Cardiovascular-Kidney-Metabolic Syndrome Among Healthcare Workers in Chinese Tertiary Hospital.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Risk Management and Healthcare Policy Pub Date : 2024-11-02 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S488289

Qingqing Zhang, Jing Zheng, Guoyu Wang, Suyun Jiang, Peng Gao, Si Sun, Xiangwei Ding, Yucheng Wu

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Abstract

Objective: To determine the prevalence of Cardiovascular-Kidney-Metabolic (CKM) Syndrome and identify risk factors, including occupational factors, lifestyle factors and clinical measurements, and female-specific risk enhancers among healthcare workers in China.

Methods: A cross-sectional study was conducted among healthcare workers at Taizhou People's Hospital between April and May 2024. We collected data through surveys and laboratory results. Univariate and multivariate logistic regression analyses were performed to identify predictors of CKM syndrome and female-specific risk enhancers.

Results: A total of 1110 participants were recruited (197 male; 913 female; mean age 34.8±7.9). Almost 90% of male healthcare workers and 60% of female healthcare workers met the criteria for CKM syndrome (stage 1 or higher). Additionally, most male CKM syndrome patients were in stages 2-3 (53.81%), while most female CKM syndrome patients were in stage 1 (35.82%). Multivariate logistic regression analysis revealed that, compared to those with over 20 years of work duration, a work duration of less than 10 years was a protective factor for CKM Syndrome. Additionally, more than 8 hours of sedentary time was identified as a risk factor compared to less than 2 hours (OR = 1.376, 95% CI 1.027-1.844, P < 0.05). Receiver operating characteristic analysis showed that body mass index (BMI) was superior to fasting plasma glucose, glycated hemoglobin, triglycerides, and the triglyceride glucose product index in predicting CKM Syndrome, with area under the curve values of 0.884 vs 0.638, 0.708, 0.745, and 0.761, respectively (P < 0.05 for all). BMI was identified as an independent risk factor for female-specific risk enhancers.

Conclusion: CKM syndrome is prevalent among healthcare workers in Chinese tertiary hospitals, with males generally presenting at more advanced stages than females. BMI is a key predictor of CKM syndrome and female-specific risk enhancers.

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中国三级医院医护人员的心血管-肾脏-代谢综合征。

目的确定中国医护人员中心血管-肾脏-代谢综合征（CKM）的患病率，并识别包括职业因素、生活方式因素和临床测量在内的风险因素，以及女性特有的风险增强因素：方法：2024年4月至5月，我们在台州市人民医院的医护人员中开展了一项横断面研究。我们通过调查和实验室结果收集数据。我们进行了单变量和多变量逻辑回归分析，以确定 CKM 综合征的预测因素和女性特异性风险增强因素：共招募了 1110 名参与者（197 名男性；913 名女性；平均年龄（34.8±7.9）岁）。近 90% 的男性医护人员和 60% 的女性医护人员符合 CKM 综合征的标准（1 期或以上）。此外，大多数男性 CKM 综合征患者处于 2-3 期（53.81%），而大多数女性 CKM 综合征患者处于 1 期（35.82%）。多变量逻辑回归分析显示，与工作年限超过 20 年的人相比，工作年限少于 10 年的人是 CKM 综合征的保护因素。此外，与少于 2 小时的久坐时间相比，超过 8 小时的久坐时间被确定为风险因素（OR = 1.376，95% CI 1.027-1.844，P < 0.05）。接收器操作特征分析显示，在预测 CKM 综合征方面，体重指数（BMI）优于空腹血浆葡萄糖、糖化血红蛋白、甘油三酯和甘油三酯葡萄糖乘积指数，曲线下面积值分别为 0.884 vs 0.638、0.708、0.745 和 0.761（P 均<0.05）。体重指数被确定为女性特异性风险增强的独立风险因素：结论：CKM 综合征在中国三级医院的医护人员中普遍存在，男性的发病年龄通常比女性晚。体重指数是预测 CKM 综合征和女性特异性风险增强因素的关键因素。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.