“…100 In another study among Korean blue collar workers, who worked in jobs such as shipbuilding and manufacturing industry, effort-reward imbalance was associated with metabolic syndrome, characterized as the presence of all 5 components of the syndrome, in both men and women. 101 Although these studies are limited by their crosssectional design, several prospective studies have shown similar findings. In one study that followed up 290 police officers over a 5-year period, work stress, characterized as job strain or effort-reward imbalance, was associated with metabolic syndrome as well as hypertriglyceridemia, even after adjusting for numerous sociodemographic variables (namely, age, rank, education, geographic origin, marital status, housing, presence of offspring, smoking, and sleep habits).…”