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The prevalence of metabolic syndrome among law enforcement officers who responded to the 9/11 World Trade Center attacks.

Moline JM; McLaughlin MA; Sawit ST; Maceda C; Croft LB; Goldman ME; Garcia MJ; Iyengar RL; Woodward M

Am J Ind Med 2016 Sep; 59(9):752-760

https://doi.org/10.1002/ajim.22649

20048713

Background: Law enforcement officers (LEOs) experience high rates of cardiovascular events compared with the general US population. Metabolic syndrome (MetS) confers an increased risk of cardiovascular disease and all-cause mortality. Data regarding MetS among LEOs are limited. Methods: We sought to determine the prevalence of MetS and its associated risk factors as well as gender differences among LEOs who participated in the World Trade Center (WTC) Law Enforcement Cardiovascular Screening (LECS) Program from 2008 to 2010. We evaluated a total of 2,497 participants, 40 years and older, who responded to the 9/11 WTC attacks. Results: The prevalence of MetS was 27%, with abdominal obesity and hypertension being the most frequently occurring risk factors. MetS and its risk factors were significantly higher among male compared to female LEOs, except for reduced HDL-cholesterol levels. Conclusions: MetS is a rising epidemic in the United States, and importantly, approximately one in four LEOs who worked at the WTC site after 9/11 are affected.

World Trade Center; WTC; Law enforcement workers; Police officers; Metabolic disorders; Cardiovascular disease; Cardiovascular function; Cardiovascular system; Cardiovascular system disease; Cardiovascular system disorders; Risk factors; Men; Women; Gender factors; Emergency responders; Medical screening; Mortality data; Obesity; Hypertension; Author Keywords: Metabolic syndrome; law enforcement officers; World Trade Center

Mary Ann McLaughlin, MD, MPH, Associate Professor of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1030, New York, NY 10029

AJIMD8

20160901

Journal Article

maryann.mclaughlin@mountsinai.org

Contract

2016

Contract-200-2011-39377; Contract-200-2011-39356

9

0271-3586

American Journal of Industrial Medicine

NY

Icahn School of Medicine at Mount Sinai, New York