title: Increased risk of nonalcoholic fatty liver disease with occupational stress in Chinese policemen: A 4-year cohort study.
abstract: Nonalcoholic fatty liver disease (NAFLD) and occupational stress have been recognized as major public health concerns. We aimed to explore whether occupational stress was associated with NAFLD in a police population.A total of 6559 male police officers were recruited for this prospective study in April 2007. Among them, 2367 eligible subjects participated in follow-up from 2008 to 2011. NAFLD was diagnosed based on standard criteria. Occupational stress was evaluated by Occupational Stress Inventory-Revised scores.The incidence of NAFLD was 31.2% in the entire police. After adjusting for traditional risk factors, moderate occupational stress (MOS), high occupational stress (HOS), and high personal strain (HPS) were risk factors (MOS: hazard ratio [HR] = 1.237, 95% confidence interval [CI] = 1.049-1.460; HOS: HR = 1.727, 95% CI = 1.405-2.124; HPS: HR = 3.602, 95% CI = 1.912-6.787); and low occupational stress (LOS) and low personal strain (LPS) were protective factors (LOS: HR = 0.366, 95% CI = 0.173-0.776; LPS: HR = 0.490, 95% CI = 0.262-0.919) for NAFLD in the entire police cohort. HOS and HPS remained robust among traffic police.HOS and HPS were independent predictors for the development of NAFLD in a Chinese police population. Additional future prospective investigations are warranted to validate our findings.
authors.affiliation: Department of Occupational and Environmental Health, School of Public Health, Tianjin Medical University Department of Physical Examination, Medical Center of Police Hospital, Heping Tianjin Centers for Disease Control and Prevention, Hedong Department of Cardiovascular Medicine, Tianjin 4th Center Hospital, Hebei, Tianjin, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Li
authors.forename: Jing-Jing
authors.initials: JJ
authors.lastname: Xing
authors.forename: An-Qi
authors.initials: AQ
authors.lastname: Shan
authors.forename: Ling
authors.initials: L
authors.lastname: Leng
authors.forename: Jin-Chuan
authors.initials: JC
authors.lastname: Liu
authors.forename: Song
authors.initials: S
authors.lastname: Yue
authors.forename: Hao
authors.initials: H
authors.lastname: Yu
authors.forename: Xi
authors.initials: X
authors.lastname: Chen
authors.forename: Feng-Shi
authors.initials: FS
authors.lastname: Tian
authors.forename: Nai-Jun
authors.initials: NJ
authors.lastname: Tang
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D065626:Non-alcoholic Fatty Liver Disease / Q000453:epidemiology*; D009784:Occupational Diseases / Q000453:epidemiology*; D016495:Police; D011446:Prospective Studies; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology*