Abdominal obesity is associated with stress levels in military personnel
DOI:
https://doi.org/10.36311/jhgd.v34.15430Keywords:
abdominal obesity, Nutrition, Psychological Stress, Public health, Military HealthAbstract
Introduction: The modern lifestyle, marked by an intense routine and inadequate diet, contributes to the increase in Non-Communicable Diseases (NCDs), especially obesity, which can be influenced by stress. The relationship between stress, nutritional status and NCDs lacks comprehensive studies, especially when it concerns public security professionals.
Objective: To evaluate the abdominal obesity and its association with stress symptoms in military personnel in the metropolitan region of a Brazilian capital.
Methods: The study is part of the "SOMA-SI" program, which investigated the health of public security agents in Espírito Santo between April and December 2022. The sample included police officers, firefighters and municipal guards (n=213). Healthy adult military personnel were included and those on leave or under psychiatric treatment were excluded. Among the variables measured were blood pressure measurements, anthropometric assessment and Lipp Stress Symptom Inventory. The Statistical Package for Social Science (SPSS) v. 25 for Windows® was used for statistical analyses. Chi-square and Mann-Whitney tests were performed at 5% significance, exploring associations between categorical variables and differences in median stress scores.
Results: The sample consisted of 216 participants, predominantly men (75.5%) and non-white (63.7%), revealing 61.6% with more than 15 years of work, 81.1% with income above six salaries minimum and 77.3% with completed higher education. Military police officers represented the majority (67.6%), with 72.2% being parents, 57.9% alcohol consumers and 9.3% smokers. The majority had excess body fat (70.8%) and weight (77.3%). Statistical associations were observed between waist perimeter and stress symptoms (p = 0.004).
Conclusion: The study revealed an association between abdominal adiposity and stress in military personnel, highlighting the high incidence of stress symptoms and excess weight in the sample. Associations were also identified between blood glucose, blood pressure and demographic factors. However, it highlights the importance of more comprehensive studies to understand the impact of stress on the health of security agents.
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References
La Placa V, Knight A. Well-being: its influence and local impact on public health. Public Health [Internet]. 2014 Jan; 128(1): 38–42. Available from: http://dx.doi.org/10.1016/j.puhe.2013.09.017
Nardocci M, Leclerc BS, Louzada ML, Monteiro CA, Batal M, Moubarac JC. Consumption of ultra-processed foods and obesity in Canada. Can J Public Health [Internet]. 2019 Feb; 110(1): 4–14. Available from: http://dx.doi.org/10.17269/s41997-018-0130-x
Schmidt MI, Duncan BB, Azevedo e Silva G, Menezes AM, Monteiro CA, Barreto SM, et al. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet [Internet]. 2011 Jun 4; 377 (9781): 1949–61. Available from: http://dx.doi.org/10.1016/S0140-6736(11)60135-9
Gundersen C, Mahatmya D, Garasky S, Lohman B. Linking psychosocial stressors and childhood obesity. Obes Rev [Internet]. 2011 May; 12(5): e54–63. Available from: http://dx.doi.org/10.1111/j.1467-789X.2010.00813.x
Razzoli M, Bartolomucci A. The Dichotomous Effect of Chronic Stress on Obesity. Trends Endocrinol Metab [Internet]. 2016 Jul; 27 (7): 504–15. Available from: http://dx.doi.org/10.1016/j.tem.2016.04.007
Selye H. The general-adaptation-syndrome. Annu Rev Med [Internet]. 1951; 2: 327–42. Available from: http://dx.doi.org/10.1146/annurev.me.02.020151.001551
Lipp MEN. Mecanismos neuropsicofisiológicos do stress: teoria a aplicações clínicas. In: Mecanismos neuropsicofisiológicos do stress: teoria a aplicações clínicas [Internet]. 2003 [cited 2024 Mar 12]. p. 227–227. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/lil-444499
