Changes of physiological levels of the risk factors contributing to induction of metabolic syndrome in workers chronically exposed to styrene

만성적인 스티렌 노출 근로자에 있어 대사증후군 유발에 관여하는 위험요인의 생리적 수준 변화

  • Heo, Kyung-Hwa (Occupational Safety and Health Research Institute, KOSHA) ;
  • Koo, Jung-Wan (Callege of Medicine, Catholic University) ;
  • Won, Yong Lim (Occupational Safety and Health Research Institute, KOSHA) ;
  • Kim, Min Gi (Occupational Safety and Health Research Institute, KOSHA) ;
  • Ko, Kyung Sun (Occupational Safety and Health Research Institute, KOSHA) ;
  • Lee, Mi-Young (Occupational Safety and Health Research Institute, KOSHA) ;
  • Kim, Tae Kyun (Occupational Safety and Health Research Institute, KOSHA) ;
  • Kim, Ki-Woong (Occupational Safety and Health Research Institute, KOSHA)
  • 허경화 (한국산업안전보건공단 산업안전보건연구원) ;
  • 구정완 (가톨릭대학교 의과대학) ;
  • 원용림 (한국산업안전보건공단 산업안전보건연구원) ;
  • 김민기 (한국산업안전보건공단 산업안전보건연구원) ;
  • 고경선 (한국산업안전보건공단 산업안전보건연구원) ;
  • 이미영 (한국산업안전보건공단 산업안전보건연구원) ;
  • 김태균 (한국산업안전보건공단 산업안전보건연구원) ;
  • 김기웅 (한국산업안전보건공단 산업안전보건연구원)
  • Received : 2008.08.07
  • Accepted : 2009.03.09
  • Published : 2009.03.31

Abstract

The objective of this study was to evaluate the effects of occupational exposure to styrene on the components of metabolic syndrome. We surveyed 263 employees, among whom 117workers we ere chronically exposed to styrene in glass-reinforced plastic boat manufacturing factories and 146 controls had never been occupationally exposed to styrene as will as hazardous chemicals. The general and job characteristics such as age, smoking and drinking habit, working hours and duration were not significant different except sleeping hours(p<0.05). Among the components of metabolic syndrome, the systolic blood pressure, total cholesterol, HDL-cholesterol and fasting glucose were significantly higher in exposed workers. On multiple logistic regression analysis for the components of metabolic syndrome, waist circumference was insulin (OR=1.129), blood pressure was MA(OR=14.724), fasting glucose(OR=1.191) and metabolic syndrome(OR=1.110) were significantly associated with insulin. The mean concentration of airborne styrene was $ 38.1{\pm}40.1$ ppm, blood concentrations of glucose and insulin and levels of HOMA-IR in over 50 ppm exposed group were higher than in blow 50 ppm exposed group. These results suggested that the exposure of styrene affects blood pressure, fasting glucose and insulin levels and that dysfunction and/or declination in glucose and insulin metabolism might induced ultimately insulin resistance and metabolic syndrome.

