Assessment of risk scoring of non-communicable diseases among doctors in a medical college of Navi Mumbai: a cross sectional study

Authors

  • Sudarshan Ramaswamy Department of Community Medicine, D.Y. Patil Medical College, Navi Mumbai, Maharashtra
  • Sumedha M. Joshi Department of Community Medicine, D.Y. Patil Medical College, Navi Mumbai, Maharashtra
  • Deepa H. Velankar Department of Community Medicine, D.Y. Patil Medical College, Navi Mumbai, Maharashtra
  • Jayesh D. Gosavi Department of Community Medicine, D.Y. Patil Medical College, Navi Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20195486

Keywords:

Non-communicable diseases, Doctors, Professional stress, Cardio-vascular risk

Abstract

Background: Doctors are supposed to lead healthier lifestyles and are usually assumed to have lower morbidity and mortality rates than general population due to their medical knowledge. However, recently a study conducted by the research cell of Indian Medical Association (IMA) concluded that doctors die younger and mostly due to cardiovascular diseases.

Methods: A cross sectional study was conducted among 100 doctors in a medical college for duration of 3 months. Questionnaires were distributed, they were personally interviewed and required clinical examination was done. Data obtained was tabulated in MS Excel and analyzed using SPSS software. Risk of cardiovascular diseases, diabetes, stroke and obesity was estimated and its association with various determinants was seen.

Results: Odds of having central obesity increases 10 times with BMI ≥25 kg/m2 as compared to <25 kg/m2. With risk ratio of 1.96, doctors are twice at risk of having BMI ≥25 as compared to general population. Number of people with higher risk of CVD increased after 45 years of age. People with at least one NCD outnumbered the people without any NCD, in the age group of 45-54 years and above. Insufficient physical activity is prevalent among 37% in this age group.

Conclusions: This study gives an idea on impact of medical profession on lifestyle, outlook and attitude towards personal health among professional doctors. Initiatives must be taken to identify the causes of professional stress among doctors and measures must be taken to prevent them.

Author Biography

Sudarshan Ramaswamy, Department of Community Medicine, D.Y. Patil Medical College, Navi Mumbai, Maharashtra

Post Graduate resident in Community Medicine

References

George Jacob. Do doctors die young, and why? The Hindu Newspaper article. December 09, 2017. Available at: https://www.thehindu.com/opinion/ open-page/do-doctors-die-young-and-why/article 21381601.ece. Accessed 20 November 2019.

Survey: 50% doctors at risk of cardiovascular diseases. Times of India Newspaper article Dec 16, 2016. Available at: https://timesofindia. indiatimes.com/life-style/health-fitness/health-news/survey-50-doctors-at-risk-of-cardiovascular-diseases/articleshow/56015199.cms Accessed 20 November 2019.

WHO. Non-communicable diseases and their risk factors. Surveillance. STEPwise approach to surveillance (STEPS). User manual. Available at https://www.who.int/ncds/surveillance/steps/manual/en/ Accessed 20 November 2019.

Framingham Risk score. Available at: https://en.wikipedia.org/wiki/Framingham_Risk_Score Accessed 20 November 2019.

Stroke Risk Scorecard. National Stroke Association guidelines 2018. Available at: https://www.stroke. org/stroke-risk-scorecard-2018/. Accessed 20 November 2019.

The Indian Diabetes Risk Score (IDRS). Available at: http://www.cadiresearch.org/topic/diabetes-indians/the-indian-diabetes-risk-score Accessed 20 November 2019.

Metabolic Syndrome: A Growing Clinical Challenge: Diagnosis. Medscape. Available at: https://www.medscape.org/viewarticle/484166_4 Accessed 20 November 2019.

WHO. Global Strategy on Diet, Physical Activity and Health. Available at: https://www.who.int/ dietphysicalactivity/physical_activity_intensity/en/ Accessed 20 November 2019.

WHO. Global Strategy on Diet, Physical Activity and Health. Physical Activity and Adults. Available at: https://www.who.int/dietphysicalactivity/ factsheet_adults/en/ Accessed 20 November 2019.

New ACC/AHA High Blood Pressure Guidelines Lower Definition of Hypertension 2017. American College of Cardiology. Available at: https://www. acc.org/latest-in-cardiology/articles/2017/11/08/11/ 47/mon-5pm-bp-guideline-aha-2017 Accessed 20 November 2019.

Understanding the Cholesterol Ratio: What It Is and Why It’s Important. Available at: https://www. healthline.com/health/cholesterol-ratio Accessed 20 November 2019.

Sara N, Bleich, Wendy L. Bennett Kimberly A. Gudzune Lisa A. Cooper. Impact of Physician BMI on Obesity Care and Beliefs; Obesity. 2012;20:999-1005.

Cao Q, Yu S, Xiong W, Li Y, Li H, Li J, et al. Waist-hip ratio as a predictor of myocardial infarction risk A systematic review and meta-analysis. Medicine (Baltimore). 2018;97(30):PMC6078643.

Mhurchu CN, Rodgers A, Pan WH, Gu DF, Woodward M, Parag V, et al. Body mass index and cardiovascular disease in the Asia-Pacific Region: An overview of 33 cohorts involving 310 000 participants. Int J Epidemiol. 2004;33(4):751-8.

Mandeep Singh, Atul Kotwal, Chetan Mittal, S. Ram Babu, Sahul Bharti & C. Venkata S. Ram. Prevalence and correlates of hypertension in a semi-rural population of Southern India. J Human Hypertension. 2018;32:66-74.

Waxman A. WHO’s global strategy on diet, physical activity and health. Scandinavian J Nutr. 2004;48(2):58-60.

Ajay Raj S, Sivakumar K, Sujatha K; Prevalence of dyslipidemia in South Indian adults: an urban-rural comparison. Int J Community Med Public Health. 2016;3(8):2201-10.

Kaur S, Sharma R, Talwar R, Verma A, Singh S. A study of job satisfaction and work environment perception among doctors in a tertiary hospital in Delhi. Indian J Med Sci. 2009;63(4):139-44.

Lemaire JB, Wallace JE. Burnout among doctors - a system level problem requiring a system level response. BMJ. 2017;358.

Bernburg M, Vitzthum K, Groneberg DA, Mache S. Physicians' occupational stress, depressive symptoms and work ability in relation to their working environment: a cross-sectional study of differences among medical residents with various specialties working in German hospitals. BMJ Open. 2016;6(6):e011369.

Hegde SKB, Sathiyanarayanan S, Venkateshwaran S, Sasankh A, Ganeshkumar P, Balaji R. Prevalence of Diabetes, Hypertension and Obesity among Doctors and Nurses in a Medical College Hospital in Tamil Nadu, India. National J Res Community Med. 2015;4(3):235-9.

WHO. Noncommunicable diseases and mental health. NCD tools. Available at: https://www.who. int/nmh/ncd-tools/en/ Accessed 20 November 2019.

Downloads

Published

2019-11-27

How to Cite

Ramaswamy, S., Joshi, S. M., Velankar, D. H., & Gosavi, J. D. (2019). Assessment of risk scoring of non-communicable diseases among doctors in a medical college of Navi Mumbai: a cross sectional study. International Journal Of Community Medicine And Public Health, 6(12), 5283–5289. https://doi.org/10.18203/2394-6040.ijcmph20195486

Issue

Section

Original Research Articles