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印度南部医生的肥胖负担与身体活动模式

Obesity Burden and Physical Activity Pattern Among Doctors in South India.

作者信息

Nair Anjana Nalina Kumari Kesavan, Lawrence Tony, Indu Pillaveetil Sathyadas

机构信息

Department of Community Medicine, Government Medical College, Thiruvananthapuram, Kerala, India.

Government Medical College, Kollam, Kerala, India.

出版信息

Indian J Occup Environ Med. 2022 Oct-Dec;26(4):261-265. doi: 10.4103/ijoem.ijoem_67_22. Epub 2022 Dec 24.

Abstract

CONTEXT

A career as a doctor makes him prone to develop health issues like obesity and obesity-related noncommunicable diseases.

AIMS

This study aims to find the burden and determinants of obesity among Modern Medicine doctors in Kerala.

SETTINGS AND DESIGN

We conducted a cross-sectional study among 240 doctors working in South Kerala from 2018 to 2019.

METHODS AND MATERIAL

The sample size was calculated using a formula and stratified random sampling was done for the selection of study participants. An interviewer-administered structured questionnaire was used for data collection. Physical activity was measured using International Physical Activity Questionnaire.

STATISTICAL ANALYSIS

Data were entered in MS Excel and was analyzed using Statistical Package for Social Sciences version 26.0. The significance of association was tested using the χ test. Binary logistic regression was done to predict the factors associated with overweight and obesity.

RESULTS

Out of 240 study participants, 128 (54%) were females and 112 (46%) were males. Among the 240 doctors, 54% (114) were either overweight or obese. A low level of physical activity was reported among 54.5% of doctors. Male gender odds ratio (OR) = 2.8 (95% confidence interval [CI] = 1.29-6.06), nuclear family OR = 2.7 (95% CI = 1.32-5.42), daily hours of sleep <6 hours OR = 4.92 (95% CI = 2.29-10.5), history of obesity among parents OR = 3.54 (95% CI = 1.04-12.02), reported the presence of private practice OR = 3.34 (95% CI = 1.25-8.96), and holding a graduation degree alone were found to be significantly associated with obesity.

CONCLUSIONS

The study found that majority of the doctors (55%) were either overweight or obese. Awareness and behavior change communication among doctors on modifiable risk factors like having adequate sleep and reducing the hours spent in private practice is needed to reduce the burden of obesity among doctors.

摘要

背景

医生职业使他容易出现肥胖及肥胖相关的非传染性疾病等健康问题。

目的

本研究旨在找出喀拉拉邦现代医学医生中肥胖的负担及决定因素。

设置与设计

我们于2018年至2019年对喀拉拉邦南部工作的240名医生进行了一项横断面研究。

方法与材料

使用公式计算样本量,并采用分层随机抽样来选择研究参与者。通过访谈者实施的结构化问卷进行数据收集。使用国际体力活动问卷测量体力活动。

统计分析

数据录入MS Excel,并使用社会科学统计软件包26.0进行分析。使用χ检验检验关联的显著性。进行二元逻辑回归以预测与超重和肥胖相关的因素。

结果

在240名研究参与者中,128名(54%)为女性,112名(46%)为男性。在这240名医生中,54%(114名)超重或肥胖。54.5%的医生报告体力活动水平较低。男性性别比值比(OR)=2.8(95%置信区间[CI]=1.29 - 6.06),核心家庭OR = 2.7(95% CI = 1.32 - 5.42),每日睡眠时间<6小时OR = 4.92(95% CI = 2.29 - 10.5),父母有肥胖史OR = 3.54(95% CI = 1.04 - 12.02),报告有私人执业OR = 3.34(95% CI = 1.25 - 8.96),以及仅拥有本科学位被发现与肥胖显著相关。

结论

研究发现大多数医生(55%)超重或肥胖。需要在医生中开展关于可改变风险因素(如充足睡眠和减少私人执业时间)的意识和行为改变宣传,以减轻医生群体中的肥胖负担。

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