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流水线之外:印度男性产业工人糖尿病风险评估

Beyond the assembly line: An assessment of diabetes risks among Indian male industrial workers.

作者信息

Mookkiah Ilankumaran, Bobdey Saurabh, Sarin Arti, Seth Deepak

机构信息

PMO, Dockyard Dispensary, Indian Navy Dockyard, Mumbai, India.

Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India.

出版信息

Med J Armed Forces India. 2024 May-Jun;80(3):281-286. doi: 10.1016/j.mjafi.2024.02.007. Epub 2024 Apr 8.

Abstract

BACKGROUND

Diabetes mellitus is a chronic non-communicable disease that imposes a significant burden on affected individuals and the community. Considerable attention has been given to industrial accidents and ergonomics, however, lifestyle-related diseases among industrial workers have often been neglected. Therefore, the present study was conducted with the aim to assess the prevalence of obesity/overweight and ascertain the risk of diabetes mellitus among male employees of an industrial unit in South Mumbai.

METHODS

The cross-sectional study was conducted among male employees of an industrial unit in South Mumbai. Family history, exercise patterns, anthropometric measurements and physical vital parameters were recorded. Body composition was assessed using bioelectrical impedance analysis (BIA). The Indian Diabetes Risk Score (IDRS) was employed to evaluate the risk of diabetes mellitus.

RESULTS

In total, 3791 industrial workers participated in the study and 44.5% of participants were above 40 years. Mean height, weight, body mass index (BMI), Waist Circumference (WC) and waist to hip ratio (WHR) were 1.67 m, 71.33 kg, 25.99, 90.81 cm and 0.91 respectively. 56.1% individuals had WC more than 90 cm and 79.1% had WHR more than 0.90. 1846 (53%) and 927 (26.6%) participants had moderate and high diabetes risk respectively. The relationship between age, weight, BMI, WC, WHR, body fat mass and fat percentage, and IDRS was statistically significant.

CONCLUSION

A substantial proportion of industrial workers were identified as overweight and at high risk of diabetes mellitus. Consequently, it becomes imperative to offer health education and implement interventions to encourage regular exercise, adopt an active lifestyle, and promote healthy dietary habits among industrial workers.

摘要

背景

糖尿病是一种慢性非传染性疾病,给受影响的个人和社区带来了沉重负担。虽然工业事故和人体工程学受到了相当多的关注,但产业工人中与生活方式相关的疾病却常常被忽视。因此,本研究旨在评估孟买南部一个工业单位男性员工中肥胖/超重的患病率,并确定糖尿病风险。

方法

在孟买南部一个工业单位的男性员工中进行了横断面研究。记录了家族病史、运动模式、人体测量数据和身体重要参数。使用生物电阻抗分析(BIA)评估身体成分。采用印度糖尿病风险评分(IDRS)来评估糖尿病风险。

结果

共有3791名产业工人参与了研究,44.5%的参与者年龄在40岁以上。平均身高、体重、体重指数(BMI)、腰围(WC)和腰臀比(WHR)分别为1.67米、71.33千克、25.99、90.81厘米和0.91。56.1%的个体腰围超过90厘米,79.1%的个体腰臀比超过0.90。1846名(53%)和927名(26.6%)参与者分别具有中度和高度糖尿病风险。年龄、体重、BMI、WC、WHR、身体脂肪量和脂肪百分比与IDRS之间的关系具有统计学意义。

结论

相当一部分产业工人被确定为超重且糖尿病风险高。因此,必须提供健康教育并实施干预措施,以鼓励产业工人定期锻炼、采取积极的生活方式并促进健康的饮食习惯。

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