@article{ref1,
title="Increased risk of nonalcoholic fatty liver disease with occupational stress in Chinese policemen: A 4-year cohort study",
journal="Medicine (Baltimore)",
year="2016",
author="Li, Chen and Xing, Jing-Jing and Shan, An-Qi and Leng, Ling and Liu, Jin-Chuan and Yue, Song and Yu, Hao and Chen, Xi and Tian, Feng-shi and Tang, Nai-Jun",
volume="95",
number="46",
pages="e5359-e5359",
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.<p /> <p>Language: en</p>",
language="en",
issn="0025-7974",
doi="10.1097/MD.0000000000005359",
url="http://dx.doi.org/10.1097/MD.0000000000005359"
}