Analysis about health of authorities in Phichit hospital

Abstract

    Cardiovascular disease is the major cause of death in many countries, includeThailand. The major Risk factor is metabolic syndrome. The main feathers of metabolic syndrome include insulin resistance, hyperlipidemia, obesity and hypertension.

    Data from annual health check up of Chainart hospital showed that the most common cardiovascular risk factors are dyslipidemia, obesity, and hyperglycemia.

    Objective of this study are to analyze about health problems of hospital employees in 2004-2005, to identify the risk group, in order to establish the health promotion and prevention project for cardiovascular disease,   and give knowledges about metabolic syndrome.

    This study revealed the most common problem was dyslipidemia, the second common problem was obesity (BMI > 30).   As a public health unit, we establish a health promotion project in 2004, for 3 days duration. Include 80 employees in Picit hospital who has CHOL (cholesterol) > 200mg/dl, or TG (triglyceride) > 150mg/dl by volunteer. Follow up by three months duration.  This project combined with giving knowledges about dyslipidemia, food selection, exercise.  This project revealed cholesterol level that   < 200mg/dl increase from 5 persons  (6.25 percent) to 13 persons (16.25 percent), and triglyceride level that < 150mg/dl increase from 46 persons (57.5 percent) to 50 persons (62.5 percent), BMI decreased from 24.88 kg/m2 to 24.57kg/m2, all have statistical significant.

    This study shows that cardiovascular disease can prevent by annual check up to detect the risk factors about metabolic syndrome and early control the lipid level and body weight by diet control that contains a reasonable amount of carbohydrates and proteins, low and good fat diet. A sustainable exercise program is reasonable to start. To prevention of cardiovascular disease, diabetes, dementia, these can promote health and save a lot of money before start medication.