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Case study :
Incidence of Lifestyle Diseases in
          IT Industry




                    www.justforhearts.org
Just For Hearts
    Rich Experience of Preventive health and
    Wellness.
   Serve an individual health requirements, Family
    health care, corporate wellness with Cardio
    Wellness room.
   24*7 assistance available.
   Specialized doctors and healthcare professionals
    registered to cater your needs.
   Onsite activities such as health talks, health
    screenings, health check up, community events
    etc.
   100% return policy incase of unsatisfactory
    services
                               www.justforhearts.org
Investigator: Dr. Ravindra L Kulkarni

   Consultant   & Interventional
    Cardiologist
   MD, FSCAI specialize in clinical
    Research and interventional
    cardiology.
   Practicing in Leading multi specialty
    hospitals in Pune.
   Involved in health talks, health
    check ups and Corporate wellness.


                                www.justforhearts.org
Background
 Increasing trend in NCDs worldwide
  (WHO, 2008)
 Contribution of lifestyle factors
 IT industry workers are at risk
  ◦ Odd working hours
  ◦ Erratic eating habits
  ◦ Sedentary work style
  ◦ Constant stress levels
  • Effect on work performance &
    productivity



                                www.justforhearts.org
Objectives
1.   To establish
     prevalence of cardio-metabolic risk factors
     in employees of IT industry.

2. To observe clustering of cardio-metabolic
   risk factors (CMRF) within
   body mass index (BMI), height, weight
   & age groups.


                            www.justforhearts.org
Methods
 Observational study
 Data obtained from annual medical health records of
  employees (from 2 leading BPO industries in Pune)
 CMRF clustering i.e. ≥ 2 risk factors (IDF 2005)
  ◦ TG ≥ 150 mg/dl
  ◦ HDL < 40 mg/dl in males OR <50 mg/dl in females
  ◦ BP systolic ≥ 130 OR diastolic ≥ 85mmHg
  ◦ FPG ≥ 100 mg/dl
 ADA 2011 criteria & JNC-7 guidelines used for T2DM,
  HTN
 Analyzed across
  ◦ Height, Weight, BMI Categories
  ◦ Age Categories
  ◦ Gender                           www.justforhearts.org
Results
Observations        Criteria                Total (%)    Males (%)    Females (%)
                                            (n = 1350)   (n = 1063)     (n = 287)

    IFG          FPG ≥ 100 mg/dl              10.0          10.2          9.2


Hypertension    SBP ≥ 140 mmHg                19.3          20.1         16.7
                DBP ≥ 90 mmHg

  Obesity           ≥ 30 kg/m2                 9.4          8.8          11.5
                   ≥ 27.5 kg/m2               22.5          21.6         25.6
High T. Chole   T.Chole ≥200                  19.2         20.3          14.9
                mg/dl
  High TG          ≥ 150 mg/dl                23.8          26.6         13.1


 Low HDL          <40 mg/dl (M)               67.3          60.4         93.1
                  < 50 mg/dl (F)
 High LDL          ≥ 130 mg/dl                19.5          19.7         18.5




                    www.justforhearts.org
Results
Overall Prevalence




www.justforhearts.org
Prevalence of CMRF clustering
                       across age groups
Prevalence




             < 30 Y     < 40 Y        <50 Y                      ≥ 50 Y


                         Age Groups
                                         www.justforhearts.org
Prevalence of CMRF clustering across
                 BMI groups


                                      WHO Criteria
%




         P=0.000
                                       Public health
                                         achievable
                                     targets for Asians




            www.justforhearts.org
Prevalence of CMRF clustering
                     across Genders
Prevalence




                           Gender


                                    www.justforhearts.org
Determinants of CMRF
(Logistic Regression)
 Independent       Groups        Sig    Odd’s                     95% CI
  Variables                             Ratio
                                                       Lower           Upper

    AGE        < 31 Y                   1.00
               ≥ 31 < 33 Y      0.002   2.75             1.42              5.29
               ≥ 33 < 35 Y      0.003   2.71             1.4               5.25
               ≥ 35 Y           0.012   2.27             1.19              4.32
  HEIGHT       ≥ 174 cm                 1.00
               ≥ 168 < 174 cm   0.662   1.10             0.71              1.7
               ≥ 162 < 168 cm   0.061   1.56             0.98              2.51
               < 162 cm         0.030   1.90             1.06              3.39
  WEIGHT       < 63 Kg                  1.00
               ≥ 63 < 71 Kg     0.062   1.58             0.97              2.57
               ≥ 71 < 79 Kg     0.008   1.98             1.19              3.30
               ≥ 79 Kg          0.000   3.55             2.09              6.01
  GENDER       Females                  1.00
               Males            0.317   0.79             0.5               1.24
                                          www.justforhearts.org
Conclusion
1.   There is a high burden of cardio-metabolic risk factors in
     young employees working in IT industry.

