Cardiovascular and stroke disease risk among doctors: a cross-sectional study

Pillay, Roshni; Rathish, Balram; Philips, Geetha; Kumar, RAnil; Francis, Abin

doi:10.1177/0049475520911233

Cited by 6 publications

(7 citation statements)

References 3 publications

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“…5,14,18 Others additionally found overweight/ obesity, metabolic syndrome, and a family history of CAD as the most predominant risk factors for CVDs among the physicians. 6,14,15,18 The contradictory findings in our study were the significant association of CAD among the physicians with weekly work < 55 h and exercise ≥ 3 days/ week from univariate analysis. Unfortunately, data on the duration of these practices were not available to explore the cause and effect.…”

Section: Discussioncontrasting

confidence: 74%

Section: Discussionsupporting

confidence: 63%

“…Only older age, male gender, and moderate/ severe CAC score were found to be independent risk for CAD. Some of these risk features of CAD were also identified in previous studies reporting risk of CVDs among health professionals 5,6,[13][14][15][16] especially physicians who were found to have higher risk than nurses. 5 The risk of moderate/ extensive CAC scores found in our study was in line with previous report linking CAC to CAD and also with future CVD development and mortality.…”

Section: Prevalence and Associated Factors Of Cardiovascular Diseases...supporting

confidence: 59%

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Coronary artery disease and other cardiovascular disorders among the physicians

Wanishsawad,

Tangjitgamol,

Udayachalerm

et al. 2023

Asian Cardiovasc Thorac Ann

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Background To evaluate the prevalence of cardiovascular disorders (CVDs), specifically coronary artery disease (CAD), among Thai physicians, and the cardiac testing being used. The associated or risk factors of CAD were also studied. Methods Data of Thai physicians who participated in the hospital's corporate social responsibility “Save Doctors’ Heart” project conducted between February 14, 2022, and October 31, 2022, were collected: personal illness, family history of CAD, workplace, work hours, dietary habits, exercise, stress, body mass index, laboratory and cardiac testing. Results Of 1231 physicians, the median age was 48.0 ± 10.34 years, with 55.2% were female; 83.1% reported working <55 h per week, 29.7% exercised ≥3 days a week, and 28.0% were overweight or obese. Hypertension, diabetes mellitus, and dyslipidemia were found in 46.3%, 30.5%, and 75.8%, respectively. Abnormal findings were observed in 29.7% of chest X-rays, 17.7% of electrocardiograms, 33.0% of echocardiograms, 10.6% of exercise stress tests, and 3.8% of stress echocardiograms. Moderate/extensive coronary artery calcium (CAC) scores were present in 12.7%. The prevalence of CVDs or CAD were 51.7% and 11.2%, respectively. Independent risk factors for CAD included older age, male gender, history and/or new findings of DM, and moderate to extensive CAC scores. Conclusion The prevalence of CVDs and CAD among Thai physicians is 51.7% and 11.2%, respectively. The independent risk for CAD was older age, male, having DM, and moderate to extensive CAC scores. The physicians who are at risk should be cautious, modify their lifestyle, and have appropriate screening/diagnostic testing for cardiac abnormality.

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Section: Discussioncontrasting

confidence: 74%

Section: Discussionsupporting

confidence: 63%

Section: Prevalence and Associated Factors Of Cardiovascular Diseases...supporting

confidence: 59%

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Coronary artery disease and other cardiovascular disorders among the physicians

Wanishsawad,

Tangjitgamol,

Udayachalerm

et al. 2023

Asian Cardiovasc Thorac Ann

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“…[ 19 ] Cardiovascular events at a younger age is one of the major contributors of mortality among doctors in India. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

