Indian journal of endocrinology and metabolism · 2026
A Hidden Epidemic in Healthcare: Metabolic Syndrome among Doctors in a Tertiary Care Teaching Hospital in North-East India.
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Sarkar Amrita, Jamoh Asthomi, Pertin Minggam, Bhattacharya Shyamal K, Basar Gomi, Beyong Taso, Kena Tame, Ghosh Parama
Аннотация
INTRODUCTION: Metabolic syndrome (MetS) poses significant health challenges globally, with healthcare professionals facing unique occupational risks despite their medical knowledge. This study aimed to determine the prevalence of MetS and its associated predictors among doctors at a tertiary care teaching institution.
METHODS: A cross-sectional study was conducted among 132 doctors at a tertiary care teaching hospital in northeastern India from June 2024 to January 2025. Data were collected using a structured WHO STEPS-based questionnaire covering sociodemographic characteristics, lifestyle factors and stress levels. Anthropometric measurements and biochemical parameters were assessed using standard protocols. MetS was diagnosed using National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) criteria.
RESULTS: The overall prevalence of MetS was 26.5% (n = 35), with significant male predominance (38.4% vs 11.9%, P < 0.001). Elevated waist circumference was the most prevalent component (47.7%), followed by raised systolic blood pressure (32.6%) and elevated triglycerides (25.0%). Independent predictors of MetS included male gender (adjusted odds ratio [AOR]: 3.1, 95% confidence interval [CI]: 1.2-8.3), age >40 years (AOR: 4.5, 95% CI: 1.8-11.2), married status (AOR: 6.2, 95% CI: 2.2-17.4) and consultant or faculty position versus intern (AOR: 8.9, 95% CI: 1.9-42.1). Physical inactivity was present in 82.9% of MetS-positive participants. Perceived stress was significantly associated with MetS (42.9% vs 14.5%, P = 0.010).
CONCLUSION: One in four doctors demonstrated MetS, with male doctors over 40 years at the highest risk. These findings underscore the urgent need for comprehensive physician wellness programmes incorporating regular metabolic health screenings, stress management and targeted lifestyle interventions in healthcare institutions.
METHODS: A cross-sectional study was conducted among 132 doctors at a tertiary care teaching hospital in northeastern India from June 2024 to January 2025. Data were collected using a structured WHO STEPS-based questionnaire covering sociodemographic characteristics, lifestyle factors and stress levels. Anthropometric measurements and biochemical parameters were assessed using standard protocols. MetS was diagnosed using National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) criteria.
RESULTS: The overall prevalence of MetS was 26.5% (n = 35), with significant male predominance (38.4% vs 11.9%, P < 0.001). Elevated waist circumference was the most prevalent component (47.7%), followed by raised systolic blood pressure (32.6%) and elevated triglycerides (25.0%). Independent predictors of MetS included male gender (adjusted odds ratio [AOR]: 3.1, 95% confidence interval [CI]: 1.2-8.3), age >40 years (AOR: 4.5, 95% CI: 1.8-11.2), married status (AOR: 6.2, 95% CI: 2.2-17.4) and consultant or faculty position versus intern (AOR: 8.9, 95% CI: 1.9-42.1). Physical inactivity was present in 82.9% of MetS-positive participants. Perceived stress was significantly associated with MetS (42.9% vs 14.5%, P = 0.010).
CONCLUSION: One in four doctors demonstrated MetS, with male doctors over 40 years at the highest risk. These findings underscore the urgent need for comprehensive physician wellness programmes incorporating regular metabolic health screenings, stress management and targeted lifestyle interventions in healthcare institutions.