Orozco-González Claudia Nelly, Cortés-Sanabria Laura, Viera-Franco Juan José, Ramírez-Márquez José Juan, Cueto-Manzano Alfonso M
Unidad de Investigación Médica en Enfermedades Renales, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Jalisco, México.
Rev Med Inst Mex Seguro Soc. 2016 Sep-Oct;54(5):594-601.
To determine the prevalence of cardiovascular risk factors (CVRF) in healthcare workers from two tertiary-care hospitals of the Mexican Institute of Social Security, as well as their association with professional activities (PA).
Descriptive study. One-thousand eighty-nine health-care workers ≥ 18 years were included. Clinical history, physical exam, and blood tests were performed.
Mean age 41 ± 9 years, 76% women. Hypertension prevalence was 19%, diabetes mellitus 9.6%, dyslipidemia 78%, overweight and obesity 73%, metabolic syndrome (MS) 32.5%, and smoking 19%. The following significant associations (p < 0.05) were found: MS with medical asisstants (OR: 2.73, CI 95%: 1.31-5.69) and nutritionist (OR: 2.6, CI 95%: 1.31-5.24); obesity with administrative personnel (OR: 3.64, CI 95%: 1.40-7.46); dyslipidemia with medical asisstants (OR: 2.58, CI 95%: 1.15-6.34). In the whole sample, the probability to have a vascular event in the following 10 years was 10%.
Prevalence of CVRF was high in this sample of health-care workers and did not seem to be different from those in general population. Medical assistants, nutritionist, and administrative personnel displayed a higher risk. It is necessary to create programs to promote healthy lifestyle and to improve the epidemiological profile of health-care workers.
确定墨西哥社会保障局两家三级医疗机构医护人员心血管危险因素（CVRF）的患病率，以及这些因素与职业活动（PA）的关联。
描述性研究。纳入1089名年龄≥18岁的医护人员。进行临床病史采集、体格检查和血液检测。
平均年龄41±9岁，女性占76%。高血压患病率为19%，糖尿病为9.6%，血脂异常为78%，超重和肥胖为73%，代谢综合征（MS）为32.5%，吸烟率为19%。发现以下显著关联（p<0.05）：MS与医疗助理（OR：2.73，95%CI：1.31-5.69）和营养师（OR：2.6，95%CI：1.31-5.24）相关；肥胖与行政人员（OR：3.64，95%CI：1.40-7.46）相关；血脂异常与医疗助理（OR：2.58，95%CI：1.15-6.34）相关。在整个样本中，未来10年发生血管事件的概率为10%。
该医护人员样本中CVRF的患病率较高，且似乎与一般人群无异。医疗助理、营养师和行政人员的风险更高。有必要制定促进健康生活方式的项目，以改善医护人员的流行病学状况。
