Metabolic Syndrome and Obesity Among Workers at Kanye Seventh-Day Adventist Hospital, Botswana (Student Paper) (Report)

Metabolic Syndrome and Obesity Among Workers at Kanye Seventh-Day Adventist Hospital, Botswana (Student Paper) (Report)

Metabolic Syndrome and Obesity Among Workers at Kanye Seventh-Day Adventist Hospital, Botswana (Student Paper) (Report)

Metabolic syndrome (MS) is a set of disorders including central obesity, raised fasting blood glucose (FBG) levels, elevated serum triglycerides (TG), low high-density lipoprotein (HDL) values and high blood pressure (HBP). Other definitions include impaired plasma insulin regulation and body mass index (BMI) changes. (1) Whichever definition is used, the presence of MS is associated with a doubled risk of cardiovascular disease (CVD), (2,3) and especially stroke, (4) and type 2 diabetes mellitus (DM2). (5) The population at large, despite being under-diagnosed, (6) is estimated to have a high prevalence of MS, leading to higher morbidity and mortality. Health care workers have a high prevalence of MS. In South America, about a third of nurses had HBP, and 16.6% were obese, (7) while 26% of all health workers had HBP. (8) In Europe, there was a high prevalence among doctors of components of MS and a greater risk than the general population of developing any form of CVD. (9) In the USA, a large increase in the components that constitute MS was found in doctors, as part of the Physician’s Health Study (PHS); of the total of 22 046 doctors, 354 presented with 3 metabolic changes at the beginning of the study, reaching 2 050 at the end of the observation. (10) A study of 1 027 health workers found that the prevalence of excess weight and obesity was 17.6% and 14.5% respectively at the start of the investigation. A strong association was established between high BMI and the development of metabolic disorders within the subsequent 10 years of follow-up. (11)

Metabolic Syndrome and Obesity Among Workers at Kanye Seventh-Day Adventist Hospital, Botswana (Student Paper) (Report)

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