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Overweight Obesity and Serum Total Cholesterol among Health Care Workers

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l.tfi9ruflltu Original Article

Wilaporn Sitthichoksakulchai IM.Sc

Department of Social Medicine

Sawanpracharak Hospital

Nakhon Sawan

Sawanpracharak Medical ]ournal

Vo[r Nor January-April aooe

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To determine the prevalence of overweight, obesity and serum total

cholesterol in health care workers

Sawanpracharak Hospital

Cross sectional descriptive study

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Abstract i

Obiective

Setting

Design

824 iara:d ?nilrncqofra d?::d'il:sglindlrtar:

Subjects

Method

Results

Conclusion

898 objects who are 3b years of age and over

The study was carried out during october 2007-January200g.The

following data were collected i.e., sex ,age,position,body weight, height

and serum total cholesterol level. The degree of BMI was classified

according to the world Health organization definition: well-nourished,

ovenrueight and obesity. serum total cholesterol was classified according

to the Nationat cholesterol Education program (NCEP). The data

were analyzed using sPSS program for windows for percentage, mean

and standard diviation.The correlation of the outcome was analyzed

by Chi-square test at the power of test of 95 percent.

81.o y" of 898 objects were female. The average BMI was 23.9t4.0

kdm'. The group older than 55 year, the official and the employee

had mean BMI of 25.4*4.28,28.0t3.8 and 24.6t4.0 respectively.

22.57o were overweight and 8.1% were obese. Of the group over

than 55 year government official and employee 85.3%,17.5o/o atod

29.2o/o were overueight and 17.6"/o,7.1o/o and g.5% were obese. The

average of cholesterol was 2o7.4t32.4 mg/dl, The mean cholesterol

level of the age group older than s5 year,official and employee were

221.2t38.4 mgldl,2O7.1n36.3 and 207.8t38.8 mg/dt respectively. The

high cholesterol level were found in the group older than 55 year

7 o.6/o,otticial 56.5%,employee *.6%. BMI was significanfl y associated

witr sex, age and position (P-value<0.001). cholesterol was significanfly

associated with age (P-value < 0.001). BMI and cholesterol were not

significant associated.

There is a high percentage of health care workers in sawanpracharak

Hospital who are overweight and have a high cholesterol level.lncreasing

of age affected BMI and cholesterol level.Employee had higher mean

BMI than official. The ovenrueight, obese and high cholesterol group

should followed up regutarly and they should change eating habit and

exercise to less their problem.

Heatth care wokers, orenrueight, obesity, serum total cholesterol, Body

mass index.

Key words

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dau uansrr-ufntadLno:anlurdaord.,:rfludru finnrilil:crfiuaraadr.,:siarfia.,::rilyi.,:lfifr0Ord.A[l4rUrilunrruann{R1trqfln1vfinstav{rv{d nr:rlfurilduuflqAn::iln1:uilnnal}11:A & a , JJ J ail01 EIil1 nfl UQsilR',t?stfi AlUt?I tJ?tU A.: Ft?:q

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1. World Heatth Organization. Obesity and overweight [online]. 2003 [cited 2008 Mar 121;

[3 screens].Available from: URL: http://www/who.int/dietphysicalactivity/

pu bl ications/f acts/obesity/en/

2. um.:Iar.r f, ucx'ruf. anlu n1:rfiI:ndrutuil:srn alr a. FACT SH EET-firulnrur nr:

[online]. 1998 [cited 2008 Mar 1]; 3(5): [2 screens]. Available from: URL:

http://advisor.anamai. moph. go.th/factsheeUnutri3-5. htm.

3. nrilau1il'Et n:rn:?\:611fi'rr[u6l?r. dalunlTninl?rlntu1n1:?a,:il:rrmnlmu 1ontine1.

2005 [cited 2008 Mar 12 ]; [lscreens]. Available from: URL: http://nutrition. anamai.

moph.go.th/newpage 3.htm.

