Sub-Direction of Research in Communitarian Interventions National, Institute of Perinatology, Urales # 800, Col. Lomas de Virreyes, Delegación Miguel Hidalgo, Mexico City C.P. 11000, Mexico.
Department of Nutrition and Bioprogramming, Research Direction, National Institute of Perinatology, Montes Urales # 800, Col. Lomas de Virreyes, Delegación Miguel Hidalgo, Mexico City C.P. 11000, Mexico.
Int J Environ Res Public Health. 2018 Mar 30;15(4):634. doi: 10.3390/ijerph15040634.
Adiposity-based chronic disease (ABCD), overweight-Ow- or obesity-Ob-) in health personnel is as frequent as in the general population, even though they understand well the importance of maintaining a healthy weight. Thus, it is highly likely that certain demographic and psychological conditions, independently of knowledge, are contributing to develop ABCD. The aim of this study was to examine the association between these factors and ABCD in nurses. Data were collected from a cross-sectional study conducted in a tertiary level institute in Mexico City from 2012 to 2013. All the nurses of the institute of any age, shift, service area and seniority were invited to participate and 55% (265) accepted. We found that ABCD was present in 79.6%, and low self-esteem and emotional distress in 26% and 10%, respectively. Working in the night shift ( = 0.031), labor seniority ≥15 years ( = 0.006), having 1 or more children ( = 0.021) and sessions of physical activity <30 min ( = 0.03) were associated with ABCD. Low self-esteem (OR = 2, 95% CI 1.150–3.07, = 0.023) and emotional distress (OR = 4, 95% CI 1.472–13.078, = 0.012) were associated with unhealthy lifestyle (less of 3 days per week and/or less of 30 min per session of physical activity and poor dietary habits). Therefore, strategies to prevent and treat ABCD must consider each context among nurses and psychological disorders need be identified to avoid an unhealthy lifestyle.
基于肥胖的慢性疾病（ABCD）在卫生人员中的发病率与普通人群一样高，尽管他们深知保持健康体重的重要性。因此，某些人口统计学和心理因素很可能独立于知识，对 ABCD 的发展起到了作用。本研究旨在探讨这些因素与护士 ABCD 之间的关系。数据来自于 2012 年至 2013 年在墨西哥城的一家三级机构进行的横断面研究。邀请了该机构的所有护士（无论年龄、班次、服务领域和工龄如何）参加，有 55%（265 名）护士接受了邀请。我们发现，79.6%的护士患有 ABCD，分别有 26%和 10%的护士自尊心低和情绪困扰。上夜班（ = 0.031）、工龄 ≥15 年（ = 0.006）、有 1 个或更多孩子（ = 0.021）和体力活动次数 <30 分钟（ = 0.03）与 ABCD 有关。自尊心低（OR = 2，95%CI 1.150–3.07， = 0.023）和情绪困扰（OR = 4，95%CI 1.472–13.078， = 0.012）与不健康的生活方式（每周少于 3 天和/或每次少于 30 分钟的体力活动和不良饮食习惯）有关。因此，预防和治疗 ABCD 的策略必须考虑护士的每个背景，并且需要识别心理障碍，以避免不健康的生活方式。
