Telesna sestava zaposlenih v Splošni bolnišnici Novo mesto

Mrhar, Anja (author), Benedik, Evgen (mentor), Hren, Irena (comentor)

Telesna sestava je indikator prehranskega statusa, ki odraža stopnjo tveganja za razvoj kroničnih nenalezljivih bolezni (KNB). Namen magistrske naloge je bil oceniti telesno sestavo in stanje prehranjenosti zaposlenih (zaradi skladja s Slovarjem slovenskega knjižnega jezika bomo v nadaljevanju dela uporabili termin »zaposlenci«) v zdravstvu. Raziskava je obsegala meritve telesne sestave (telesna višina, telesna teža, obseg pasu (OP), obseg bokov, maščobna masa (FM) in nemaščobna masa (FFM) 506 zaposlencev Splošne bolnišnice Novo mesto (SBNM) in so bile pridobljene v sklopu delavnic promocije zdravja na delovnem mestu, ki so potekale v obdobju od novembra 2015 do decembra 2019. Za meritev FM in FFM je bila uporabljena bioelektrična impedančna analiza (BIA). Stanje prehranjenosti zaposlencev, ovrednoteno z indeksom telesne mase (ITM) smo primerjali z reprezentativnim vzorcem slovenske splošne populacije, katerega podatki so bili pridobljeni s strani Nacionalnega inštituta za javno zdravje (NIJZ) v sklopu presečne raziskave SI.Menu 2017/18. Ugotovili smo, da delež čezmerno hranjenih in debelih zaposlencev SBNM (51,3 %, N=259) ne presega deleža čezmerno hranjenih in debelih v slovenski splošni populaciji (59,8 %). Ob tem pa smo zasledili, da zaposlenci SBNM v povprečju s starostjo hitreje pridobivajo telesno maso (1,9 kg v obdobju 10 let) kakor slovenska splošna populacija (1,4 kg v obdobju 10 let). Z uporabo kriterijev OP in razmerja pas-boki (RPB) smo med zaposlenci SBNM zasledili relativno visok delež visceralne debelosti (51,4 %, N=253; 41,6 %, N=205). Tudi med tistimi, ki so glede na vrednost ITM normalno hranjeni. Iz vzorca smo dodatno izpostavili 60 zaposlencev zdravstvene nege in raziskali razlike v telesni sestavi glede na stopnjo izobrazbe ter dolžino delavne dobe. Ob pregledu parametrov telesne sestave pri vzorcu osebja zdravstvene nege zaradi majhnosti vzorca nismo zabeležili statističnih razlik glede na izobrazbo (p=0,319) in delovno dobo (p=0,100).

• Language: Slovenian
• Keywords: prehrana, prehranski status, telesna sestava, prekomerna telesna masa, visceralna debelost, zdravje na delovnem mestu, zaposleni v zdravstvu
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: BF - Biotechnical Faculty
• Place of publishing: Ljubljana
• Publisher: [A. Mrhar]
• Year: 2021
• PID: 20.500.12556/RUL-130531
• UDC: 613.2-057.11:614.21
• COBISS.SI-ID: 76687107
• Publication date in RUL: 16.09.2021

Secondary language

• Language: English
• Title: Body composition of employees in General Hospital Novo mesto

Abstract

Body composition is a key component of the individual health and physical fitness. It is an indicator of nutritional status that reflects the degree of risk for developing chronic non-communicable diseases (CND). The aim of the master's thesis was to assess the body composition and nutritional status of hospital workers. The study included body composition measurements (height, weight, waist circumference (WC), hip circumference, fat mass (FM) and fat-free mass (FFM)) of 506 employees of the General Hospital Novo mesto (SBNM) and were obtained during the workshops on health promotion on workplace, which took place between November 2015 and December 2019. Bioelectrical impedance analysis (BIA) was used to measure FM and FFM. The nutritional status of employees, assessed by the body mass index (BMI), was compared with a representative sample of the general population in Slovenia. The general population data came from the National Institute of Public Health (NIJZ) as part of the previous cross-sectional survey SI.Menu 2017/18. We found that the proportion of overweight and obese SBNM employees (51.3%, N=259) did not exceed the proportion of overweight and obese in the Slovenian general population (59.8%). At the same time, we found that SBNM employees on average gain weight faster than the general Slovenian population when comparing the average body mass of the two samples at a certain age. Using the criteria of WC and waist-to-hip ratio, we found a relatively high proportion of visceral obesity among SBNM employees (51.4%, N=253; 41.6%, N=205). Even among those who were normal weight according to BMI value (44,8%, N=227). We additionally selected 60 nursing staff from the sample and investigated differences in body composition according to level of education (secondary education and Bachelor’s Degree) and length of working experience. When examining the body composition parameters of the sample of nursing staff, we did not observe statistical differences according to education (p=0,319) and length of service (p=0,100) due to the small sample.

• Keywords: nutrition, nutritional status, body composition, overweight, visceral obesity, workplace health, healthcare workers