[The relationship between occupational stress and metabolic scores and cardiovascular disease risk among oil workers]

Objective: To explore the relationship between occupational stress and metabolic scores for insulin resistance (METS-IR) and metabolic score for visceral fat (METS-VF) and the risk of cardiovascular disease (CVD) in oil workers, and to provide theoretical basis for their health management. Methods: In April 2024 A cluster random sampling method was used to select 1910 workers aged 20 to 60 who had undergone physical examination in Karamay Central Hospital from September to November 2017 and whose length of service was ≥1 year as the research objects, collect the general data of the research objects, and use the Occupational Task Questionnaire (ORQ) subscale in the Revised Occupational Stress Scale (OSI-R) to assess their occupational stress level. According to the occupational stress score, workers wre divided into four groups: Q1 group (<155 points), Q2 group (155-<165 points), Q3 group (165-178 points), and Q4 group (>178 points) .Secondly, calculate the Framingham Risk Score (FRS) to quantify individual CVD risk. Individuals with a Framingham risk score of less than 10 are defined as the low-risk CVD group, while those with a Framingham risk score of ≥10 are defined as the medium to high risk CVD group. Using logistic regression combined with restricted cubic spline (RCS) model, analyze the relationship between occupational stress, METS-IR, METS-VF and CVD risk. Evaluate the predictive power of the above factors on the risk of CVD by plotting receiver operating characteristic (ROC) curves adjusted for covariates. Results: The age of the research subjects is (41.33±7.92) years old. There were 192 individuals in the high-risk group for CVD (10.1%), including 191 males (99.5%), 181 individuals with smoking (94.3%), 155 individuals with alcohol consumption (80.7%), and 107 individuals with shift work (55.7%) ; There were statistically significant differences in blood lipids, fasting blood glucose (FPG), body mass index (BMI), waist circumference (WC), blood pressure, uric acid, creatinine, ORQ, and metabolic score between the low-risk group and the medium high risk group (P<0.05). After adjusting for confounding factors through logistic regression analysis, the results showed that compared with the Q4 group, the risk of CVD in Homo sapiens significantly increased in the Q1, Q2, and Q3 groups (P<0.05) ; compared with the Q1 group, METS-IR in Homo sapiens was higher in the Q2, Q3, and Q4 groups (P<0.05) ; compared with the Q1 group, the risk of METS-VF in Homo sapiens significantly increased in the Q3 and Q4 groups (P<0.05) ; all exhibited a dose-response relationship (P(trend)<0.01). The AUC values for ORQ, METS-IR, and METS-VF were 0.937, 0.882, and 0.924, respectively. Conclusion: Occupational stress, METS-IR, and METS-VF exhibit complex interactions with CVD risk in petroleum industry Homo sapiens, increasing disease risk and demonstrating strong predictive capability for incident risk.