Article
Structural equation modeling of associations between night work and glycemic levels
Registro en:
COSTA, Aline Silva et al. Structural equation modeling of associations between night work and glycemic levels. Archives of Endocrinology and Metabolism, p. 1-8, 2019.
2359-3997
10.20945/2359-3997000000147
2359-4292
Autor
Costa, Aline Silva
Rotenberg, Lúcia
Baltar, Valéria Troncoso
Coeli, Claudia Medina
Fonseca, Maria de Jesus Mendes da
Melo, Enirtes Caetano Prates
Griep, Rosane Harter
Resumen
Objective: Different pathways may lead from night work to metabolic diseases, including type 2 diabetes. This study aimed to explore the direct and indirect pathways from night work to glycemic levels, considering the role of physical activity, waist circumference and snacking using data from
ELSA-Brasil. Materials and methods: A structural equation model was used to confirm the pathways from night work to glycemic levels. The latent variable, “glycemic levels”, included fasting glucose, glycated hemoglobin and 2-hour plasma glucose. Results: A total of 10.396 participants were
included in the analyses. The final model showed that among women, night work was associated with increased glycemic levels. A statistical significant association between night work and glycemic levels mediated by waist circumference was observed among women and men. Conclusions:
The association between night shift and glycemic levels can be interpreted as an important step toward understanding the pathways that could explain night work as a risk factor for diabetes using epidemiological data.