Occupational Exposures and Metabolic Syndrome Among Hispanics/Latinos

Bulka, Catherine M.; Daviglus, Martha L.; Persky, Victoria; Durazo‐Arvizu, Ramón; Avilés-Santa, M. Larissa; Gallo, Linda C.; Hosgood, H. Dean; Singer, Richard H.; Talavera, Gregory A.; Thyagarajan, Bharat; Zeng, Donglin; Argos, Maria

doi:10.1097/jom.0000000000001115

Cited by 12 publications

(6 citation statements)

References 32 publications

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“…Given the stronger results found when restricting analyses to participants whose current job was their longest held, it appears that cumulative exposures are more harmful. Prior work within the HCHS/SOL cohort suggests workplace metals and pesticide exposures are unrelated to cardiometabolic conditions 5. The lack of attenuation by hypertension, hypercholesterolaemia, diabetes and BMI in the present analysis further supports this hypothesis and suggests that alternative biological mechanisms may play a role in the development of metal-association and pesticide-associated CVD.…”

Section: Discussionsupporting

confidence: 80%

Association of occupational exposures with cardiovascular disease among US Hispanics/Latinos

Bulka

Daviglus

Persky

et al. 2018

Heart

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ObjectiveCardiovascular disease (CVD) is a leading cause of mortality and morbidity in the USA. The role of occupational exposures to chemicals in the development of CVD has rarely been studied even though many agents possess cardiotoxic properties. We therefore evaluated associations of self-reported exposures to organic solvents, metals and pesticides in relation to CVD prevalence among diverse Hispanic/Latino workers.MethodsCross-sectional data from 7404 employed individuals, aged 18–74 years, enrolled in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) were analysed. Participants from four US cities provided questionnaire data and underwent clinical examinations, including ECGs. CVD was defined as the presence of at least one of the following: coronary heart disease, atrial fibrillation, heart failure or cerebrovascular disease. Prevalence ratios reflecting the relationship between each occupational exposure and CVD as well as CVD subtypes were calculated using Poisson regression models.ResultsHispanic/Latino workers reported exposures to organic solvents (6.5%), metals (8.5%) and pesticides (4.7%) at their current jobs. Overall, 6.1% of participants had some form of CVD, with coronary heart disease as the most common (4.3%) followed by cerebrovascular disease (1.0%), heart failure (0.8%) and atrial fibrillation (0.7%). For individuals who reported working with pesticides, the prevalence ratios for any CVD were 2.18 (95% CI 1.34 to 3.55), coronary heart disease 2.20 (95% CI 1.31 to 3.71), cerebrovascular disease 1.38 (95% CI 0.62 3.03), heart failure 0.91 (95% CI 0.23 to 3.54) and atrial fibrillation 5.92 (95% CI 1.89 to 18.61) after adjustment for sociodemographic, acculturation, lifestyle and occupational characteristics. Metal exposures were associated with an almost fourfold (3.78, 95% CI 1.24 to 11.46) greater prevalence of atrial fibrillation. Null associations were observed for organic solvent exposures.ConclusionsOur results suggest that working with metals and pesticides could be risk factors for CVD among Hispanic/Latino workers. Further work is needed to evaluate these relationships prospectively.

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Section: Discussionsupporting

confidence: 80%

Association of occupational exposures with cardiovascular disease among US Hispanics/Latinos

Bulka

Daviglus

Persky

et al. 2018

Heart

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“…Another study on Latino workers deduced that occupational exposure to organic solvents may increase the risk of hypertension. The same study also pointed out that large sample sizes increase the difficulty of assessing a person’s occupational exposure to chemicals in reality, which could very well limit the accuracy of the research findings [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Occupational Assessments of Risk Factors for Cardiovascular Diseases in Labors: An Application of Metabolic Syndrome Scoring Index

Lin

2020

IJERPH

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Unlike a traditional diagnosis of metabolic syndrome (MS), a numerical MS index can present individual fluctuations of health status over time. This study aimed to explore its value in the application of occupational health. Using a database of physiological and biochemical tests and questionnaires, data were collected from 7232 participants aged 20 to 64 years who received occupational health screenings at a health screening institution in 2018. Using confirmatory factor analysis, five components of MS were used to design an MS severity scoring index, which was then used to evaluate the risks of occupation factors. Waist circumference was the largest loading factor compared with the other MS components. Participants who worked in the traditional industrial, food processing, or electronic technology industries had higher MS severity than those in the logistics industry. Those who worked as a manager or over five years had a relatively high severity. The research showed that assessments based on an MS severity score are applicable when the risk factors of suboptimal health are involved. By monitoring the scores over time, healthcare professionals can propose preventive strategies in time, thus enhancing the effectiveness of occupational health examination services.

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“…Serum triglycerides (mg/dL) were measured via a Roche Modular P chemistry analyzer using a glycerol blanking enzymatic method. To capture glycemia, FBG (mg/dL) was measured using a hexokinase enzymatic method (Roche Diagnostics; https://www.cdc.gov/nchs/data/nhanes/nhanes_03_04/l10am_c_met_glucose.pdf ). Finally, 10-year Framingham Risk Score was estimated using sex-specific published criteria.…”

Section: Methodsmentioning

confidence: 99%

Hearing Sensitivity, Cardiovascular Risk, and Neurocognitive Function

Stickel

Tarraf

Bainbridge

et al. 2021

JAMA Otolaryngol Head Neck Surg

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Key Points Question Is hearing impairment associated with cardiovascular disease risk and cognitive function among Hispanic or Latino participants? Findings In this cohort study of 9623 Hispanic/Latino adults, hearing impairment was associated with poorer cognitive performance on all tasks, and cardiovascular disease risk did not attenuate these relationships. Rather, hearing impairment modified the associations between cardiovascular disease risk and learning and memory; only among individuals with hearing impairment, being identified as having excessively high glucose was associated with poorer learning and memory relative to participants considered healthy individuals. Meaning Hearing impairment may exacerbate the associations between high glucose and poorer cognition, particularly for learning and memory among Hispanic or Latino persons.

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Occupational Exposures and Metabolic Syndrome Among Hispanics/Latinos

Cited by 12 publications

References 32 publications

Association of occupational exposures with cardiovascular disease among US Hispanics/Latinos

Association of occupational exposures with cardiovascular disease among US Hispanics/Latinos

Occupational Assessments of Risk Factors for Cardiovascular Diseases in Labors: An Application of Metabolic Syndrome Scoring Index

Hearing Sensitivity, Cardiovascular Risk, and Neurocognitive Function

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