01785nas a2200241 4500000000100000008004100001100001800042700001400060700001800074700001300092700001400105700001300119700001500132700001400147700001500161245012500176250001500301300001100316490000700327050001600334520114200350020005101492 2016 d1 aWoodward Mark1 aMoline J.1 aMcLaughlin M.1 aSawit S.1 aMaceda C.1 aCroft L.1 aGoldman M.1 aGarcia M.1 aIyengar R.00aThe prevalence of metabolic syndrome among law enforcement officers who responded to the 9/11 World Trade Center attacks a2016/09/02 a752-600 v59 a[IF]: 1.6323 a

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. Am. J. Ind. Med. 59:752-760, 2016. (c) 2016 Wiley Periodicals, Inc.

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