Confounders in chronic stress at work and metabolic syndrome

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 …