Kitayaporn Dwip, Sudlah Nit, Athirakul Krairerk, Jenkolrob Kallaya, Anuras Sinn, Anuras Jitra
Clinical Research Center, Bumrungrad International Hospital, Bangkok, Thailand.
J Med Assoc Thai. 2011 Sep;94(9):1044-52.
To determine the incidence and factors associated with overweight and obesity, and hypertensive disorder, among staff in a private healthcare setting.
The present retrospective cohort study examined the computerized data of Bumrungrad International (BI) Hospital staff that had undergone pre-employment and annual/bi-annual check-ups, between January 2000 and June 2006.
Data for the 3,678 staff surveyed comprised 7,338 visits, with a median follow-up time of 1.9 years; 81.9% were females, and the mean age (SD) was 27.1 (6.8) years. On their first visit, 8.5% could be classified as overweight or obese (Body Mass Index-[BMI] of 25.0+ kg/m2). The overall incidence of these conditions was 22.2/1,000 person-years (95%; Confidence Interval [CI] = 18.8-26.1). Cox's regression analysis revealed that incidence increased with age (Relative Hazard [RH] = 4.4 for age 20-44 years [95% -CI 1.6-12.2], and RH = 8.2 [95% CI 2.4-27.5] for age > or = 45 years, reference: < 20 years), but decreased among the registered nurses and ancillary professional staff (RH = 0.3, 95% CI 0.2-0.6). At cohort entry, 41.0% could be classified as pre-hypertensive (blood pressure 120-139/> 80-89 mmHg) and 1.9% as stages I and II hypertension. The overall incidence of hypertensive disorder was 16.9/1,000 person-years (95%; CI 13.6-20.9). Baseline pre-hypertensive (RH 4.9, 95%; CI 2.6-9.3), males (RH 1.7, 95%; CI 1.1-2. 7), age > or = 45 years (RH3.2, 95%; CI 1.0-10.5), and BMI (RH ranges 3.3-6 4) were identified as independent risk factors for incident hypertension. In addition, 2.5% were HBsAg-positive, and 33.3% had HBsAb antibody
The present retrospective cohort study was instituted in a private healthcare setting, information generated resulted in changes to the health-promotion programs of the organization.
确定一家私立医疗机构工作人员中超重、肥胖及高血压疾病的发病率及其相关因素。
本回顾性队列研究分析了2000年1月至2006年6月期间在曼谷康民国际医院（BI）进行入职前及年度/半年一次体检的员工的电脑化数据。
对3678名员工进行调查的数据包括7338次就诊记录，中位随访时间为1.9年；其中81.9%为女性，平均年龄（标准差）为27.1（6.8）岁。首次就诊时，8.5%的人可被归类为超重或肥胖（体重指数[BMI]≥25.0kg/m²）。这些情况的总体发病率为22.2/1000人年（95%；置信区间[CI]=18.8 - 26.1）。Cox回归分析显示，发病率随年龄增长而增加（20 - 44岁的相对风险[RH]=4.4[95%CI 1.6 - 12.2]，年龄≥45岁的RH = 8.2[95%CI 2.4 - 27.5]，参照组：<20岁），但在注册护士和辅助专业人员中发病率降低（RH = 0.3，95%CI 0.2 - 0.6）。队列开始时，41.0%的人可被归类为高血压前期（血压120 - 139/>80 - 89mmHg），1.9%的人患有I期和II期高血压。高血压疾病的总体发病率为16.9/1000人年（95%；CI 13.6 - 20.9）。基线高血压前期（RH 4.9，95%；CI 2.6 - 9.3）、男性（RH 1.7，95%；CI 1.1 - 2.7）、年龄≥45岁（RH 3.2，95%；CI 1.0 - 10.5）和BMI（RH范围3.3 - 6.4）被确定为新发高血压的独立危险因素。此外，2.5%的人乙肝表面抗原（HBsAg）呈阳性，33. .3%的人有乙肝表面抗体（HBsAb）。
本回顾性队列研究在一家私立医疗机构开展，所产生的信息促使该机构的健康促进项目发生了改变。
