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医学生肥胖症的患病率及其与心血管危险因素的相关性:当今的紧急警报?

Prevalence of Obesity in Medical students and its correlation with cardiovascular risk factors: Emergency Alarm for Today?

作者信息

Purohit G, Shah T, Harsoda J M

机构信息

Department of Physiology SBKS MI and RC, Dhiraj Hospital Sumandeep Vidyapeeth Piparia, Vadodara 391760, Gujarat, India.

Department of Biochemistry SBKS MI and RC, Dhiraj Hospital Sumandeep Vidyapeeth Piparia, Vadodara 391760, Gujarat, India.

出版信息

Kathmandu Univ Med J (KUMJ). 2015 Oct-Dec;13(52):341-5. doi: 10.3126/kumj.v13i4.16834.

Abstract

Background It is predicted that the prevalence of overweight and obesity will rise significantly by 2015 in young population. Problem of overweight and obesity has been recognized as public health problem worldwide due to the fact that it increases the risk of chronic diseases such as Cardiovascular Diseases (CVD), stroke, diabetes, sleep apnoea, osteoarthritis etc. Objective To assess the body mass index in medical students and its association with various cardiovascular risk factors like blood pressure, dietary habits, and family history of cardiovascular diseases. Method A university based cross-sectional analytical study was conducted in Department of Physiology, Smt. B.K. Shah Medical Institute and Research Center, Vadodara, Gujarat. Data was collected through convenient sampling technique by using selfadministered questionnaire followed by anthropometric measurement. Body Mass Index (BMI) of 138 first year medical students was assessed. Systolic blood pressure, diastolic blood pressure, pulse pressure, mean blood pressure, pulse rate and arterial oxygen saturation were measured. Result Data was compiled in excel sheet, analyzed for percentage and proportion. Chi square and Pearson correlation test were also applied and alpha error was set at 5% level. In comparison to the students with normal BMI, students with BMI >25 kg/m2 (N=49) showed significantly high blood pressure indices. Dietary habits and family history of cardiovascular diseases were also noted. Highly significant association of high BMI was found with elevated blood pressure (X2=7.4042***, p<0.001) and presence of family history of cardiovascular diseases X2=9.8625***, p<0.001). BMI is negatively correlated with SpO2 (r= -0.0504, p<0.05) and pulse rate, while positively correlated with systolic blood pressure (r=0.2736) and diastolic blood pressure (r=0.0275). Conclusion In conclusion, majority (more than 35%) of medical students were overweight, high prevalence of cardiovascular risk factors like family history, elevated blood pressure and less SpO2.

摘要

背景 据预测,到2015年,年轻人群中超重和肥胖的患病率将显著上升。超重和肥胖问题已被公认为全球公共卫生问题,因为它会增加患慢性疾病的风险,如心血管疾病(CVD)、中风、糖尿病、睡眠呼吸暂停、骨关节炎等。目的 评估医学生的体重指数及其与各种心血管危险因素(如血压、饮食习惯和心血管疾病家族史)的关联。方法 在古吉拉特邦瓦多达拉市Smt. B.K. Shah医学院和研究中心生理学系进行了一项基于大学的横断面分析研究。通过方便抽样技术,使用自填问卷,随后进行人体测量来收集数据。评估了138名一年级医学生的体重指数(BMI)。测量了收缩压、舒张压、脉压、平均血压、脉搏率和动脉血氧饱和度。结果 数据整理在Excel表格中,分析了百分比和比例。还应用了卡方检验和Pearson相关检验,设定α错误水平为5%。与BMI正常的学生相比,BMI>25 kg/m2的学生(N = 49)显示出显著较高的血压指数。还记录了饮食习惯和心血管疾病家族史。发现高BMI与血压升高(X2 = 7.4042***,p<0.001)和心血管疾病家族史的存在(X2 = 9.8625***,p<0.001)高度相关。BMI与SpO₂(r = -0.0504,p<0.05)和脉搏率呈负相关,与收缩压(r = 0.2736)和舒张压(r = 0.0275)呈正相关。结论 总之,大多数(超过35%)医学生超重,心血管危险因素如家族史、血压升高和SpO₂降低的患病率较高。

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