Obesity burden and physical activity pattern among doctors in South India

Nair

Lawrence

Indu

2022

Indian J Occup Environ Med

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Context: A career as a doctor makes him prone to develop health issues like obesity and obesity-related noncommunicable diseases. Aims: This study aims to find the burden and determinants of obesity among Modern Medicine doctors in Kerala. Settings and Design: We conducted a cross-sectional study among 240 doctors working in South Kerala from 2018 to 2019. Methods and Material: The sample size was calculated using a formula and stratified random sampling was done for the selection of study participants. An interviewer-administered structured questionnaire was used for data collection. Physical activity was measured using International Physical Activity Questionnaire. Statistical Analysis: Data were entered in MS Excel and was analyzed using Statistical Package for Social Sciences version 26.0. The significance of association was tested using the χ 2 test. Binary logistic regression was done to predict the factors associated with overweight and obesity. Results: Out of 240 study participants, 128 (54%) were females and 112 (46%) were males. Among the 240 doctors, 54% (114) were either overweight or obese. A low level of physical activity was reported among 54.5% of doctors. Male gender odds ratio (OR) = 2.8 (95% confidence interval [CI] = 1.29-6.06), nuclear family OR = 2.7 (95% CI = 1.32-5.42), daily hours of sleep <6 hours OR = 4.92 (95% CI = 2.29-10.5), history of obesity among parents OR = 3.54 (95% CI = 1.04-12.02), reported the presence of private practice OR = 3.34 (95% CI = 1.25-8.96), and holding a graduation degree alone were found to be significantly associated with obesity. Conclusions: The study found that majority of the doctors (55%) were either overweight or obese. Awareness and behavior change communication among doctors on modifiable risk factors like having adequate sleep and reducing the hours spent in private practice is needed to reduce the burden of obesity among doctors.

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“…Previous studies reported a higher risk of CVD among physicians. [18][19][20] This can attribute to occupation-related stress, poor lifestyle and habits, and lack of exercise leading to high blood pressure (BP) and obesity, consequent to CVD. 19,20 Our hospital conducted the corporate social responsibility (CSR) project, "Save Doctors' Heart", to assess the cardiac health of Thai physicians, specifically CAD through cardiac tests.…”

Section: Introductionmentioning

confidence: 99%

Association of Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio and Coronary Artery Disease Among the Physicians

Tangjitgamol,

Udayachalerm,

Wanishsawad

et al. 2024

JIR

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Cardiovascular diseases (CVDs) are major global health problem and are the third leading cause of death in the world. Most studies found the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) were correlated with myocardial infarction and heart failure. Previous studies reported a higher risk of CVD among physicians but no study concerns NLR and the PLR to predict coronary artery disease (CAD) among the physicians. Purpose: This study aimed to evaluate the role of blood features in the CBC, with a particular focus on NLR and PLR levels, in predicting the presence of CAD. Patients and Methods: Data of Thai physicians who participated in the "Save Doctors' Heart" project which was conducted between February 14 and October 31, 2022, were collected from personal information, work and health habits, physical examination, white blood cell (WBC), laboratory, cardiac testing, and presence of CAD. Prior to studying their association with CAD, optimal values of age and each blood parameter, NLR, and PLR were determined. Results: Of 1161 physicians mean age was 47.7 ± 10.16 years. By cardiac tests, CAD was identified in 11.3%. Significantly higher levels of WBC, neutrophils, NLR, and lower platelets were found in physicians with CAD. Except for lymphocytes and platelets which exhibited a reverse association with CAD, other factors were found as significant risk factors for CAD by univariate analysis. By multivariate analysis, the independent risk factors for CAD in order of their adjusted odds ratio (aOR) were age ≥50 years (aOR 9.34), NLR ≥ 1.87 (aOR 2.75), CAC score > 1 (aOR 2.39), and PLR ≥ 161.66 (aOR 2.32). Conclusion: NLR and PLR, older age and CAC score were found as independent factors predicting CAD. The findings of this study could potentially provide valuable insights into the relationship between blood parameters and CAD risk among physicians.

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Cardiovascular and stroke disease risk among doctors: a cross-sectional study

Cited by 6 publications

References 3 publications

Coronary artery disease and other cardiovascular disorders among the physicians

Coronary artery disease and other cardiovascular disorders among the physicians

Obesity burden and physical activity pattern among doctors in South India

Association of Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio and Coronary Artery Disease Among the Physicians

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