MMSL 2024, 93(1):84-99 | DOI: 10.31482/mmsl.2023.010

PSYCHOLOGICAL BURDEN AND METABOLIC SYNDROME IN PROFESSIONAL SOLDIERSOriginal article

Pavla Krutisova ORCID...1*, Vladimír Pavlik ORCID...2, Eva Cermakova ORCID...3, Jana Fajfrova ORCID...4, Dana Fialova ORCID...5
1 Department of Emergency Medicine and Military General Medicine, Faculty of Military Health Sciences, University of Defence, Czech Republic
2 Department of Military Internal Medicine and Military Hygiene, Faculty of Military Health Sciences, University of Defence, Czech Republic
3 Department of Medical Biophysics, Faculty of Medicine in Hradec Kralove, Charles University, Czech Republic
4 Department of Public Health Protection and Pharmacy, Divison of Administrative Activities, Section of Military Health, Czech Republic
5 University Education Department in Hradec Kralove, Language Centre, University of Defence, Czech Republic

The aim of the study is to investigate whether the mental stress resulting from the assignment of military professionals affects the parameters of metabolic syndrome (MetS) as a significant risk factor for cardio-vascular diseases.The study retrospectively analyses the data obtained during extended annual preventive examinations of professional soldiers in 2012-2016. The dataset was divided into two cohorts. The first "performance" cohort included soldiers from combat units and paratroopers (aiborne). The second cohort consisted of "others", i.e. soldiers from non-combat units or airborne. The psychological burden was determined by the soldiers' assignment to a combat or airborne units.In the years 2012-2016, almost all compared parameters were better in the "performance" group. Exceptions were a higher prevalence of overweight (according to body mass index) and sporadically higher glycaemia and alanine aminotrasferase (ALT) levels. When comparing years 2012 and 2016 of the “performace” group, statistically significant better values prevailed in relation to the MetS in 2016. The exceptions were ALT and uric acid levels.The outcome of this study suggests a better status of MetS risk factors and MetS-related factors in the "performance" cohort, and psychological stress did not augment MetS manifestations in these professionals. This study has confirmed the necessity of waist circumference measurement to eliminate overestimation of obesity in individuals with developed musculature. To confirm the hepatic origin of ALT, the medical history should include an inquiry about exercise habits. Subsequently, the effect of chronic stress may also be considered for higher liver enzymes. Screening for hypercholesterolaemia and hyperuricaemia has important clinical relevance for the prevention of cardiovascular diseases in younger population, particularly in those aged

Keywords: soldier; stress; burden; metabolic syndrome

Received: December 21, 2022; Revised: February 20, 2023; Accepted: February 22, 2023; Prepublished online: March 7, 2023; Published: March 1, 2024  Show citation

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Krutisova, P., Pavlik, V., Cermakova, E., Fajfrova, J., & Fialova, D. (2024). PSYCHOLOGICAL BURDEN AND METABOLIC SYNDROME IN PROFESSIONAL SOLDIERS. MMSL93(1), 84-99. doi: 10.31482/mmsl.2023.010
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