A Hidden Epidemic in Healthcare: Metabolic Syndrome among Doctors in a Tertiary Care Teaching Hospital in North-East India.

IF 1.2
Amrita Sarkar, Asthomi Jamoh, Minggam Pertin, Shyamal K Bhattacharya, Gomi Basar, Taso Beyong, Tame Kena, Parama Ghosh
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引用次数: 0

Abstract

Introduction: Metabolic syndrome (MetS) poses significant health challenges globally, with healthcare professionals facing unique occupational risks despite their medical knowledge. This study aimed to determine the prevalence of MetS and its associated predictors among doctors at a tertiary care teaching institution.

Methods: A cross-sectional study was conducted among 132 doctors at a tertiary care teaching hospital in northeastern India from June 2024 to January 2025. Data were collected using a structured WHO STEPS-based questionnaire covering sociodemographic characteristics, lifestyle factors and stress levels. Anthropometric measurements and biochemical parameters were assessed using standard protocols. MetS was diagnosed using National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) criteria.

Results: The overall prevalence of MetS was 26.5% (n = 35), with significant male predominance (38.4% vs 11.9%, P < 0.001). Elevated waist circumference was the most prevalent component (47.7%), followed by raised systolic blood pressure (32.6%) and elevated triglycerides (25.0%). Independent predictors of MetS included male gender (adjusted odds ratio [AOR]: 3.1, 95% confidence interval [CI]: 1.2-8.3), age >40 years (AOR: 4.5, 95% CI: 1.8-11.2), married status (AOR: 6.2, 95% CI: 2.2-17.4) and consultant or faculty position versus intern (AOR: 8.9, 95% CI: 1.9-42.1). Physical inactivity was present in 82.9% of MetS-positive participants. Perceived stress was significantly associated with MetS (42.9% vs 14.5%, P = 0.010).

Conclusion: One in four doctors demonstrated MetS, with male doctors over 40 years at the highest risk. These findings underscore the urgent need for comprehensive physician wellness programmes incorporating regular metabolic health screenings, stress management and targeted lifestyle interventions in healthcare institutions.

医疗保健中隐藏的流行病:印度东北部三级保健教学医院医生中的代谢综合征。
导言:代谢综合征(MetS)在全球范围内构成了重大的健康挑战,尽管医疗保健专业人员具有医学知识,但他们面临着独特的职业风险。本研究旨在确定三级医疗教学机构医生中MetS的患病率及其相关预测因素。方法:从2024年6月至2025年1月,对印度东北部一家三级医疗教学医院的132名医生进行了横断面研究。使用结构化的世卫组织steps问卷收集数据,涵盖社会人口特征、生活方式因素和压力水平。采用标准方案评估人体测量和生化参数。MetS的诊断采用国家胆固醇教育计划成人治疗小组III (NCEP ATP III)标准。结果:MetS的总患病率为26.5% (n = 35),其中男性占明显优势(38.4% vs 11.9%, P < 0.001)。腰围升高是最常见的因素(47.7%),其次是收缩压升高(32.6%)和甘油三酯升高(25.0%)。MetS的独立预测因素包括男性(调整优势比[AOR]: 3.1, 95%可信区间[CI]: 1.2-8.3)、年龄(AOR: 4.5, 95% CI: 1.8-11.2)、婚姻状况(AOR: 6.2, 95% CI: 2.2-17.4)、顾问或教员职位与实习生(AOR: 8.9, 95% CI: 1.9-42.1)。82.9%的met阳性参与者缺乏身体活动。感知压力与MetS显著相关(42.9% vs 14.5%, P = 0.010)。结论:四分之一的医生表现出MetS,其中40岁以上的男性医生风险最高。这些发现强调了在医疗机构中,迫切需要综合的医生健康计划,包括定期的代谢健康筛查、压力管理和有针对性的生活方式干预。
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来源期刊
Indian Journal of Endocrinology and Metabolism
Indian Journal of Endocrinology and Metabolism Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.10
自引率
0.00%
发文量
75
期刊介绍: The Indian Journal of Endocrinology and Metabolism (IJEM) aims to function as the global face of Indian endocrinology research. It aims to act as a bridge between global and national advances in this field. The journal publishes thought-provoking editorials, comprehensive reviews, cutting-edge original research, focused brief communications and insightful letters to editor. The journal encourages authors to submit articles addressing aspects of science related to Endocrinology and Metabolism in particular Diabetology. Articles related to Clinical and Tropical endocrinology are especially encouraged. Sub-topic based Supplements are published regularly. This allows the journal to highlight issues relevant to Endocrine practitioners working in India as well as other countries. IJEM is free access in the true sense of the word, (it charges neither authors nor readers) and this enhances its global appeal.
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