Associação da obesidade à presença de comorbidades decorrentes em trabalhadores do Hospital e Maternidade Celso Pierro
DOI:
https://doi.org/10.24220/2318-0897v19n1/6a826Palabras clave:
Comorbidades, Obesidade, Pessoal de SaúdeResumen
Objetivo
O estudo buscou determinar a relação entre obesidade e presença de comorbidades em trabalhadores do Hospital e Maternidade Celso Pierro, de Campinas (SP).
Métodos
Realizou-se um estudo individual, observacional e transversal (tipo inquérito), por meio da análise de 400 prontuários de funcionários do Hospital e Maternidade Celso Pierro, Campinas (SP), escolhidos aleatoriamente dentro do universo de 2.185 trabalhadores da instituição. Foram avaliados indicadores como sexo, peso, altura (permitindo o cálculo do índice de massa corporal) e presença ou não de comorbidades relacionadas pela literatura à obesidade.
Resultados
O grupo que apresentou maior porcentagem de peso adequado estava u16 e30 anos, (67,4%), enquanto o grupo etário >50 e66 mostrou maior número de indivíduos com sobrepeso (64,0%). Tais dados coincidiram com o fato de as comorbidades também apresentarem predomínio neste último grupo, em que seis das dez patologias estudadas apareceram com maior frequência percentual. Levando-se em consideração a relação entre sexo e índice de massa corporal, os dados revelaram preponderância do sexo feminino nos grupos com sobrepeso e com obesidade graus I, II e III. Finalmente, quando analisada a relação entre índice de massa corporal e comorbidades, observou-se ampla superioridade destas nos indivíduos com obesidade graus I, II e III.
Conclusão
O excesso de peso está relacionado ao aumento da frequência de comorbidades, afetando todas as faixas etárias e ambos os sexos, com relativo predomínio no feminino.
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Bertakis KD, Azari R. The influence of obesity, alcohol abuse and smoking on utilization of health care services. Health Serv Res. 2006; 38(6):427-34.
van Wier MF, Ariëns GAM, Dekkers JC, Hendriksen IJM, Pronk NP, Tjabe Smid, et al. A randomized controlled trial of a distance counseling lifestyle programme for weight control among an overweight working population. BMC Public Health. 2006; 6(1):140.
Buescher P, Whitmire T, Plescia M. Relationship between body mass index and medical care expenditures for North Carolina adolescents enrolled in Medicaid in 2004. Prev Chronic Dis. 2008; 5(1):1-9.
Wee CC, Phillips RS, Legedza ATR, Davis RB, Soukup JR, Hamel MB. Health care expenditures associated with overweight and obesity among US adults: importance of age and race. Am J Public Health. 2005;
(1):159-65.
Lean MEJ, Han TS, Seidell JC. Impairment of health and quality of life using new US Federal Guidelines for the identification of obesity. Am Med Assoc. 2008; 159:(2)837-43.
Guallar-Castilón P. The relationship of overweight and obesity with subjective health and use of health-care services among Spanish women. Int J Obes. 2002; 26(2):247-52.
Jusot F, Khlat M, Rochereau T, Serme C. Job loss from poor health, smoking and obesity: a national prospective survey in France. J Epidemiol Community Health. 2007; 62(4):332-37.
Sichieri R, Nascimento S, Coutinho W. The burden of hospitalization due to overweight and obesity in Brazil. Cad Saúde Pública. 2007; 23(7):1721-7.
Kouvonen A, Kivimaki M, Cox SJ. Relationship between work stress and body mass index among 45,810 female and male employees. Psychosom Med. 2005; 6(7):577-83.
Overgaard D, Gyntelberg F, Heitmann BL. Psychological workload and body weight: is there association? A review of the literature. Occup Med (Lond). 2004; 54(9):35-41.
Pollack KM, Sorock GS, Slade MD, Cantley L, Sincar K, Taiwo O, et al. Association between body mass index and acute traumatic workplace injury in hourly manufacturing employees. Am J Epidemiol. 2007; 166(2):204-11.
Anderson LH, Martinson BC, Crain Al, Pronk NP, Whitebird RR, O´Connor PJ, et al. Health care charges associated with physical inactivity, overweight, and obesity. Prev Chronic Dis. 2005; 2(4):1-12.
Tucker LA, Friedman GM. Obesity and absenteeism: an epidemiologic study of 10825 employed adults. Am J Health Promot. 1998; 12(3): 202-7.
Tsai SP, Gilstrap EL, Colangelo TA, Menard AK, Ross CE. Obesity and absence in petrochemical workers. AEP. 2007; 18(5):8-14.
Marielle PJ, Swenne GH, Vicent HH, Paulien MB; Overweight and obesity as predictors of absenteeism in the working population of the Netherland. JOEM. 2007; 49(9):75-81.
Ostbye T, Dement JM, Krause K. Obesity and workers’ compensation. Arch Intern Med. 2007; 167(8):766-73.
Schmier J, Jones ML. Cost of obesity in workplace. Scand J Work Environ Health. 2006; 32(1):1-11.
Durden ED, Huse D, Ben-Joseph R, Chu BC. Economic costs of obesity to self-insured employers. J Occup Environ Med. 2008; 50(9):991-7.
Burton WN, Chen CY, Schultz AB, Edington DW. The economic costs associated with body mass index in a workplace. J Occup Environ Med. 1998; 40(9):786-92.
Finkelstein E, Fiebelkorn IC, Wang G. The costs of obesity among full-time employees. Am J Health Promot. 2005; 20(1):45-51.
Trodgon JG, Finkelselstein EA, Hylands T, Dellea PS, Kamal-Bahl SJ. Indirect costs of obesity: a review of the current literature. Obes Rev. 2008; 9(5):489-500.
Cawley J, Rizzo JA, Haas K. Occupation-specific absenteeism costs associated with obesity and morbid obesity. JOEM. 2007; 40(12):1317-24.
Allison DB, Zannolli R, Narayan KMV. The direct health care costs of obesity in the United States. Am J Public Health. 1999; 89(8):1194-9.
van Baal PHM, Polder JJ, Wit GA, Hoogenveen RT, Feenstra TL, Boshuizen HC, et al. Lifetime medical costs of obesity: prevention no cure for increasing health expenditures. Plos medicine. 2008; 25(2):242-9.
Ricci JA, Chee E. Lost productive time associated with excess weight in the U.S. workforce. J Occup Environ Med. 2005; 47(12):1227-34.
Finkelstein E, Fiebelkorn I, Wang G. National medical spending attributable to overweight and obesity: how much, and who´s paying? Health Aff (Mill Wood). 23; Suppl web Exclusive: w3-26.
Quesenberry C, Caan B, Jacobson A. Obesity, health services use, and health care costs among members of a health maintenance organization. Arch Intern Med. 1998; 158:466-72.
Fong RL, Franks P. Body mass index and employmentbased health insurance. BMC Health Serv Res. 2008; 8(101):1-7.
McPherson K. Does preventing obesity lead to reduced health-care costs? PLoS Medicine. 2008; 5(2):183-4.
Colditz GA. Economic costs of obesity. Am Soc Clin Nutr. 2008; (2):503-07.
Raebel MA, Malone DC, Conner DA, Xu S, Porter JA, Lanty FA. Health services use and health care costs of obese and non-obese individuals. Am Med Assoc. 2004; 164(19):2135-40.
Vellinga A, O’Donovan D, de la Harpe D. Length of stay and associated costs of obesity related hospital admissions in Ireland. BMC Health Serv Res. 2008; 8(88):1-7.