A Survey on Physical Activity and Non- Communicable Disease Risk Factors Among Physicians in Tertiary Care Hospitals, Mangalore
Keywords:
non-communicable disease, risk factors, physical activity level, physiciansAbstract
Background and objectives: Almost half of the adult disease burden in South Asia is attributable to non-communicable diseases. Earlier literature is limited to evaluating non-communicable disease (NCD) risk factor but, there is a limited literature evaluating physical activity (PA), a modifiable risk factor for NCD among physicians in India. We aimed to assess the NCD risk factors and physical activity using questionnaire among physicians.
Methods: 100 physicians with minimum of 5 years of clinical experience, volunteered were included in the present study. NCD risk factors and physical activity were evaluated through WHO STEPS instrument and self-report PA questionnaires. They were administered through face to face interviews. Prevalence of NCD risk factors and level of PA were analyzed.
Results: Age group was 37.86±8.85 years. Males and females were 52% and 48%. Alcohol and tobacco use was found in 6% and 1% subjects. HTN and DM were found in 2% population. 69% physicians were found to be in overweight category. Total cholesterol and triglyceride levels were high in 3% and 9% physicians. PA mean score was 1227.2±76 MET min/wk. 20% physicians were found to have low PA level.
Conclusion: This study provides first data on PA, a potential modifiable risk factor for non- communicable disease risk factors among physicians in India. Sitting time was found ‘often’ in them. 20% of physicians had a low level of PA and were at high risk for cardio-vascular diseases.
References
Ghosh AK, Joshi SR. Physician’s Health: Time to take care. JAPI 2008; 56:13-4.
Shanafelt TD, Sloan JA, Habermann TM. The well- being of physicians. Am J Med 2003; 114:513-9.
Kay MP, Mitchell GK, Del Mar CB. Doctors do not adequately look after their own physical health. Med J Aust 2004; 18:368–70.
Ramachandran A, Snehalatha C, Yamuna A, Murugesan N. High Prevalence of Cardio metabolic Risk Factors among Young Physicians in India. JAPI 2008; 56:17-20.
Ghaffar A, Reddy KS, Singhi M. Burden of non- communicable diseases in South Asia. BMJ 2004; 328:807–10.
Berlin JE, Storti KL, Brach JS. Using activity monitors to measure physical activity in free-living conditions.PhysTher2006; 86:1137–45.
Baecke J, Burema J, Frijters J. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J ClinNutr 1982; 36:936-42.
Thomas CL. Taber’s cyclopedic medical dictionary.18th ed. India: Jaypee Brothers medical publishers’ ltd; 1998. Physician; p. 1474-5.
Nawi Ng, Stenlund H, Bonita R, Hakimi M, Wall S, Weinehall L. Preventable risk factors for non- communicable diseases in rural Indonesia: prevalence study using WHO STEPS approach. Bulletin of World health organization 2006; 84:305-13.
Pham LH, Au TB, Blizzard L, Truong NB, Schmidt MD, Granger RH et al. Prevalence of risk factors for non- communicable diseases in the Mekong Delta, Vietnam: results from a STEPS survey. BMC Public Health 2009;9:291.
Pischon T, Hankinson SE, Hotamisligil GS, Rifai N, Rimm EB. Leisure-Time Physical Activity and Reduced Plasma Levels of Obesity-Related Inflammatory Markers. Obes Res 2003;11:1055-64.
McGrady FP, McGlade KJ, Cupples ME, Tully MA, Hart N, Steele K. Questionnaire Survey of PHysicalactivITy in General Practitioners (PHIT GP Study). Ulster Med J 2007;76:91-7.
GaertnerPH,FirorWB,Edouard L. Physical inactivity among physicians. Can Med Assoc J 1991;144:1253-6.
Snehalatha C, Viswanathan V, Ramachandran A. Cutoff values for normal anthropometric variables in Asian Indian adults. Diabetes care 2003; 26:1380-4.
Ness AR, Powles JW. Fruit and Vegetables, and Cardiovascular Disease: A Review. Int J Epidemiol 1997;26:1-13.
Radhika G, Sathya RM, Sudha V, Ganesan A, Mohan V. Dietary Salt Intake and Hypertension in An Urban South Indian Population – [CURES - 53]. JAPI 2007; 55:405-11.
Dahl LK. Possible role of salt intake in the development of essential hypertension. Int J Epidemiol2005; 34:967– 72.
Prasad DS, DasBS. Physical inactivity: A cardiovascular risk factor. Indian J Med Sci 2009; 63:33-42.
Mahajan DC, Birari SS, Khairnar GS, Patil YP, Kadam VJ, Joshi YM. Prevalence of non-communicable disease risk factors in two groups of urban populations. Asian J Epidemiol 2009; 2:1-8.
Owen N, Bauman A, Brown W. Too much sitting: a novel and important predictor of chronic disease risk? Br J Sports Med 2009; 43:81-3.
Sugiyama T, Healy GN, Dunstan DW, Salmon J, Owen
N. Joint associations of multiple leisure-time sedentary behaviours and physical activity with obesity in Australian adults. Int J BehavNutrPhys Act 2008; 5:1-6.
Hamilton MT,Hamilton DJ, Zderic TW. Role of Low Energy Expenditure and Sitting in Obesity, Metabolic Syndrome, Type 2 Diabetes, and Cardiovascular Disease. Diabetes 2007; 56:2655–67.
Laaksonen DE, lakka HM, Salonen JT, Niskanen LK, Rauramaa R, Lakka TA. Low Levels of Leisure-Time Physical Activity and Cardiorespiratory Fitness Predict Development of the Metabolic Syndrome. Diabetes Care 2002; 25:1612-8.
Armstrong l, Baladigj, Berry MJ, Davis SE, Davy BM, Franklin BA et al. ACSM’s guidelines for exercise testing and prescription. 7thed. New York: Lippincott Williams Wilkins; 2006. p. 55-92.
The STEPS Manual 2005
[http://www.who.int/chp/steps/riskfactor/en/index. html]. Geneva: World Health Organization [updated 2005; cited 2007 Dec 13].
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