Keywords

References

  1. 김지연, 지재환, 김현진, 이병완, 정윤재, 정재훈, 민용기, 이명식, 이문규, 김광원. 연령증가와 비만에 따른 인슐린분비능과 감수성의 변화. 당뇨병 2005;29:38-46
  2. 노동부. 산업재해분석 현황분석. 노동부 2006
  3. 유소영, 홍혜숙, 이현숙, 최영주, 허갑범, 김화영. 제2형 당뇨병 환자에서 인슐린저항성과 심혈관질환 위험요인 및 식이요인과의 관계. 한국영양학회지 2007;40:31-40
  4. 윤희정, 이성국. 가정방문 영양교육에 의한 공복 혈당 이상 노인의 영양상태 및 혈당 변화. 대한지역사회영양학회지 2006;11(3):346-360
  5. 통계청. 2005년도 사망원인통계연보. 통계청 2006
  6. Albright JA, Goldstein RA. Airborne pollutants and the immune system Atolaryngology-Head and Neck Surgery 1996;114:232-238 https://doi.org/10.1016/S0194-5998(96)70173-0
  7. Anubhuti SA. Role of neuropeptides in appetite regulation and obesity - A review. Neuropeptides 2006;40:375-401 https://doi.org/10.1016/j.npep.2006.07.001
  8. Bassuk SS, Manson JE. Epidemiological evidence for the role of physical activity in reducing risk of type 2 diabetes and cardiovascular disease. J Appl Physiol 2005;99:1193-1194 https://doi.org/10.1152/japplphysiol.00160.2005
  9. Bell RA, Mayer-Davis EH, Martin MA, D'Agostino RBJr, Haffner SM. Associations between alcohol consumption and insulin sensitivity and cardiovascular disease risk factors: the Insulin Resistance and Atherosclerosis Study. Diabetes Care 2000;23(11):1630-1636 https://doi.org/10.2337/diacare.23.11.1630
  10. Benovitz NL. Cardiovascular toxicity. In: Occupational medicine(J. LaDou, ed) Appleton & Lange, San Mateo, California; 1990.p.237-246
  11. Buresova E, Zadak Z, Hassman P, Sobotka L. The effect of occupational exposure to styrene on the metabolism of lipids and lipoproteins. Sb Ved L다 Fak Karlovy Univerzity Hralove 1991;34(Suppl)3:313-348
  12. Carraro R, Ruiz-Torres A. Relationship of serum leptin concentration with age, gender, and biomedical parameters in healthy, non-obese subjects. Archives of Gerontology and Geriatrics 2006;43:301-312 https://doi.org/10.1016/j.archger.2005.11.004
  13. Chen C-C, Li T-C, Chang PC, Liu C-S, Lin W-Y, Wu M-T, Li C-I, Lai M-M, Lin C-C. Association among cigarette smoking, metabolic syndrome, and its individual components: the metabolic syndrome study in Taiwan. Metabolic Clinical and Experimental 2008;57:544-548 https://doi.org/10.1016/j.metabol.2007.11.018
  14. Chen S, Besman MJ, Shively JE, Yanagibashi K, Hall PF. Human aromatase. Drug Metab Rev 1989;20:511-517 https://doi.org/10.3109/03602538909103557
  15. De Leon AC, Rodriguez-Perez MC, Rodriguez-Benjumeda LM, Ania-Lafuente B, Brito-Diaz B, De Fuentes MM, Almeida- Gonzalez D, Batista-Mendina M, and Aguirre-Jaime A. Sedentary lifestyle: Physical activity duration versus percentage of energy expenditure. Res Esp Cardiol 2007;60(3):244-250 https://doi.org/10.1016/S1885-5857(07)60148-0
  16. Einhorn D, Reaven GM, Cobin RH, Ford E, Ganda OP, et al. American College of Endocrinology position statement on the insulin resistance syndrome. Endocr Pract 2003;9:237-252
  17. Gordon DJ, Rifkind BM. High-density lipoprotein . the clinical implications of recent studies. N Engl J Med 1989;321:1311.6 https://doi.org/10.1056/NEJM198911093211907
  18. Henderson VR. Longitudinal association between television viewing and body mass index among white and black girls. Journal of Adolescent Health 2007;41: 544-550 https://doi.org/10.1016/j.jadohealth.2007.04.018
  19. Hendriks HFJ. Moderate alcohol consumption and insulin sensitivity: observations and possible mechanisms. Annals of Epidemiology 2007;17:s40-s42 https://doi.org/10.1016/j.annepidem.2007.01.009
  20. Kaukiainen A, Vehmas T, Rantala K, Nurminen M, Martikainen R, Taskinen H. Results of common laboratory tests in solventexposed workers. Int Arch Occup Environ Health 2004;77:39-46 https://doi.org/10.1007/s00420-003-0476-z
  21. Kim HM, Park J, Kim HS, Kim DH. Prevalence of the metabolic syndrome in Korean adolescents aged 12-19 years from the Korean National Health and Nutrition Examination Survey 1998 and 2001. Diabetes Research and Clinical Practice 2007;75:111-114 https://doi.org/10.1016/j.diabres.2006.04.009
  22. Kotseva K, Popov T. Study of the cardiovascular effects of occupational exposure to organic solvents. Int Arch Occup Environ Health 1998;71:S87-S91
  23. Lebrun B, Bariohay B, Moyse E, Jean A. Brain-derived neurotrophic factor(BNDF) and food intake regulation: a minireview. Autonomic Neuroscience: Basic and Clinical 2006;126-127:30-38 https://doi.org/10.1016/j.autneu.2006.02.027
  24. Lebovitz HE. Insulin resistance-a common link between type 2 diabetes and cardiovascular disease. Diabetes Obes Metab 2005;8(3):237-249 https://doi.org/10.1111/j.1463-1326.2005.00521.x
