北部某醫院醫療從業人員脂質蓄積指數與肥胖風險之相關探討

目的：若能在職場體檢中早期大規模偵測潛在肥胖情形，預估及預防從業人員心血管疾病的發生，提醒員工正常生活型態及飲食運動控制，不只是改善個人健康，更是對整體職場環境造成正向的影響。脂質蓄積指數（Lipid Accumulation Product, LAP）為建立在腰圍的間接測量體脂肪測量基礎上，兼顧全身血脂因素與中心型肥胖概念，本研究藉由瞭解醫療從業人員的LAP指數與肥胖的相關性。方法：本研究為回顧性橫斷式研究，蒐集自2014年到2018年間北部某醫院醫療從業人員的年度體檢報告。研究中依照LAP指數將受檢者資料分成低、中、高三組。分析分析LAP與肥胖之相關性。結果：本研究共納入的1312名醫療從業人員資料中，於各項風險因子分析，不論男女，在血壓、身體質量指數（Body Mass Index，BMI）、腰圍、血糖、高密度膽固醇、總膽固醇、三酸甘油脂、高血壓病史、高血脂病史、高血糖病史，三組間LAP皆有統計學上顯著差異（p-value<0.001）；並於校正年齡、高血壓病史、糖尿病史之多變項邏輯斯迴歸分析中，皆可發現中或是高LAP指數族群，在肥胖風險勝算比，皆大於低LAP指數族群，且達統計學上顯著差異（p value<0.05），顯示LAP和肥胖風險的密切相關性。結論：本研究結果顯示醫療從業人員如有較高的LAP指數，與肥胖的高風險族群有相關性。未來希望有更多大規模族群資料以助本土參數建立，以期LAP能較廣泛作為肥胖預測的新指標。

關鍵字

醫療從業人員；腰圍；脂質蓄積指數；肥胖

並列摘要

Background and Purpose: If the potential obesity can be detected early on a large scale in the labor workplace with physical examination, the occurrence of cardiovascular diseases in employees can be estimated and prevented, and employees can be reminded of normal lifestyle then diet control with excercise, which will not only improve personal health, but also affect the overall workplace environment, causing a positive well-being impact. The lipid accumulation product (LAP) index is based on the indirect measurement of body fat measurement by waist circumference, and also takes into account the concept of central obesity by systemic lipid factor. This study aims to understand the association between the LAP index and obesity in general medical practitioners. Methods: This is a retrospective cross-sectional study that collected annual medical examination reports from medical workers in a northern hospital from 2014 to 2018. In the study, according to the LAP index, the data of the subjects were divided into three groups: low, medium and high. The association between LAP and obesity was analyzed. Results: A total of 1312 medical workers were included in this study. In the analysis of various risk factors regardless of men or women, including blood pressure, body mass index (BMI), waist circumference, blood sugar, high-density cholesterol, total cholesterol, triglycerides, hypertension history, diabetes mellitus history and hyperlipidemia history, were all found statistically significant difference between three LAP groups (p-value<0.001). In the multivariate logistic regression analysis adjusted for age, history of hypertension and history of diabetes, it can be found that the middle or high LAP index group has a higher risk of obesity, with odds ratios were higher than those of the low LAP index group, and the difference were statistically significant (p value<0.05), indicating a close association between LAP and obesity risk Conclusion: The results of this study show that medical practitioners with a higher LAP index are associated with a high-risk group of obesity. In the future, we hope that there will be more large-scale population data to help establish local parameters, so that LAP can be more widely used as a new indicator for obesity prediction.

並列關鍵字

Hospital worker ； Waist circumference

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