2. The  prevalence of CMRF clustering increases with increasing
     BMI, body weight & age.

3. The    prevalence of CMRF clustering decreases with
     increasing height. (i.e. short height = high risk)

4.    Need to spread awareness among IT employees about far-
     reaching effects

5.   Need to initiate Workplace Health Promotion programs
                                         www.justforhearts.org
Limitations                  Future Plans
 Opportunistic   analysis  • To initiate diabetes
 No data on-                 prevention program in IT
  ◦ SES                       industry.
  ◦ Family history of DM/ • Impact of a lifestyle
    HTN                       modification program on
  ◦ Abdominal obesity         CMRFs.
    (WC)                    • Use of email & SMS
  ◦ Tobacco & alcohol         technologies
    consumption
                            • Benefits both for the
  ◦ Duration of exposure to
    work style                employees and the
 No OGTT was performed       employers
                            • Better industrial outputs
                              and growth
                                   www.justforhearts.org
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 questions.
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Case Study: Incidence of Lifestyle Diseases In IT Industry

  • 1. Case study : Incidence of Lifestyle Diseases in IT Industry www.justforhearts.org
  • 2. Just For Hearts  Rich Experience of Preventive health and Wellness.  Serve an individual health requirements, Family health care, corporate wellness with Cardio Wellness room.  24*7 assistance available.  Specialized doctors and healthcare professionals registered to cater your needs.  Onsite activities such as health talks, health screenings, health check up, community events etc.  100% return policy incase of unsatisfactory services www.justforhearts.org
  • 3. Investigator: Dr. Ravindra L Kulkarni Consultant & Interventional Cardiologist MD, FSCAI specialize in clinical Research and interventional cardiology. Practicing in Leading multi specialty hospitals in Pune. Involved in health talks, health check ups and Corporate wellness. www.justforhearts.org
  • 4. Background  Increasing trend in NCDs worldwide (WHO, 2008)  Contribution of lifestyle factors  IT industry workers are at risk ◦ Odd working hours ◦ Erratic eating habits ◦ Sedentary work style ◦ Constant stress levels • Effect on work performance & productivity www.justforhearts.org
  • 5. Objectives 1. To establish prevalence of cardio-metabolic risk factors in employees of IT industry. 2. To observe clustering of cardio-metabolic risk factors (CMRF) within body mass index (BMI), height, weight & age groups. www.justforhearts.org
  • 6. Methods  Observational study  Data obtained from annual medical health records of employees (from 2 leading BPO industries in Pune)  CMRF clustering i.e. ≥ 2 risk factors (IDF 2005) ◦ TG ≥ 150 mg/dl ◦ HDL < 40 mg/dl in males OR <50 mg/dl in females ◦ BP systolic ≥ 130 OR diastolic ≥ 85mmHg ◦ FPG ≥ 100 mg/dl  ADA 2011 criteria & JNC-7 guidelines used for T2DM, HTN  Analyzed across ◦ Height, Weight, BMI Categories ◦ Age Categories ◦ Gender www.justforhearts.org
  • 7. Results Observations Criteria Total (%) Males (%) Females (%) (n = 1350) (n = 1063) (n = 287) IFG FPG ≥ 100 mg/dl 10.0 10.2 9.2 Hypertension SBP ≥ 140 mmHg 19.3 20.1 16.7 DBP ≥ 90 mmHg Obesity ≥ 30 kg/m2 9.4 8.8 11.5 ≥ 27.5 kg/m2 22.5 21.6 25.6 High T. Chole T.Chole ≥200 19.2 20.3 14.9 mg/dl High TG ≥ 150 mg/dl 23.8 26.6 13.1 Low HDL <40 mg/dl (M) 67.3 60.4 93.1 < 50 mg/dl (F) High LDL ≥ 130 mg/dl 19.5 19.7 18.5 www.justforhearts.org
  • 9. Prevalence of CMRF clustering across age groups Prevalence < 30 Y < 40 Y <50 Y ≥ 50 Y Age Groups www.justforhearts.org
  • 10. Prevalence of CMRF clustering across BMI groups WHO Criteria % P=0.000 Public health achievable targets for Asians www.justforhearts.org
  • 11. Prevalence of CMRF clustering across Genders Prevalence Gender www.justforhearts.org
  • 12. Determinants of CMRF (Logistic Regression) Independent Groups Sig Odd’s 95% CI Variables Ratio Lower Upper AGE < 31 Y 1.00 ≥ 31 < 33 Y 0.002 2.75 1.42 5.29 ≥ 33 < 35 Y 0.003 2.71 1.4 5.25 ≥ 35 Y 0.012 2.27 1.19 4.32 HEIGHT ≥ 174 cm 1.00 ≥ 168 < 174 cm 0.662 1.10 0.71 1.7 ≥ 162 < 168 cm 0.061 1.56 0.98 2.51 < 162 cm 0.030 1.90 1.06 3.39 WEIGHT < 63 Kg 1.00 ≥ 63 < 71 Kg 0.062 1.58 0.97 2.57 ≥ 71 < 79 Kg 0.008 1.98 1.19 3.30 ≥ 79 Kg 0.000 3.55 2.09 6.01 GENDER Females 1.00 Males 0.317 0.79 0.5 1.24 www.justforhearts.org
  • 13. Conclusion 1. There is a high burden of cardio-metabolic risk factors in young employees working in IT industry. 2. The prevalence of CMRF clustering increases with increasing BMI, body weight & age. 3. The prevalence of CMRF clustering decreases with increasing height. (i.e. short height = high risk) 4. Need to spread awareness among IT employees about far- reaching effects 5. Need to initiate Workplace Health Promotion programs www.justforhearts.org
  • 14. Limitations Future Plans  Opportunistic analysis • To initiate diabetes  No data on- prevention program in IT ◦ SES industry. ◦ Family history of DM/ • Impact of a lifestyle HTN modification program on ◦ Abdominal obesity CMRFs. (WC) • Use of email & SMS ◦ Tobacco & alcohol technologies consumption • Benefits both for the ◦ Duration of exposure to work style employees and the  No OGTT was performed employers • Better industrial outputs and growth www.justforhearts.org
  • 15. Free To Discuss in Public Forum Justfor Hearts Public forum is a plat form to discuss your health related questions. You can register and enter our Public Forum. Click here to Discuss more. Free Public Forum www.justforhearts.org
  • 16. Follow Us On Twitter : JustforHearts www.justforhearts.org