌های دموگرافیک ثبت گردید و شاخص توده بدنی، فشارخون و دور کمر کارکنان اندازه‌گیری شد. همچنین نمونه خون از شرکت‌کنندگان برای ارزیابی آزمایشگاهی قند خون ناشتا، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">HDL</span></span><span style="line-height:87%"><span b="" style="font-family:" zar=""> و تری</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌گلیسیرید گرفته شد. سندرم متابولیک بر اساس معیارهای </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">ATP III</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar=""> تعریف شد. در نهایت نمره کیفیت زندگی بین دو گروه مورد مطالعه یعنی افراد مبتلا به سندرم متابولیک و افراد غیر مبتلا به سندرم متابولیک</span></span><i> </i><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">بر اساس پرسشنامه سازمان بهداشت جهانی (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">WHOQOL-BREF</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">) مقایسه شد.</span></span><span lang="FA" style="line-height:87%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:87%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:87%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:87%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:87%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">میانگین سنی شرکت</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌کنندگان به طور کلی 6/4&nbsp;</span></span><span lang="AR-SA" style="line-height:87%"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar=""> 38/65 سال بود. سابقه کار در گروه مبتلا بیش</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌تر از گروه غیر مبتلا بود (0/005&nbsp;</span></span><a name="_Hlk99883583"><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">P</span></span></a><i><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">=</span></span></i><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">).</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">BMI</span></span><i> </i><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">&nbsp;در گروه مبتلا به طور معنی</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌داری بیش‌تر از گروه غیر مبتلا گزارش شد (0/001</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">P<</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">). میانگین نمرات سلامت جسمانی (47/1 </span></span><span lang="AR-SA" style="line-height:87%"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar=""> 36/11) و همچنین روابط اجتماعی در افراد غیر مبتلا به سندرم متابولیک بیش</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌تر از گروه مبتلا بود (به ترتیب 0/001&nbsp;</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">P<</span></span><i> </i><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">و 0/001&nbsp;</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">P=</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">). میانگین نمره سلامت روانی در افراد مبتلا به سندرم متابولیک بیش</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌تر از افراد غیر مبتلا بود (0/02&nbsp;</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">P=</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">) و میانگین نمره سلامت محیط بین دو گروه تفاوت آماری معنی</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌داری نداشت (0/31&nbsp;</span></span><i><span dir="LTR" style="font-size:10.0pt"><span style="line-height:87%">P=</span></span></i><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">).</span></span><span lang="FA" style="line-height:87%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:87%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:87%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">سندرم متابولیک می</span></span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌تواند بر روی کیف</span></span><span b="" lang="AR-SA" style="font-family:" zar="">یت زندگی کارکنان، از جمله سلامت جسمانی، روانی و اجتماعی آن</span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar="">‌</span></span><span b="" lang="AR-SA" style="font-family:" zar="">ها تاثیرگذار باشد.</span><span lang="AR-SA" style="line-height:87%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span> <span style="font-size:12pt"><span style="line-height:135%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:135%"> Metabolic syndrome reduces the quality of life and cognitive function. The health of railway staff is of great importance as proper health status could increase the quality of rail services delivered. Therefore, this study was performed to assess the quality of life of railway employees according to being affected by metabolic syndrome or not.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:135%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:135%">This cross-sectional study was performed in 409 employees of the railway services attending an occupational health clinic for annual examination in Mashhad, Iran. Demographic characteristics were recorded and body mass index, blood pressure, and waist circumference were measured. The levels of FBS, HDL, LDL, and triglycerides were also evaluated. <span style="letter-spacing:-.2pt">Metabolic syndrome was defined according to NCEP ATP III criteria. Finally, the quality of life score was</span> <span style="letter-spacing:-.1pt">compared between people with/without metabolic syndrome based on the WHOQOL-BREF questionnaire.</span><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:135%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Results:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:135%">The mean age of participants was 38.65 &plusmn; 6.4 years. Work experience and BMI were significantly higher in staff with<a name="_Hlk99884182"> metabolic syndrome </a>(P= 0.0005 and P< 0.001, respectively). The mean scores for physical health (11.36&plusmn;1.47) and social relations were found to be significantly higher in <span style="letter-spacing:-.2pt">participants without metabolic syndrome (P<0.001 and P= 0.001, respectively). The mean score for mental</span> <span style="letter-spacing:-.1pt">health in people with metabolic syndrome was significantly higher than the other group (P= 0.02). The mean</span> <span style="letter-spacing:-.1pt">score for environmental health did not show any significant differences between the two groups (P= 0.31).</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:135%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Conclusion:</span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="line-height:135%">Metabolic syndrome can affect the quality of life of employees, including their physical, mental and social health. </span></span><i><span style="font-size:10.0pt"><span style="line-height:135%"></span></span></i></span></span></span></span> کیفیت زندگی, راه آهن, سندرم متابولیک quality of life, railways, metabolic syndrome 111 117 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-15144-1&slc_lang=fa&sid=1 Farzane Rahimpour فرزانه رحیم پور RahimpourF@mums.ac.ir 1003194753284600146665 1003194753284600146665 No Assistant Professor, Department of Occupational Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran استادیار، گروه طب کار، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران Ehsan Rafeiemanesh احسان رفیعی منش RafeemaneshE@mums.ac.ir 1003194753284600146666 1003194753284600146666 No Associate Professor Department of Occupational Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran دانشیار، گروه طب کار، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران Fatemeh Ahmadi فاطمه احمدی AhmadiF@mums.ac.ir 1003194753284600146667 1003194753284600146667 No Assistant Professor, Department of Occupational Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran استادیار، گروه طب کار، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران Lahya Afshari Saleh لحیا افشاری صالح AfshariSl@mums.ac.ir 1003194753284600146668 1003194753284600146668 No Associate Professor Department of Occupational Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran دانشیار، گروه طب کار، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران Orang Abdollahi اورنگ عبداللهی onieoor.ab.80@yahoo.com 1003194753284600146669 1003194753284600146669 No Occupational Medicine Physician, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran متخصص طب کار، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران Shabnam Niroumand شبنم نیرومند shabnamniroomand@yahoo.com 1003194753284600146670 1003194753284600146670 Yes Assistant Professor, Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran استادیار، گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران