Body mass index, comorbid conditions, and demographic factors among tertiary healthcare workers in Kosovo: Implications for physical activity interventions
Abstract
This study aimed to determine the prevalence of overweightness and obesity among healthcare workers (HCWs) at the University Clinical Center of Kosovo in Pristina, Kosovo, and to examine the relationship between demographic variables, comorbid conditions, and body mass index (BMI). This was a retrospective, descriptive, analytical study. The study population consisted of 3048 HCWs at the University Clinical Center of Kosovo in Pristina, Kosovo. The sample consisted of all HCWs who were willing to provide his/her BMI (n = 1399) and included 717 females (51.25%) and 682 males (48.75%) with an average age of 48.16±10.46 years. Biochemical and hematological tests were carried out. BMI and blood pressure were assessed. The prevalence of overweight and obesity class I was 49.1% and 19.8%, respectively, according to WHO criteria, where overweight is defined as BMI 25.0–29.9 and obesity class I as BMI 30.0–34.9. Males were found to have a higher mean BMI compared to females (p=0.01). Hypertension, dyslipidemia, and hyperglycemia were found to be statistically significant with BMI (p<0.01) while type II diabetes was insignificant (p=0.05). Age was associated with type II diabetes (p<0.05) and hypertension (p=0.05); sex was significantly associated only with hyperglycemia (p<0.05). With an increase in age for both sexes, the rates of obesity and overweight increased, especially from ages 45 to 54 in HCWs. BMI was a significant predictor of hypertension (p<0.01, OR=1.45), dyslipidemia (p<0.01, OR=1.42), and hyperglycemia (p<0.01, OR=1.48). These results indicate the need for increased physical activity in order to reverse obesity-related health problems and obtain better health among HCWs.
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Abu Saad, H., Low, P. K., Jamaluddin, R., & Chee, H. P. (2020). Level of Physical Activity and Its Associated Factors among Primary Healthcare Workers in Perak, Malaysia. International Journal of Environmental Research and Public Health, 17(16), 1-12. https://doi.org/10.3390/ijerph17165947
Addo, P. N., Nyarko, K. M., Sackey, S. O., Akweongo, P., & Sarfo, B. (2015). Prevalence of obesity and overweight and associated factors among financial institution workers in Accra Metropolis, Ghana: a cross sectional study. BMC Research Notes, 8, 1-8. https://doi.org/10.1186/s13104-015-1590-1
Anderson, E., & Durstine, J. L. (2019). Physical activity, exercise, and chronic diseases: A brief review. Sports Medicine and Health Science, 1(1), 3–10. https://doi.org/10.1016/j.smhs.2019.08.006
Aronow W. S. (2017). Association of obesity with hypertension. Annals of Translational Medicine, 5(17), 1-10. https://doi.org/10.21037/atm.2017.06.69
Bytyci Katanolli, A., Probst-Hensch, N., Ann Obas, K., Gerold, J., Zahorka, M., Jerliu, N., Ramadani, Q., Fota, N., & Merten, S. (2022). Perceived barriers to physical activity behaviour among patients with diabetes and hypertension in Kosovo: a qualitative study. BMC Primary Care, 23(1), 1-11. https://doi.org/10.1186/s12875-022-01866-w
Bytyci-Katanolli, A., Merten, S., Kwiatkowski, M., Obas, K., Gerold, J., Zahorka, M., Jerliu, N., Ramadani, Q., Fota, N., & Probst-Hensch, N. (2022). Non-communicable disease prevention in Kosovo: quantitative and qualitative assessment of uptake and barriers of an intervention for healthier lifestyles in primary healthcare. BMC Health Services Research, 22(1), 1-17. https://doi.org/10.1186/s12913-022-07969-5
Chatterjee, A., Gerdes, M. W., & Martinez, S. G. (2020). Identification of Risk Factors Associated with Obesity and Overweight-A Machine Learning Overview. Sensors, 20(9), 1-30. https://doi.org/10.3390/s20092734
Chin, D. L., Nam, S., & Lee, S. J. (2016). Occupational factors associated with obesity and leisure-time physical activity among nurses: A cross sectional study. International Journal of Nursing Studies, 57, 60–69. https://doi.org/10.1016/j.ijnurstu.2016.01.009
Chiriboga, D. E., Ma, Y., Li, W., Olendzki, B. C., Pagoto, S. L., Merriam, P. A., Matthews, C. E., Hebert, J. R., & Ockene, I. S. (2008). Gender differences in predictors of body weight and body weight change in healthy adults. Obesity, 16(1), 137–145. https://doi.org/10.1038/oby.2007.38
Cimperman, R. (2019, February 5). Healthcare workers are at significant risk of obesity, yet employers must not discriminate. MarathonHR. https://marathonhr.com/legal/employee-obesity-risk/
Dadar Singh, N. K., Loo, J. L., Ko, A. M. N., Husain, S. S., Dony, J. F., & Syed Abdul Rahim, S. S. (2022). Obesity and mental health issues among healthcare workers: a cross-sectional study in Sabah, Malaysia. Journal of Health Research, 36(5), 939-945. https://doi.org/10.1108/JHR-07-2020-0269
Dakanalis, A., Mentzelou, M., Papadopoulou, S. K., Papandreou, D., Spanoudaki, M., Vasios, G. K., Pavlidou, E., Mantzorou, M., & Giaginis, C. (2023). The Association of Emotional Eating with Overweight/Obesity, Depression, Anxiety/Stress, and Dietary Patterns: A Review of the Current Clinical Evidence. Nutrients, 15(5), 1-18. https://doi.org/10.3390/nu15051173
Das. S. (2024). Association of hypertension with overweight and obesity among adults inRangpur region of Bangladesh: A cross-sectional study. Human Nutrition & Metabolism, 37, 1-7.
Din-Dzietham, R., Liu, Y., Bielo, M. V., & Shamsa, F. (2007). High blood pressure trends in children and adolescents in national surveys, 1963 to 2002. Circulation, 116(13), 1488–1496. https://doi.org/10.1161/CIRCULATIONAHA.106.683243
El Kishawi, R. R., Soo, K. L., Abed, Y. A., & Muda, W. A. M. W. (2020). Prevalence and predictors of overweight and obesity among women in the Gaza strip-Palestine: a cross-sectional study. BMC Public Health, 20(1), 1-8. https://doi.org/10.1186/s12889-020-08966-1
Esteban C. (2009). Role of physical activity in chronic obstructive pulmonary disease. Archivos de Bronconeumologia, 45, 7–13. https://doi.org/10.1016/S0300-2896(09)72949-7
Ezber, R., Acun Pınar, M., Şimşek, C., & Ocaktan, M. (2024). Evaluation of Work-Related Factors Affecting the Frequency of Overweight and Obesity Among Healthcare Workers in Intensive Care Units in a Training and Research Hospital. Turkish Journal of Diabetes and Obesity, 2, 163-170.
Firouzbakht, M., Esmaeil Riahi, M., Hajian-Tilaki, K., Ebadi, A., Tirgar, A., & Nikpour, M. (2019). Relationship of social capital with overweight and obesity among female health care workers. Caspian Journal of Internal Medicine, 10(3), 281–288. https://doi.org/10.22088/cjim.10.3.281
Guo, X., Gong, S., Chen, Y., Hou, X., Sun, T., Wen, J., Wang, Z., He, J., Sun, X., Wang, S., Feng, X., & Tian, X. (2023). Lifestyle behaviors and stress are risk factors for overweight and obesity in healthcare workers: a cross-sectional survey. BMC Public Health, 23(1), 1-13. https://doi.org/10.1186/s12889-023-16673-w
Hill, J. O., & Wyatt, H. R. (2005). Role of physical activity in preventing and treating obesity. Journal of Applied Physiology, 99(2), 765–770. https://doi.org/10.1152/japplphysiol.00137.2005
Hoti, F. (2021). Impact of physical activity on longevity: A review of the literature. Atena Journal of Public Health, 3, 1-10.
International Diabetes Federation. (2024). Diabetes facts & figures. https://idf.org/aboutdiabetes/diabetes-facts-figures/
Iwuala, S. O., Sekoni, A. O., Olamoyegun, M. A., Akanbi, M. A., Sabir, A. A., & Ayankogbe, O. O. (2015). Self-reported physical activity among health care professionals in South-West Nigeria. Nigerian Journal of Clinical Practice, 18(6), 790–795. https://doi.org/10.4103/1119-3077.163275
Jerliu, N., Krasniqi, P., Berisha, M., & Ramadani, N. (2015). Regular physical activity of older people in Kosovo: a population-based survey. European Journal of Public Health, 25, 1-12.
Kanaley, J. A., Colberg, S. R., Corcoran, M. H., Malin, S. K., Rodriguez, N. R., Crespo, C. J., Kirwan, J. P., & Zierath, J. R. (2022). Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine. Medicine and Science in Sports and Exercise, 54(2), 353–368. https://doi.org/10.1249/MSS.0000000000002800
Kirwan, J. P., Sacks, J., & Nieuwoudt, S. (2017). The essential role of exercise in the management of type 2 diabetes. Cleveland Clinic Journal of Medicine, 84(7), 15–21. https://doi.org/10.3949/ccjm.84.s1.03
Klein, S., Gastaldelli, A., Yki-Järvinen, H., & Scherer, P. E. (2022). Why does obesity cause diabetes?. Cell Metabolism, 34(1), 11–20. https://doi.org/10.1016/j.cmet.2021.12.012
Klop, B., Elte, J. W., & Cabezas, M. C. (2013). Dyslipidemia in obesity: mechanisms and potential targets. Nutrients, 5(4), 1218–1240. https://doi.org/10.3390/nu5041218
Koceva, A., Herman, R., Janez, A., Rakusa, M., & Jensterle, M. (2024). Sex- and Gender-Related Differences in Obesity: From Pathophysiological Mechanisms to Clinical Implications. International Journal of Molecular Sciences, 25(13), 7-18. https://doi.org/10.3390/ijms25137342
Koliaki, C., Dalamaga, M., & Liatis, S. (2023). Update on the Obesity Epidemic: After the Sudden Rise, Is the Upward Trajectory Beginning to Flatten?. Current Obesity Reports, 12(4), 514–527. https://doi.org/10.1007/s13679-023-00527-y
Kunene, S. H., & Taukobong, N. P. (2015). Level of physical activity of health professionals in a district hospital in KwaZulu-Natal, South Africa. The South African Journal of Physiotherapy, 71(1), 1-6. https://doi.org/10.4102/sajp.v71i1.234
Kunyahamu, M. S., Daud, A., & Jusoh, N. (2021). Obesity among Health-Care Workers: Which Occupations Are at Higher Risk of Being Obese?. International Journal of Environmental Research and Public Health, 18(8), 1-9. https://doi.org/10.3390/ijerph18084381
Kyle, R. G., Wills, J., Mahoney, C., Hoyle, L., Kelly, M., & Atherton, I. M. (2017). Obesity prevalence among healthcare professionals in England: a cross-sectional study using the Health Survey for England. BMJ Open, 7(12), 1-8. https://doi.org/10.1136/bmjopen-2017-018498
Low, S., Chin, M. C., & Deurenberg-Yap, M. (2009). Review on epidemic of obesity. Annals of the Academy of Medicine, Singapore, 38(1), 57–59.
Martyn, J. A., Kaneki, M., & Yasuhara, S. (2008). Obesity-induced insulin resistance and hyperglycemia: etiologic factors and molecular mechanisms. Anesthesiology, 109(1), 137–148. https://doi.org/10.1097/ALN.0b013e3181799d45
Morina, B., & Brestovci, S. B. (2021). Prevalence of Overweight and Obesity Among Adults in Kosovo. Спортске науке и здравље – АПЕИРОН, 12(1), 94-99.
Mosteoru, S., Gaiţă, L., & Gaiţă, D. (2023). Sport as Medicine for Dyslipidemia (and Other Risk Factors). Current Atherosclerosis Reports, 25(9), 613–617. https://doi.org/10.1007/s11883-023-01133-y
Nnadozie, U. U., Anekwu, E. M., Asouzu, N. C., Maduba, C. C., Madu, C. I., Nnadozie, A. A., Anekwu, E. O., Asouzu, N. C., Odo, C., & Unigwe, U. S. D. (2023). Physical Activity among Healthcare Workers in a Major Tertiary Hospital, Southeast Nigeria. West African Journal of Medicine, 40(1), 72–77.
Phetla, M. C., & Skaal, L. (2017). Perceptions of healthcare professionals regarding their own body weight in selected public hospitals in Mpumalanga Province, South Africa. South African Medical Journal, 107(4), 338–341. https://doi.org/10.7196/SAMJ.2017.v107i4.12174
Pihlajamäki, M., Uitti, J., Arola, H., Ollikainen, J., Korhonen, M., Nummi, T., & Taimela, S. (2019). Self-reported health problems and obesity predict sickness absence during a 12-month follow-up: a prospective cohort study in 21 608 employees from different industries. BMJ Open, 9(10), 1-12. https://doi.org/10.1136/bmjopen-2018-025967
Pojednic, R., D'Arpino, E., Halliday, I., & Bantham, A. (2022). The Benefits of Physical Activity for People with Obesity, Independent of Weight Loss: A Systematic Review. International Journal of Environmental Research and Public Health, 19(9), 19-28. https://doi.org/10.3390/ijerph19094981
Pressler, A., & Börjesson, M. (2020). Impact of Exercise on Cardiovascular Risk Factors: Dyslipidemia. In: Pressler, A., Niebauer, J. (eds) Textbook of Sports and Exercise Cardiology. Springer. https://doi.org/10.1007/978-3-030-35374-2_37
Ramli, A., Leonard J., Vijaykuma P., & Suhaimy R.M. (2013). Obesity and habitual physical activity level among staffs working in a Military Hospital in Malacca, Malaysia. International Medical Journal Malaysia, 12, 53–57.
