Prevalência de síndrome metabólica e fatores associados em agentes comunitários de saúde do município de São José de Ribamar-MA.

Abstract

Community Health Workers (CHWs) play a central role in the organization of Primary Health Care (PHC) in Brazil, working directly within communities and monitoring families. However, the working conditions and processes of precariousness that characterize this professional category may negatively impact their health, particularly regarding chronic non-communicable diseases. In this context, metabolic syndrome constitutes a significant occupational health concern, as it aggregates multiple cardiometabolic risk factors. This study aimed to analyze the prevalence of metabolic syndrome and its associated factors among Community Health Workers in the municipality of São José de Ribamar, Maranhão. This is a quantitative, observational, cross-sectional study conducted with CHWs linked to the Primary Health Care network of the municipality. Sociodemographic data, information on clinical history and pre existing diseases, lifestyle habits, medication use, and family history were collected, in addition to clinical and biochemical assessments, including glycemic and lipid profiles. Metabolic syndrome was defined according to international criteria. The results revealed a high prevalence of metabolic syndrome among CHWs, especially among women, older professionals, and those with a higher frequency of physical inactivity. A significant association was observed between the presence of metabolic syndrome and pre-existing chronic diseases, such as systemic arterial hypertension, diabetes mellitus, and dyslipidemia, as well as important biochemical alterations, characterized by elevated glucose and triglyceride levels and reduced HDL cholesterol. The findings reinforce the need for occupational health surveillance strategies and interventions aimed at health promotion in the workplace, considering the specificities of CHWs’ work. It is concluded that metabolic syndrome represents an important health problem in this professional category, requiring integrated actions that articulate clinical care, work organization, and public occupational health policies.