Metabolic profiles of internal medicine residents

I Made Pande Dwipayana; Wira Gotera; Made Ratna Saraswati; I Made Semadi; Ida Bagus Nugraha; Anak Agung Gede Budhiartha; Ketut Suastika

doi:10.15562/bmj.v12i2.4479

Metabolic profiles of internal medicine residents

I Made Pande Dwipayana ,

Wira Gotera ,

Made Ratna Saraswati ,

I Made Semadi ,

Ida Bagus Nugraha ,

Anak Agung Gede Budhiartha ,

Ketut Suastika ,

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DOI: https://doi.org/10.15562/bmj.v12i2.4479 |
Published: 2023-06-30

Abstract

Link of Video Abstract: https://youtu.be/eXD5BJcsM-Y

Background: Obesity is a pressing global health concern that affects not only developed, but also developing countries. This condition is linked not only to the rising incidence of metabolic and cardiovascular diseases, but also exerts a considerable economic burden due to its high associated costs. Moreover, metabolic disorders, including obesity, can affect both the general population and medical practitioners alike. Therefore, we conducted an observational cross-sectional study to assess the metabolic profiles of internal medicine residents at Faculty of Medicine, Universitas Udayana, Denpasar Bali.

Methods: This is a descriptive cross-sectional observational study carried out in 2022 at the Diabetic Polyclinic in the Prof. dr. I Goesti Ngoerah Gde Ngoerah Hospital, Denpasar. The study approved by the Ethical Committee of the Faculty of Medicine, Universitas Udayana. All subjects were given information regarding this study and signed the informed consent. The metabolic profiles that were evaluated included body mass index, blood pressure, lipid profile, and fasting blood glucose.

Results: Out of the 116 participants in this study, one individual (0.9%) was found to have underweight, while 20 (17.2%) were classified as normal and another 20 (17.2%) as overweight. A majority of the participants, comprising 75 individuals (64.7%), were classified as obese. Further analysis revealed that metabolic disorders were prevalent in this study, with 9 individuals (7.8%) diagnosed with hypertension, 2 individuals (1.7%) with diabetes mellitus, 99 individuals (85.3%) with dyslipidemia, and 16 individuals (13.8%) with metabolic syndrome.

Conclusion: The findings of this study indicate that a significant proportion of internal medicine residents at Faculty of Medicine, Universitas Udayana were classified as obese, and a considerable number were diagnosed with various metabolic disorders, including hypertension, dyslipidemia, diabetes mellitus, and metabolic syndrome.

References

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[1] Saturti TIA. Inflammation in obesity: a review. Bali Medical Journal. 2022;11(3):1935–8.

[2] Purnomo KI, Doewes M, Suroto S, Murti B, Widiastuti Giri MK. The combination effect of brisk walking and relaxation toward hs-crp and anxiety levels in subject with central obesity in Singaraja, Bali. Bali Medical Journal. 2019;8(1):294.

[3] Hidayati T, Suen M-W, Indriawati R, Akrom. Diet, physical activity and obesity incidence in adolescents with disabilities. Bali Medical Journal. 2023;12(1):588–94.

[4] Garvey WT, Garber AJ, Mechanick JI, Bray GA, Dagogo-Jack S, Einhorn D, et al. American association of clinical endocrinologists and american college of endocrinology position statement on the 2014 advanced framework for a new diagnosis of obesity as a chronic disease. Endocr Pract. 2014;20(9):977–89. Available from: https://pubmed.ncbi.nlm.nih.gov/25253227

[5] Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, et al. American Association of Clinical Endocrinologists and American College of Endocrinology Comprehensive Clinical Practice Guidelines For Medical Care of Patients with Obesity. Endocrine Practice. 2016;22:1–203. Available from: http://dx.doi.org/10.4158/ep161365.gl

[6] Asia Pacific Cohort Studies Collaboration. The burden of overweight and obesity in the Asia-Pacific region. Obesity Reviews. 2007;8(3):191–6.

[7] Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar (Riskesdas) Tahun 2013. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013.

[8] Panuganti KK, Nguyen M, Kshirsagar RK. Obesity. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.

[9] Chu JJ, Mehrzad R. Pathophysiology of obesity. In: Inflammation and Obesity: A New and Novel Approach to Manage Obesity and Its Consequences. Elsevier; 2023. p. 31–47.

[10] Guh DP, Zhang W, Bansback N, Amarsi Z, Birmingham CL, Anis AH. The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC Public Health. 2009;9:88. Available from: https://pubmed.ncbi.nlm.nih.gov/19320986

[11] Fruh SM. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. J Am Assoc Nurse Pract. 2017;29(S1):S3–14. Available from: https://pubmed.ncbi.nlm.nih.gov/29024553

[12] Weir CB, Jan A. BMI Classification Percentile And Cut Off Points. Treasure Island (FL): StatPearls Publishing; 2023.

[13] Lauby-Secretan B, Scoccianti C, Loomis D, Grosse Y, Bianchini F, Straif K, et al. Body Fatness and Cancer--Viewpoint of the IARC Working Group. N Engl J Med. 2016;375(8):794–8. Available from: https://pubmed.ncbi.nlm.nih.gov/27557308

[14] Scully T, Ettela A, LeRoith D, Gallagher EJ. Obesity, Type 2 Diabetes, and Cancer Risk. Front Oncol. 2021;10:615375. Available from: https://pubmed.ncbi.nlm.nih.gov/33604295

[15] Asudu M, Mollaoglu MC, Mollaoglu M. Prevalence and Factors Associated with Obesity among Healthcare Professionals. Int J Caring Sci. 2021;14(1):433–40.

[16] Kunyahamu MS, Daud A, Jusoh N. Obesity among Health-Care Workers: Which Occupations Are at Higher Risk of Being Obese? Int J Environ Res Public Health. 2021;18(8):4381. Available from: https://pubmed.ncbi.nlm.nih.gov/33924182

[17] Younis J, Jiang H, Fan Y, Wang L, Li Z, Jebril M, et al. Prevalence of overweight, obesity, and associated factors among healthcare workers in the Gaza Strip, Palestine: A cross-sectional study. Front Public Health. 2023;11:1129797. Available from: https://pubmed.ncbi.nlm.nih.gov/36908479

[18] Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar (Riskesdas) Tahun 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

Metabolic profiles of internal medicine residents

Abstract

References

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