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Costa ALB, Merces MCD, Santana AIC, Silva DDSE, Pimentel RFW, de Figueiredo PCM, Brandão TS, Coelho JMF, Almeida AAE, Damasceno KSM, Rossi TRA, de Souza MC, Lua I, da Silva DAR, Cerqueira MMBDF, Gomes AMT, de Oliveira JF, de Sousa AR, Santana TDS, Servo MLS, Marinho MCG, Magalhães LBNC, Silva AP, Marques SC, Wolter RMCP, Penna LH, França LCM, Peres EM, Couto PLS, de Andrade PCDST, dos Santos LFDM, Fonseca AVG, Santos CS, Gonçalves LMDS, D’Oliveira Júnior A. The Prevalence of Abdominal Adiposity among Primary Health Care Physicians in Bahia, Brazil: An Epidemiological Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:957. [PMID: 33499303 PMCID: PMC7908549 DOI: 10.3390/ijerph18030957] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 01/13/2021] [Accepted: 01/15/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND Labor activities are demanding for workers and can induce occupational stress. Primary health care (PHC) workers have faced problems that can lead to the development of stress and abdominal obesity. The aim of this study was to estimate the prevalence of abdominal adiposity among primary health care physicians in the metropolitan mesoregion of Salvador, Bahia. METHODS This is a cross-sectional study conducted with physicians from the family health units (FHUs) of the metropolitan mesoregion of Salvador, Bahia, Brazil. The number of FHUs corresponded to 41 teams (52 physicians). Anamnesis was performed and a questionnaire was applied. The clinical examination consisted of measuring waist circumference (WC), blood pressure levels (BP), and body mass index (BMI), as well as examining for acanthosis nigricans. Blood samples were collected for biochemical dosages. The data obtained were analyzed by SPSS version 22.0. RESULTS The sample included 41 physicians (response rate: 78.8%), of which 18 were women (44.0%). The percentage of overweight participants represented by BMI was 31.7%. The hypertriglyceridemia prevalence was 29.2%. HDL-c was low in 48.7% of the participants. The waist circumference measurement revealed a prevalence of abdominal adiposity of 38.8% (women) and 34.8% (men). CONCLUSIONS Medical professionals in PHC are more susceptible to having higher abdominal adiposity, especially female physicians.
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Affiliation(s)
- André Luiz Brandão Costa
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
| | - Magno Conceição das Merces
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador, BA 40026-010, Brazil; (A.I.C.S.); (D.d.S.e.S.); (L.M.d.S.G.); (A.D.J.)
| | - Amália Ivine Costa Santana
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador, BA 40026-010, Brazil; (A.I.C.S.); (D.d.S.e.S.); (L.M.d.S.G.); (A.D.J.)
- University Hospital Complex Professor Edgard Santos (HUPES), Salvador, BA 40110-060, Brazil; (P.C.M.d.F.); (T.S.B.)
| | - Douglas de Souza e Silva
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador, BA 40026-010, Brazil; (A.I.C.S.); (D.d.S.e.S.); (L.M.d.S.G.); (A.D.J.)
| | - Rodrigo Fernandes Weyll Pimentel
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
- University Hospital Complex Professor Edgard Santos (HUPES), Salvador, BA 40110-060, Brazil; (P.C.M.d.F.); (T.S.B.)
| | | | - Tatiana Santos Brandão
- University Hospital Complex Professor Edgard Santos (HUPES), Salvador, BA 40110-060, Brazil; (P.C.M.d.F.); (T.S.B.)
| | | | | | - Kairo Silvestre Meneses Damasceno
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
- Municipal Health Department, Salvador, BA 40010-010, Brazil
| | - Thais Regis Aranha Rossi
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
| | - Marcio Costa de Souza
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
| | - Iracema Lua
- Department of Health, State University of Feira de Santana (UEFS), Feira de Santana, BA 44036-900, Brazil; (I.L.); (T.d.S.S.); (M.L.S.S.)
| | - Dandara Almeida Reis da Silva
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
| | - Monique Magnavita Borba da Fonseca Cerqueira
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
| | - Antonio Marcos Tosoli Gomes
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ 20551-030, Brazil; (A.M.T.G.); (S.C.M.); (L.H.P.); (L.C.M.F.); (E.M.P.); (P.C.d.S.T.d.A.); (L.F.d.M.d.S.)
| | - Jeane Freitas de Oliveira
- School of Nursing, Federal University of Bahia (EEUFBA), Salvador, BA 40110-060, Brazil; (J.F.d.O.); (A.R.d.S.)
| | - Anderson Reis de Sousa
- School of Nursing, Federal University of Bahia (EEUFBA), Salvador, BA 40110-060, Brazil; (J.F.d.O.); (A.R.d.S.)
| | - Thiago da Silva Santana
- Department of Health, State University of Feira de Santana (UEFS), Feira de Santana, BA 44036-900, Brazil; (I.L.); (T.d.S.S.); (M.L.S.S.)
| | - Maria Lúcia Silva Servo
- Department of Health, State University of Feira de Santana (UEFS), Feira de Santana, BA 44036-900, Brazil; (I.L.); (T.d.S.S.); (M.L.S.S.)
| | - Márcia Cristina Graça Marinho
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
| | | | - Arthur Pinto Silva
- Department of Life Sciences, State University of Bahia (UNEB), Salvador, BA 41150-000, Brazil; (A.L.B.C.); (R.F.W.P.); (K.S.M.D.); (T.R.A.R.); (M.C.d.S.); (D.A.R.d.S.); (M.M.B.d.F.C.); (M.C.G.M.); (A.P.S.)