  25. Lee W-Y, Jung C-H, Park J-S, Rhee E-F, Kin S-W. Effects of smoking, alcohol, exercise, education, and family history on the metabolic syndrome as defined by he ATP III. Diabetes Res Clin Practice 2005;67:70-77 https://doi.org/10.1016/j.diabres.2004.05.006
  26. Martin BC, Warram JH, Krolewski AS, Bergman RN, Soeldner JS, Kahn C: Role of glucose and insulin resistance in development of type 2 diabetes mellitus: results of a 25-year follow-up study. Lancet 1992;340:925-929 https://doi.org/10.1016/0140-6736(92)92814-V
  27. Merker GH, Metzner G, Raabe F. TH1-directed modulation of in vitro cytokine production in human peripheral blood mononuclear cells by styrene-7,8 oxide. Toxicology letters 2006;160:105-111 https://doi.org/10.1016/j.toxlet.2005.06.014
  28. Mokuda O, Ubukata E, Sakamoto Y. Impaired glucose uptake and intact gluconeogenesis in perfused rat liver after carbon tetrachloride injury. Biochemical and Molecular Medicine 1995;54:38-42 https://doi.org/10.1006/bmme.1995.1006
  29. Mummery WK, Schofield GM, Steele R, Eakin EG, Brown WJ. Occupational sitting time and overweight and obesity in Australian workers. Am J Prev Med 2005; 29(2): 91-7 https://doi.org/10.1016/j.amepre.2005.04.003
  30. National Cholesterol Education Program's Adult Treatment Panel III Report. Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adults Treatment Panel III) final report. Circulation 2002;106:3143-3421
  31. NIOSH. NIOSH manual of analytical methods, 4th ed., Method 1051, U.S. Department of Health and Human Services, Cincinnati. 1996
  32. Ogata M, Taguchi T. Simultaneous determination of urinary creatinine and metabolites of toluene, xylene, ethylbenzene and phenol by automated high performance liquid chromatography. Int Arch Occup Environ 1988;61:131-140 https://doi.org/10.1007/BF00381617
  33. Reaven GM. Banting lecture: Role of insulin resistance in human disease. Diabetes 1988;37:1595-1607 https://doi.org/10.2337/diabetes.37.12.1595
  34. Rosenman KD. Environmentally related disorders of the cardiovascular system. Med Clinics North America 1990;74-365-375 https://doi.org/10.1016/S0025-7125(16)30567-3
  35. Santos AC, Ebrahim S, Barros H. Alcohol intake, smoking, sleeping hours, physical activity and the metabolic syndrome. Preventive Medicine 2007;44: 328-334 https://doi.org/10.1016/j.ypmed.2006.11.016
  36. Savolainen MJ, Hannuksela M, Seppanen S, Kervinen K, Kesaniemi YA. Increased high-density lipoprotein cholesterol concentration in alcoholics is related to low cholesteryl ester transfer protein activity. Eur J Clin Invest 1990;20:593-9 https://doi.org/10.1111/j.1365-2362.1990.tb01906.x
  37. Seppalainen AM, Harkonen H. Neurophysiological findings among workers occupationally exposed to styrene. Scand J Work Environ Health 1976;3:140-46 https://doi.org/10.5271/sjweh.2810
  38. Sherman SE, D'Agostino RBJr, Silvershatz H, Kannel WB. Comparison of past versus recent physical activity in the prevention of premature death and coronary artery disease. Am Heart J 999;138:900-907 https://doi.org/10.1016/S0002-8703(99)70015-3
  39. The European Group for the Study of Insulin Resistance(EGIR). Frequency of the WHO metabolic syndrome in European cohorts, and an alternative definition of an insulin resistance syndrome. Diabetes Metab(Paris) 2002;28:364-376
  40. Tonstad S and Svendsen M. Premature coronary heart disease, cigarette smoking, and the metabolic syndrome. Am J Cardiol 2005;96:1681-1685 https://doi.org/10.1016/j.amjcard.2005.07.083
  41. Wilsgaard T, Jacobsen BK. Lifestyle factors and incident metabolic syndrome The Troms$\phi$ Study 1979-2001. Diabetes Res Clin Practics 2007;78:217-224 https://doi.org/10.1016/j.diabres.2007.03.006
  42. Woods SC, Seeley RJ. Hormonal mediation of energy homeostasis in obesity, diabetes and related disorders. Drug Discovery Today: Disease Mechanisms 2005;2(3):321-326 https://doi.org/10.1016/j.ddmec.2005.08.004
  43. World Health Organization. Definition, diagnosis and classification of diabetes mellitus and its complications, Part I. Diagnosis and classification of diabetes mellitus. 1999. http://whqlibdoc.who.int/hq/1999/WHO_NCD_NCS_99.2.pdf
  44. Yamada Y, Kato K, Hibino T, Yokoi K, Matsuo H, et al. Prediction of genetic risk for metabolic syndrome. Atherosclerosis 2007;191:298-304 https://doi.org/10.1016/j.atherosclerosis.2006.05.035