Esper LH, Furtado EF. Associação de eventos estressores e morbidade psiquiátrica em gestantes. SMAD, Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em português) [Internet]. 2010; 6: 368–86. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1806-69762010000300002
Sinha R, Jastreboff AM. Stress as a common risk factor for obesity and addiction. Biol Psychiatry [Internet]. 2013 May 1; 73 (9): 827–35. Available from: http://dx.doi.org/10.1016/j.biopsych.2013.01.032
Lipp MEN, de Hoyos Guevara AJ. Validacao empirica do inventario de sintomas de stress (ISS). Estudos De Psicologia (campinas) [Internet]. 1994; 43–9. Available from: https://periodicos.puc-campinas.edu.br/estpsi/article/view/8184
Lopes EM de C, Leite LP. DEFICIÊNCIA ADQUIRIDA NO TRABALHO EM POLICIAIS MILITARES: SIGNIFICADOS E SENTIDOS. Psicol Soc [Internet]. 2015 Sep [cited 2024 Mar 12]; 27 (3): 668–77. Available from: https://www.scielo.br/j/psoc/a/tpLRh3mRCPGGSJzZdMhFkjG/
Costa M, Accioly Júnior H, Oliveira J, Maia E. Estresse: diagnóstico dos policiais militares em uma cidade brasileira. Rev Panam Salud Publica [Internet]. 2007 Apr; 21(4): 217–22. Available from: https://iris.paho.org/handle/10665.2/7876
Pinheiro LRS, Farikoski C. Avaliação do Nível de Estresse de Policiais Militares. Revista de Psicologia da IMED [Internet]. 2016 Jun 1 [cited 2024 Mar 12]; 8(1): 14–9. Available from: https://seer.atitus.edu.br/index.php/revistapsico/article/view/1250
Menegali TT, Camargo RPM, Rogério L, de Carvalho DC, Magajewski F. Avaliação da síndrome de burnout em policiais civis do município de Tubarão (SC). Revista Brasileira de Medicina de Família e Comunidade [Internet]. 2010; 8: 77–81. Available from: https://www.rbmt.org.br/details/104/pt-BR/avaliacao-da-sindrome-de-burnout-em-policiais-civis-do-municipio-de-tubarao--sc-
Silva CCS, dos Santos GM, dos Santos Amorim M, da Costa M do MH, de Medeiros SM. A síndrome de burnout entre policiais civis. REME rev min enferm [Internet]. 2018; 22: 1–7. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-905273
Donatelle RJ, Hawkins MJ. Employee stress claims: increasing implications for health promotion programming. Am J Health Promot [Internet]. 1989 Winter; 3(3): 19–26. Available from: http://dx.doi.org/10.4278/0890-1171-3.3.19
Lima FP de, Blank VLG, Menegon FA. Prevalência de Transtorno Mental e Comportamental em Policiais Militares/SC, em Licença para Tratamento de Saúde. Psicol cienc prof [Internet]. 2015 [cited 2024 Mar 12]; 35(3): 824–40. Available from: https://www.scielo.br/j/pcp/a/q54XX48xW8pPcXXHfSSNqdb/abstract/?lang=pt
McEwen BS. Central effects of stress hormones in health and disease: Understanding the protective and damaging effects of stress and stress mediators. Eur J Pharmacol [Internet]. 2008 Apr 7; 583(2-3): 174–85. Available from: http://dx.doi.org/10.1016/j.ejphar.2007.11.071
Abizaid A. Stress and obesity: The ghrelin connection. J Neuroendocrinol [Internet]. 2019 Jul; 31(7): e12693. Available from: http://dx.doi.org/10.1111/jne.12693
Adam TC, Hasson RE, Ventura EE, Toledo-Corral C, Le KA, Mahurkar S, et al. Cortisol is negatively associated with insulin sensitivity in overweight Latino youth. J Clin Endocrinol Metab [Internet]. 2010 Oct; 95(10): 4729–35. Available from: http://dx.doi.org/10.1210/jc.2010-0322
World Health Organization - WHO. Global Health Observatory data repository.Overweight and obesity. Available from: https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/ncd-risk-factors
World Health Organization. Noncommunicable diseases. Geneva: WHO, 15 abr. 2021. Available from: http://dx.doi.org/10.1056/NEJMra1109345
Brasil. Ministério da Saúde. Secretaria de vigilância em Saúde. Departamento de Vigilância de doenças e agravos não transmissíveis e Promoção da saúde. Vigitel Brasil 2013: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério de Saúde; 2022. 128 p.
