Associação da obesidade à presença de comorbidades decorrentes em trabalhadores do Hospital e Maternidade Celso Pierro
DOI:
https://doi.org/10.24220/2318-0897v19n1/6a826Palavras-chave:
Comorbidades, Obesidade, Pessoal de SaúdeResumo
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.
Downloads
Referências
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.
