ArticlePloS one2019
Sleep problems are a strong predictor of stress-related metabolic changes in police officers. A prospective study.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
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Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of sleep disorders among first responders for medical emergencies: A meta-analysis.Journal of global health · 2022Pooled it
- Insomnia Interventions in the Workplace: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020Pooled it
- Association between police work stress and life satisfaction: the chain mediating roles of perceived social support and sleep disturbances.Frontiers in psychology · 2026Article
- AI-enabled instructor care and physical fitness performance in police cadets: the mediating roles of emotions, engagement, and recovery.Frontiers in psychology · 2026Article
- Association Between Work Stress and Sleep Disorders in Law Enforcement: A Systematic Review and Meta-Analysis.Nature and science of sleep · 2026Review
- Sleep apnea and daytime sleepiness in police officers from Kerala, India.BMC public health · 2025Article
- Effect of work organization and demands, violence, health problems and job satisfaction in relation to work stress and social support in prison officers: a cross-sectional study; São Paulo, 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Behavioral dysregulation at work: A moderated mediation analysis of sleep impairment, work-related stress, and substance use.AIMS public health · 2025Article
- Association of Insomnia, Lipid Profile, and Lipid-Lowering Medications: A Narrative Review.Reviews in cardiovascular medicine · 2025Review
- Relationships between individual attitudes and occupational stress. A cross-sectional study.AIMS public health · 2025Article
- Longitudinal trajectories and risk factors of insomnia symptoms among Chinese bus drivers.Frontiers in public health · 2025Article
- Relationship between occupational stress and sleep quality among emergency nurses.Frontiers in public health · 2025Article
- Metabolic syndrome: epidemiology, mechanisms, and current therapeutic approaches.Frontiers in nutrition · 2025Review
- Causal effects of sleep traits on metabolic syndrome and its components: a Mendelian randomization study.Sleep & breathing = Schlaf & Atmung · 2024Article
- Association of insomnia and daytime napping with metabolic syndrome and its components in a Korean population: an analysis of data from the Korean Genome and Epidemiology Study.Epidemiology and health · 2024Article
- The Relationship between Sleep Duration and Metabolic Syndrome Severity Scores in Emerging Adults.Nutrients · 2023Article
- Sleep in Residents: A Comparison between Anesthesiology and Occupational Medicine Interns.International journal of environmental research and public health · 2023Article
- Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic.Frontiers in psychiatry · 2023Article
- Attitudes toward organizational change and their association with exhaustion in a sample of Italian police workers.Frontiers in psychology · 2023Article
- A J-shaped Relationship between Sleep Duration and the Risk of Insulin Resistance in a General Japanese Population.Internal medicine (Tokyo, Japan) · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePrevious studies have shown that workers chronically exposed to occupational stress have an increased risk of metabolic syndrome (MetS) and sleep problems (SPs). The purpose of this study was to verify whether SPs mediate the relationship between stress and MetS.
methodA 5-year prospective cohort study included 242 police officers from a rapid response unit engaged exclusively in maintaining law and order. Perceived stress levels were measured repeatedly with the demand-control-support and the effort-reward-imbalance questionnaires; insomnia symptoms were assessed with the Pittsburgh Sleep Quality Index; excessive daytime sleepiness was measured using the Epworth Sleepiness Scale. MetS and its components were evaluated at baseline and at follow-up.
resultsDuring 5-year follow-up period, 26 new cases of MetS were identified. Both occupational stress and SPs were significantly related to incident cases of MetS. Insomnia symptoms showed a highly significant association with MetS (aOR 11.038; CI95% 2.867-42.493). Mediation analysis confirmed that SPs mediate the relationship between stress and MetS. A reciprocal relationship was found between job stress and SPs. Work-related stress was a significant predictor of insomnia symptoms, short sleep duration, sleep dissatisfaction, and sleepiness. Compared to the reference group, police officers with SPs at baseline had significantly higher odds of reporting high stress at follow-up.
conclusionSPs play a mediating role in the relationship between occupational stress and MetS. Prevention of MetS must include the control of stress factors and an increase in the resilience of workers, but correct sleep hygiene is also an essential factor.
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