Confounders in chronic stress at work and metabolic syndrome

doi:10.1136/bmj.332.7550.1153-c

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John S Yudkin (j.yudkin@ucl.ac.uk), professor of medicine

University College London, Archway Campus, London N19 5LW

EDITOR—Chandola et al have fallen into the trap of confusing a clinical clustering of risk factors, the metabolic syndrome, with a physiological construct.1 Their definition of metabolic syndrome is that of the NCEPATP III, a panel concerned with clinical identification of subjects at high cardiovascular risk. The panel report notes that excess body fat (particularly abdominal obesity) is an …