Metabolic Syndrome Among Physicians: A Pilot Study from Chattogram, Bangladesh

A. Awal, F. Ahmed
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Abstract

Background : Although the information on Metabolic Syndrome (MetS) in the general population from different parts of Bangladesh is available, the information regarding the same is scarcely available from physicians of Bangladesh. This study was aimed to assess the prevalence of MetS among physicians working at Chattogram Medical College Hospital, Bangladesh. Materials and methods : Data was collected for this cross-sectional study from 255 working physicians of Chittagong Medical College Hospital in 2018. The participants filled a structured questionnaire followed by physical and biochemical measurements including waist circumference, blood pressure, lipid profile, and fasting blood glucose. National Cholesterol Education Program’s Adult Treatment Panel III report (ATP III) defines criteria were used to identify physicians with the MetS. Results : Among 255 participants (males - 192 and females - 63), 100 (39.2%) were with MetS. Prevalence of same was higher in females (41.3%) than males (38.5%). The elderly physicians (>40 years) had a higher prevalence compared to the younger (£40 years) physicians [72 (50.3%) vs. 28 (25.0%)]. In the males, low High-Density Lipoproteins-Cholesterol (HDL-C) was the major contributor to the prevalence of MetS followed by high blood pressure. However, in females, low HDL-C and greater waist circumference contributed the maximum to MetS. Conclusion : This study showed a high prevalence of MetS among physicians of Bangladesh, and thereby warrants the urgent implementation of preventive health care strategies to reduce both morbidity and mortality related to this medical problem. Further studies ought to focus on the working conditions and lifestyles of individuals in these high-risk groups. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 65-68
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医生中的代谢综合征:孟加拉国Chattogram的一项初步研究
背景:虽然孟加拉国不同地区的普通人群中代谢综合征(MetS)的信息是可用的,但孟加拉国的医生几乎无法获得这方面的信息。本研究旨在评估孟加拉国Chattogram医学院医院的医生中met的患病率。材料与方法:本横断面研究收集2018年吉大港医学院附属医院在职医师255名。参与者填写了一份结构化的问卷,随后进行了物理和生化测量,包括腰围、血压、血脂和空腹血糖。国家胆固醇教育计划的成人治疗小组III报告(ATP III)定义了用于识别患有MetS的医生的标准。结果:在255名参与者中(男性192人,女性63人),100人(39.2%)患有MetS。女性(41.3%)高于男性(38.5%)。老年医生(40岁)的患病率高于年轻医生(40岁)[72人(50.3%)对28人(25.0%)]。在男性中,低高密度脂蛋白-胆固醇(HDL-C)是导致MetS流行的主要因素,其次是高血压。然而,在女性中,低HDL-C和较大的腰围对met的贡献最大。结论:这项研究表明,孟加拉国医生中MetS的患病率很高,因此需要紧急实施预防性保健战略,以降低与这一医疗问题相关的发病率和死亡率。进一步的研究应该集中在这些高危人群的工作条件和生活方式上。上海医科大学医学院;期(2);2021年7月;页65 - 68
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