Relationship between sleep quality and the risk of metabolic syndrome in healthcare workers in hospitals

Authors

  • Anggara Putra Universitas Putra Abadi Langkat, Indonesia
  • Desi Salsabila Universitas Putra Abadi Langkat, Indonesia

Keywords:

Sleep quality, Metabolic syndrome, Health workers, PSQI, Work shifts, Metabolic risk

Abstract

Poor sleep quality has been shown to contribute to an increased risk of metabolic syndrome, especially in healthcare workers exposed to work stress and shift systems that do not match the circadian rhythm. This study aims to analyze the relationship between sleep quality and metabolic syndrome in health workers at the Medan City Hospital through a cross-sectional approach with 124 respondents. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), while metabolic syndrome was evaluated based on International Diabetes Federation (IDF) criteria. The results showed that 61.3% of respondents had poor sleep quality, and 35.5% had metabolic syndrome. There was a significant association between poor sleep quality and metabolic syndrome (p=0.002), as well as a positive correlation between PSQI score and the number of components of metabolic syndrome (r=0.411; p<0.001). These findings suggest that sleep disorders play an important role in increasing metabolic risk in health workers, so promotive interventions on sleep quality need to be a priority in hospital occupational health policies.

References

Alberti, K. G., Eckel, R. H., Grundy, S. M., Zimmet, P. Z., Cleeman, J. I., Donato, K. A., ... & Smith, S. C. (2009). Harmonizing the metabolic syndrome: A joint interim statement of the International Diabetes Federation Task Force. Circulation, 120(16), 1640–1645. https://doi.org/10.1161/CIRCULATIONAHA.109.192644

American Heart Association. (2020). Metabolic Syndrome. Retrieved from https://www.heart.org/en/health-topics/metabolic-syndrome

Booker, L. A., Magee, M., Rajaratnam, S. M., Sletten, T. L., & Howard, M. E. (2018). Individual vulnerability to insomnia, excessive sleepiness and shift work disorder among healthcare shift workers. Sleep Medicine Reviews, 41, 220–233. https://doi.org/10.1016/j.smrv.2018.03.005

Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4

Choi, H., Kim, S. H., & Kim, H. S. (2018). Association between shift work and metabolic syndrome: A cross-sectional study. Journal of Clinical Nursing, 28(5–6), 959–966. https://doi.org/10.1111/jocn.14675

Esquirol, Y., Bongard, V., Mabile, L., Jonnier, B., Soulat, J. M., & Perret, B. (2009). Shift work and metabolic syndrome: respective impacts of job strain, physical activity, and dietary rhythms. Chronobiology International, 26(3), 544–559. https://doi.org/10.1080/07420520902821176

Ferri, P., Guadi, M., Marcheselli, L., Balduzzi, S., Magnani, D., & Di Lorenzo, R. (2016). The impact of shift work on the psychological and physical health of nurses in a general hospital. Risk Management and Healthcare Policy, 9, 203–211. https://doi.org/10.2147/RMHP.S115326

Gangwisch, J. E., Heymsfield, S. B., Boden-Albala, B., Buijs, R. M., Kreier, F., Pickering, T. G., ... & Malaspina, D. (2007). Short sleep duration as a risk factor for hypertension: analyses of NHANES I. Hypertension, 49(5), 833–839. https://doi.org/10.1161/01.HYP.0000257998.73578.78

Grandner, M. A. (2017). Sleep, health, and society. Sleep Medicine Clinics, 12(1), 1–22. https://doi.org/10.1016/j.jsmc.2016.10.012

Itani, O., Jike, M., Watanabe, N., & Kaneita, Y. (2017). Short sleep duration and health outcomes: A systematic review, meta-analysis, and meta-regression. Sleep Medicine, 32, 246–256. https://doi.org/10.1016/j.sleep.2016.08.006

Kivimäki, M., Kuosma, E., Ferrie, J. E., Luukkonen, R., Nyberg, S. T., Alfredsson, L., ... & Vahtera, J. (2015). Overweight, obesity, and risk of cardiometabolic multimorbidity: pooled analysis. The Lancet Public Health, 5(4), e277–e285. https://doi.org/10.1016/S2468-2667(20)30041-4

Knutson, K. L., Spiegel, K., Penev, P., & Van Cauter, E. (2007). The metabolic consequences of sleep deprivation. Sleep Medicine Reviews, 11(3), 163–178. https://doi.org/10.1016/j.smrv.2007.01.002

Ministry of Health Republic of Indonesia. (2018). Basic Health Research (Riskesdas). Jakarta: Balitbangkes.

Setyowati, S., Dhanasari, V., & Puspitasari, I. M. (2012). Validitas dan reliabilitas versi Bahasa Indonesia Pittsburgh Sleep Quality Index (PSQI). Jurnal Keperawatan Indonesia, 15(2), 82–90. https://doi.org/10.7454/jki.v15i2.61

Shan, Z., Ma, H., Xie, M., Yan, P., Guo, Y., Bao, W., ... & Liu, L. (2019). Sleep duration and risk of type 2 diabetes: A meta-analysis of prospective studies. Diabetes Care, 38(3), 529–537. https://doi.org/10.2337/dc14-2073

Spiegel, K., Leproult, R., & Van Cauter, E. (2005). Impact of sleep debt on metabolic and endocrine function. The Lancet, 354(9188), 1435–1439. https://doi.org/10.1016/S0140-6736(99)01376-8.

Taheri, S., Lin, L., Austin, D., Young, T., & Mignot, E. (2004). Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLOS Medicine, 1(3), e62. https://doi.org/10.1371/journal.pmed.0010062.

World Health Organization (WHO). (2022). Metabolic Syndrome. Retrieved from https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Zhang, B., Wing, Y. K., & Li, S. X. (2020). Gender differences in insomnia: A meta-analysis of observational studies. Sleep Medicine, 69, 113–120. https://doi.org/10.1016/j.sleep.2020.01.005.

Zimmet, P., Alberti, K. G., & Shaw, J. (2005). The metabolic syndrome—a new worldwide definition. The Lancet, 366(9491), 1059–1062. https://doi.org/10.1016/S0140-6736(05)67402-8.

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Published

2025-06-20

How to Cite

Putra, A., & Salsabila, D. (2025). Relationship between sleep quality and the risk of metabolic syndrome in healthcare workers in hospitals. TAMBUN-Thematic Analysis in Medical and Biomedical Understanding for the Nation, 1(1), 21–27. Retrieved from https://ejournal.cria.or.id/index.php/medical/article/view/298