4. dn1u"ue6''Erd1ol:6uqdmu.:1uflunrdr:roanrnd?R'r?roulrJ-a?a.0il:eLmfllmtrdrunr:

fiounliluacm::odronrern&:il:srrrtu#odr fl.Ff. 2s34-2sgs. n?{rl1lre: filqi zssg.

5. nTiJn?u4ruI:n flrcYr:?{6t1flTruq?. [cited 2008 Mar 12]; ['19 screens]. Available

from: URL: http://ncd.ddc.moph.go.th/ncdo/o20web1 /Elncd/data%20Group/BRFSS48

(health%20status

6. American Heart Association. Cholesterol levels: AHA recommendation [online].

2008 lcited 2008 Mar 1z1;lzscreens ]. Available from: URL htp/Alnw.arneril:anheart.org/

presenter.jhtm l? identif ier=4500.

7. Fanghanel G,Sanchez-Reyes L,Berber A,Gomez-Santos R. Evolution of the prevalence

of obesity in the workers of a general hospital in Mexico.Obes Res 2001; 9(4):

268-73.

830 iarnrsi ?nilraanaiu(,@c

6{?::nu:3il1:ntir?u d']:

8. Navarro Nunez c, Venegas ochoa U, Navarro solares JC, Corbala Solares J,

Cardenas VM, Campos A. Overuveight and obesity among health-professional

women. Gynecol Obstet Mex 2005; 73(8): 401-6.

9. Vazquez-Martinez Jl,Gomez-Dantes H,Gomez-Garcia F,Lara-Rodriquez Mde

L, Navarrete-Espinosa J ,Perez-Perez G. Obesity and ovenueight in IMSS female

workers in Mexico City.Salud Publica Mex 2005; a7@):269-75.

10. Chiou CJ, Ho CK. The study of healthy life-style risk factors and health status for

cardiovascular diseases for employees in Kaohsiung area.Kaohsiung J Med Sci

1998; 14(6): 321-9.

11. Paschal AM ,Lewis RK ,Matin A, Dennis-Shipp D,Simpson DS. Baseline assessment

of the health behaviours of African Americans participating in the activities-for-life

program: a community-based health intervention program.J Community Health

2oo4; 29(4\:305-18.

12. Samanta BB. Serum cholesterol in heathy postrnenopausal women. lndian J Med Sci

1998; 52(5): 191-5.

13. Reeder BA, Angel A, Ledoux M, Rabkin SW, Young TK, sweet LE. obesity and its

relation to cardiovascular disease risk factors in Canadian adults. Canadian Heart

Health Surveys Research Group. CMAJ 1992; 146(11): 2009-19.

14. Maksvytis A, Stakisaitis D. lmpact of obesity on lipid profiles in middle-aged women.

Medicina(Kaunas) 2004: 40(6): 553-7.

15.Clark S, Rene A, Theurer WM,Marshall M. Association of body mass index and

health status in firefighters.J Occup Environ Med 2002; 214(10): 940-6.

16. Ho WK, Chan \MY. Evaluation of serum lipid and lipoprotein levels in normal Chinese:

the influence of dietary habit, body weight, exercise and a familial record of coronary

heart disease. Clin Chim Acta 1975; 6'1(1): 19-25.

17. Wannamethee SG,Shaper AG, Whincup PH. Modifiable lifestyle factors and the

metabolic syndrome in older men: effects of lifestyle changes. J Am Geriatr Soc

2006; 54(12):1909-14.

18.Lee lM,Paffenbarger RS Jr. Physical activity and stroke incidence: the Harvard

Alumni Health Study. Stroke 1998; 29(10): 204S-54.

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219 113 (51.6) 106 (48.4) < 0.001

261 128 (4e.0) 133 (51.0)

241 100 (41.s) 141 (58.5)

126 42 (33.3) 84 (66.7)

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