Mill JG, Pinto K, Griep RH, Goulart A, Foppa M, Lotufo PA, et al. Medical assessments and measurements in ELSA-Brasil. Rev Saúde Pública [Internet]. 2013 Jun [cited 2024 Mar 12]; 47: 54 –62. Available from: https://www.scielo.br/j/rsp/a/mkwqJnYxWBQ3DCb3FCbn96b/?lang=en
World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation. In: Obesity: preventing and managing the global epidemic: report of a WHO consultation [Internet]. 2000 [cited 2024 Mar 12]. p. 253–253. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mis-9725
Lohman, T.g., Roche, A.f. and Martorell, R. (1988) Anthropometric standardization reference manual. Human Kinetics Books, Chicago. - references - scientific research publishing [Internet]. [cited 2024 Mar 12]. Available from: https://www.scirp.org/reference/referencespapers?referenceid=1080812
Silva RJG, Grippa WR, Neto LCBS, Enriquez-Martinez OG, Marcarini JAC, Pessanha RM, et al. Factors Associated with the Nutritional Status of Women with Non-Metastatic Breast Cancer in a Brazilian High Complexity Oncology Center. Nutrients [Internet]. 2023 Nov 29; 15 (23). Available from: http://dx.doi.org/10.3390/nu15234961
Sousa AR, Pereira RM, dos Anjos MSB, de Sousa Cerqueira A, de Carvalho Alencar D, Pereira Á. Acesso à saúde pela média complexidade: discurso coletivo de homens. Rev Enferm UFPE Online [Internet]. 2019 Jun 21; Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1047905
Tan T, Leung CW. Associations between perceived stress and BMI and waist circumference in Chinese adults: data from the 2015 China Health and Nutrition Survey. Public Health Nutr [Internet]. 2021 Oct; 24(15): 4965–74. Available from: http://dx.doi.org/10.1017/S1368980020005054
Freitas FV, Barbosa WM, Silva LAA, Garozi MJ de O, Pinheiro J de A, Borçoi AR, et al. Psychosocial stress and central adiposity: A Brazilian study with a representative sample of the public health system users. PLoS One [Internet]. 2018 Jul 31; 13(7): e0197699. Available from: http://dx.doi.org/10.1371/journal.pone.0197699
Russell G, Lightman S. The human stress response. Nat Rev Endocrinol [Internet]. 2019 Sep; 15(9): 525–34. Available from: http://dx.doi.org/10.1038/s41574-019-0228-0
Dallman MF, Pecoraro NC, La Fleur SE, Warne JP, Ginsberg AB, Akana SF, et al. Glucocorticoids, chronic stress, and obesity. Prog Brain Res [Internet]. 2006; 153: 75–105. Available from: http://dx.doi.org/10.1016/S0079-6123(06)53004-3
Kivimäki M, Vahtera J, Tabák AG, Halonen JI, Vineis P, Pentti J, et al. Neighbourhood socioeconomic disadvantage, risk factors, and diabetes from childhood to middle age in the Young Finns Study: a cohort study. Lancet Public Health [Internet]. 2018 Aug; 3(8): e365–73. Available from: http://dx.doi.org/10.1016/S2468-2667(18)30111-7
Yitshak-Sade M, Mendelson N, Novack V, Codish S, Liberty IF. The association between an increase in glucose levels and armed conflict-related stress: A population-based study. Sci Rep [Internet]. 2020 Feb 3; 10(1): 1710. Available from: http://dx.doi.org/10.1038/s41598-020-58679-z
Sharma A, Laurenti MC, Dalla Man C, Varghese RT, Cobelli C, Rizza RA, et al. Glucose metabolism during rotational shift-work in healthcare workers. Diabetologia [Internet]. 2017 Aug; 60(8): 1483–90. Available from: http://dx.doi.org/10.1007/s00125-017-4317-0
Spiga F, Walker JJ, Terry JR, Lightman SL. HPA axis-rhythms. Compr Physiol [Internet]. 2014 Jul; 4(3): 1273–98. Available from: https://onlinelibrary.wiley.com/doi/10.1002/cphy.c140003
Timmermans S, Souffriau J, Libert C. A General Introduction to Glucocorticoid Biology. Front Immunol [Internet]. 2019 Jul 4; 10: 1545. Available from: http://dx.doi.org/10.3389/fimmu.2019.01545