| | - Sergio Correa Marques
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ 20551-030, Brazil; (A.M.T.G.); (S.C.M.); (L.H.P.); (L.C.M.F.); (E.M.P.); (P.C.d.S.T.d.A.); (L.F.d.M.d.S.)
| | | | - Lucia Helena Penna
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ 20551-030, Brazil; (A.M.T.G.); (S.C.M.); (L.H.P.); (L.C.M.F.); (E.M.P.); (P.C.d.S.T.d.A.); (L.F.d.M.d.S.)
| | - Luiz Carlos Moraes França
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ 20551-030, Brazil; (A.M.T.G.); (S.C.M.); (L.H.P.); (L.C.M.F.); (E.M.P.); (P.C.d.S.T.d.A.); (L.F.d.M.d.S.)
| | - Ellen Marcia Peres
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ 20551-030, Brazil; (A.M.T.G.); (S.C.M.); (L.H.P.); (L.C.M.F.); (E.M.P.); (P.C.d.S.T.d.A.); (L.F.d.M.d.S.)
| | | | - Priscila Cristina da Silva Thiengo de Andrade
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ 20551-030, Brazil; (A.M.T.G.); (S.C.M.); (L.H.P.); (L.C.M.F.); (E.M.P.); (P.C.d.S.T.d.A.); (L.F.d.M.d.S.)
| | - Livia Fajin de Mello dos Santos
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ 20551-030, Brazil; (A.M.T.G.); (S.C.M.); (L.H.P.); (L.C.M.F.); (E.M.P.); (P.C.d.S.T.d.A.); (L.F.d.M.d.S.)
| | | | - Charles Souza Santos
- Health Department, University of Southwest Bahia (UESB), Jequié, BA 45200-000, Brazil;
| | - Lívia Maria da Silva Gonçalves
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador, BA 40026-010, Brazil; (A.I.C.S.); (D.d.S.e.S.); (L.M.d.S.G.); (A.D.J.)
| | - Argemiro D’Oliveira Júnior
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador, BA 40026-010, Brazil; (A.I.C.S.); (D.d.S.e.S.); (L.M.d.S.G.); (A.D.J.)
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Tsou M, Pai T, Chiang T, Huang W, Lin H, Lee S. Burnout and metabolic syndrome among different departments of medical center nurses in Taiwan-Cross-sectional study and biomarker research. J Occup Health 2021; 63:e12188. [PMID: 33469969 PMCID: PMC7815683 DOI: 10.1002/1348-9585.12188] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 11/04/2020] [Accepted: 12/01/2020] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES The cross-sectional study aimed to analyze the association between burnout, work-related factors, and metabolic syndrome (Mets) in nurses from several departments of a tertiary hospital in Taiwan. Exploring biomarkers could provide for prevention. METHODS Demographic data were obtained through a written questionnaire and include the following information: gender, age, education level, psychosocial and work situations, such as departments, working hours, work shift, depression, and sleep time. Burnout was evaluated according to the Chinese Burnout inventory, Mets was evaluated according to the criteria of the National Cholesterol Education Program of Taiwan-Treatment Panel for Adults III (NCEP-ATP III). RESULTS A total of 1758 nurses participated with a median age of 35.2 years. The prevalence of burnout and Mets was 6.4% and 13.84%, respectively. The results showed that burnout induced higher risk of Mets, odds ratio (OR) 1.70 (95% confidence interval, 1.04-3.05). Other factors, such as out-patient nurses, seniority (4-10 and >10 years), working hours (51-59 h/wk), nigh shift, Brief Symptom Rating Scale-5 (score 10-14 and ≧15), poor self-rated health status, and inadequate sleep time, led to higher risk of Mets. Biomarkers research showed that Glycated hemoglobin (Hba1c) was significantly associated with burnout nurses (OR = 24.72, P < .001), but thyroid-stimulating hormone and free thyroxin were not. CONCLUSIONS Results suggested positive associations between burnout and Mets in nurses. For nurses with higher seniority, long hours of work, night shifts, poor physical and mental conditions, and poor lifestyle habits in different departments, strategies are needed to prevent burnout and Mets.
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Affiliation(s)
- Meng‐Ting Tsou
- Department of Family MedicineMackay Memorial HospitalTaipeiTaiwan
- Department of Occupation MedicineMackay Memorial HospitalTaipeiTaiwan
- Mackay Junior College of Medicine, Nursing, and ManagementNew TaipeiTaiwan
| | - Tsung‐Ping Pai
- Department of Family Medicine and Occupation MedicineLian‐Xin ClinicTaoyuanTaiwan
| | - Te‐Ming Chiang
- Department of Family MedicineMackay Memorial HospitalTaipeiTaiwan
| | - Wei‐Hsin Huang
- Department of Family MedicineMackay Memorial HospitalTaipeiTaiwan
- Department of Occupation MedicineMackay Memorial HospitalTaipeiTaiwan
- Department of MedicineMackay Medical CollegeNew TaipeiTaiwan
| | - Hsiu‐Mei Lin
- Department of Occupational Safety &HealthMackay Memorial HospitalTaipeiTaiwan
| | - Shu‐Chen Lee
- Department of Community Health CenterMackay Memorial HospitalTaipeiTaiwan
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