Yeh Tzu-Lin, Chen Hsin-Hao, Chiu Hsiao-Hui, Chiu Yu-Hua, Hwang Lee-Ching, Wu Shang-Liang
Department of Family Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu City, Taiwan.
Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
Diabetes Metab Syndr Obes. 2019 Mar 7;12:267-274. doi: 10.2147/DMSO.S193434. eCollection 2019.
To investigate morbidity associated with overweight and obesity in health personnel and compare the differences among work roles.
This retrospective cohort study examined measurements obtained during employee medical checkups between 2007 and 2016 in a Taiwan medical center. BMI was used to define overweight (≥24 and <27 kg/m) and obesity (≥27 kg/m). Morbidity refers to prevalence, period incidence proportion, and incidence rate. Multivariable Cox model was used to estimate the HRs and 95% CI of the incidence proportion across work roles.
Ten thousand six hundred fifty-one health personnel with 24,295 BMI measurements were recruited. Mean age was 33.4±10.7 years and 72.4% was female. In total, 1,992 (8.2%) health personnel were underweight, 13,568 (55.8%) had a normal BMI, 5,097 (21%) were overweight, and 3,638 (15%) were obese. Five thousand nine hundred one health personnel with 31,172 different interval-year arrangement combinations were obtained. The incidence proportion of overweight and obesity was 1,947 (6.2%) and 1,494 (4.8%), respectively. The incidence rate was 37/1,000 and 15/1,000 person-years, respectively. Compared with that in supporting staff, the HR of overweight in doctors, nurses, and allied health professionals was 0.93 (95% CI =0.73-1.18, 0.553), 0.92 (95% CI =0.73-1.16, 0.491), and 0.85 (95% CI =0.67-1.09, 0.202), respectively. Similarly, the HR of obesity was 0.86 (95% CI =0.66-1.14, 0.301), 0.89 (95% CI =0.67-1.18, 0.430), and 0.84 (95% CI =0.63-1.13, 0.248), respectively.
In health personnel, the prevalence of overweight and obesity was 21% and 15%, respectively. The incidence proportion was 6.2% and 4.8%, respectively. Morbidity across the four health work roles examined was not significantly different.
调查卫生人员中超重和肥胖相关的发病率，并比较不同工作岗位之间的差异。
这项回顾性队列研究检查了2007年至2016年期间台湾一家医疗中心员工体检时获得的测量数据。体重指数（BMI）用于定义超重（≥24且<27kg/m²）和肥胖（≥27kg/m²）。发病率指患病率、期间发病比例和发病率。多变量Cox模型用于估计不同工作岗位发病比例的风险比（HR）和95%置信区间（CI）。
招募了10651名卫生人员，共获得24295次BMI测量值。平均年龄为33.4±10.7岁，女性占72.4%。总体而言，1992名（8.2%）卫生人员体重过轻，13568名（55.8%）BMI正常，5097名（21%）超重，3638名（15%）肥胖。获得了5901名卫生人员的31172种不同间隔年份安排组合。超重和肥胖的发病比例分别为1947例（6.2%）和1494例（4.8%）。发病率分别为每1000人年37例和15例。与辅助人员相比，医生、护士和专职医疗人员超重的HR分别为0.93（95%CI=0.73-1.18，P=0.553）、0.92（95%CI=0.73-1.16，P=0.491）和0.85（95%CI=0.67-1.09，P=0.202）。同样，肥胖的HR分别为0.86（95%CI=0.66-1.14，P=0.301）、0.89（95%CI=0.67-1.18，P=0.430）和0.84（95%CI=0.63-1.13，P=0.248）。
在卫生人员中，超重和肥胖的患病率分别为21%和15%。发病比例分别为6.2%和4.8%。所检查的四个卫生工作岗位的发病率无显著差异。