Majer-Łobodzińska A, Adamiec-Mroczek J. Glucocorticoid receptor polymorphism in obesity and glucose homeostasis. Adv Clin Exp Med [Internet]. 2017 Jan-Feb; 26(1): 143–8. Available from: http://dx.doi.org/10.17219/acem/41231
Sharma K, Akre S, Chakole S, Wanjari MB. Stress-Induced Diabetes: A Review. Cureus [Internet]. 2022 Sep; 14(9): e29142. Available from: http://dx.doi.org/10.7759/cureus.29142
Daimon M, Kamba A, Murakami H, Mizushiri S, Osonoi S, Matsuki K, et al. Dominance of the hypothalamus-pituitary-adrenal axis over the renin-angiotensin-aldosterone system is a risk factor for decreased insulin secretion. Sci Rep [Internet]. 2017 Sep 12; 7(1): 11360. Available from: http://dx.doi.org/10.1038/s41598-017-10815-y
Jauch-Chara K, Oltmanns KM. Obesity--a neuropsychological disease? Systematic review and neuropsychological model. Prog Neurobiol [Internet]. 2014 Mar; 114: 84–101. Available from: http://dx.doi.org/10.1016/j.pneurobio.2013.12.001
Oliveira MLC, do Nascimento RG. Perfil sociodemográfico, clínico e antropométrico de policiais militares do serviço operacional da Região Metropolitana de Belém, Brasil / Sociodemographic, clinical and anthropometric profile of military police officers from the operational service of the Metropolitan Region of Belém, Brazil. Braz J Develop [Internet]. 2020 Oct 29 [cited 2024 Mar 12]; 6(10): 83281–96. Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/19090
Costa-Júnior FM da, Couto MT, Maia ACB. Gênero e cuidados em saúde: Concepções de profissionais que atuam no contexto ambulatorial e hospitalar. Sex Salud Soc [Internet]. 2016 Aug [cited 2024 Mar 12]; (23): 97–117. Available from: https://www.scielo.br/j/sess/a/sDWmnkgySt7jMsbXWfx36bv/
Maia DB, Marmar CR, Mendlowicz MV, Metzler T, Nóbrega A, Peres MC, et al. Abnormal serum lipid profile in Brazilian police officers with post-traumatic stress disorder. J Affect Disord [Internet]. 2008 Apr; 107(1-3): 259–63. Available from: http://dx.doi.org/10.1016/j.jad.2007.08.013
Hartley TA, Violanti JM, Mnatsakanova A, Andrew ME, Burchfiel CM. Military experience and levels of stress and coping in police officers. Int J Emerg Ment Health [Internet]. 2013; 15(4): 229–39. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24707586
Hidalgo KD, Mielke GI, Parra DC, Lobelo F, Simões EJ, Gomes GO, et al. Health promoting practices and personal lifestyle behaviors of Brazilian health professionals. BMC Public Health [Internet]. 2016 Oct 24; 16(1): 1114. Available from: http://dx.doi.org/10.1186/s12889-016-3778-2
Costa FG da, Vieira LS, Cócaro MG, Azzolin K de O, Dal Pai D, Tavares JP. Quality of life, health conditions and life style of civil police officers. Rev Gaucha Enferm [Internet]. 2020 Jun 12; 41: e20190124. Available from: http://dx.doi.org/10.1590/1983-1447.2020.20190124
Castro MCD de, Cruz RM. Prevalência de Transtornos Mentais e Percepção de Suporte Familiar em Policiais Civis. Psicol cienc prof [Internet]. 2015 [cited 2024 Mar 12]; 35(2): 271–89. Available from: https://www.scielo.br/j/pcp/a/48nWTNd9Rxh8jwVrnKbhj8H/abstract/?lang=pt
Sousa RC de, Barroso SM, Ribeiro ACS. Aspectos de saúde mental investigados em policiais: uma revisão integrativa. Saúde soc [Internet]. 2022 Jun 10 [cited 2024 Mar 12]; 31(2): e201008pt. Available from: https://www.scielo.br/j/sausoc/a/dK4NbsXDRCbbwYDXQRS9Mnk/
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Copyright (c) 2024 Neto LCBS, Vieira TS, Souza MLM, Corrêa CHP, Borloti EB, Ferro PL, Silva AMA , Lopes-Júnior LC
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