Reimers, C. D., Knapp, G., & Reimers, A. K. (2012). Does physical activity increase life expectancy? A review of the literature. Journal of Aging Research, 2012, 1-9. https://doi.org/10.1155/2012/243958
Sarı, H., Kılınç, Z., Soysal, Ş., & Özel, M. (2023). Evaluation of the frequency and awareness of obesity among healthcare workers. European Review for Medical and Pharmacological Sciences, 27(10), 4639–4647. https://doi.org/10.26355/eurrev_202305_32475
Saridi, M., Filippopoulou, T., Tzitzikos, G., Sarafis, P., Souliotis, K., & Karakatsani, D. (2019). Correlating physical activity and quality of life of healthcare workers. BMC Research Notes, 12(1), 1-6. https://doi.org/10.1186/s13104-019-4240-1
Schwendinger, F., Infanger, D., Lichtenstein, E., Hinrichs, T., Knaier, R., Rowlands, A. V., & Schmidt-Trucksäss, A. (2025). Intensity or volume: the role of physical activity in longevity. European Journal of Preventive Cardiology, 32(1), 10–19. https://doi.org/10.1093/eurjpc/zwae295
Shariq, O. A., & McKenzie, T. J. (2020). Obesity-related hypertension: a review of pathophysiology, management, and the role of metabolic surgery. Gland Surgery, 9(1), 80–93. https://doi.org/10.21037/gs.2019.12.03
Sheth, J., Shah, A., Sheth, F., Trivedi, S., Nabar, N., Shah, N., Thakor, P., & Vaidya, R. (2015). The association of dyslipidemia and obesity with glycated hemoglobin. Clinical Diabetes and Endocrinology, 1, 1-7. https://doi.org/10.1186/s40842-015-0004-6
Song, M., Nam, S., Buss, J., & Lee, S. J. (2020). Assessing the prevalence of meeting physical activity recommendations among U.S. healthcare workers: Data from the 2015 National Health Interview Survey. Archives of Environmental & Occupational Health, 75(7), 422–430. https://doi.org/10.1080/19338244.2020.1743960
Tsai, S. A., Lv, N., Xiao, L., & Ma, J. (2016). Gender Differences in Weight-Related Attitudes and Behaviors Among Overweight and Obese Adults in the United States. American Journal of Men's Health, 10(5), 389–398. https://doi.org/10.1177/1557988314567223
Vallis M. (2016). Quality of life and psychological well-being in obesity management: improving the odds of success by managing distress. International Journal of Clinical Practice, 70(3), 196–205. https://doi.org/10.1111/ijcp.12765
Wang, I. K., Tsai, M. K., Liang, C. C., Yen, T. H., Huang, C. C., Wen, S. F., & Wen, C. P. (2013). The role of physical activity in chronic kidney disease in the presence of diabetes mellitus: a prospective cohort study. American Journal of Nephrology, 38(6), 509–516. https://doi.org/10.1159/000357133
WHO (March 1, 2024). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Wickramasinghe, M., & Weaver, J. U. (2018). Practical Guide to Obesity. Elsevier.
Wiklund P. (2016). The role of physical activity and exercise in obesity and weight management: Time for critical appraisal. Journal of Sport and Health Science, 5(2), 151–154. https://doi.org/10.1016/j.jshs.2016.04.001
World Health Organization. (2010). A healthy lifestyle - WHO recommendations. https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations?utm_source=chatgpt.com
World Health Organization. Regional Office for Europe. (2023). STEPS: Prevalence of noncommunicable disease risk factors in Kosovo, 2019. WHO Regional Office for Europe.
Yamada, T., Kimura-Koyanagi, M., Sakaguchi, K., Ogawa, W., & Tamori, Y. (2023). Obesity and risk for its comorbidities diabetes, hypertension, and dyslipidemia in Japanese individuals aged 65 years. Scientific Reports, 13(1), 1-15. https://doi.org/10.1038/s41598-023-29276-7
Younis, J., Jiang, H., Fan, Y., Wang, L., Li, Z., Jebril, M., Ma, M., Ma, L., Ma, M., & Hui, Z. (2023). Prevalence of overweight, obesity, and associated factors among healthcare workers in the Gaza Strip, Palestine: A cross-sectional study. Frontiers in Public Health, 11, 1-15. https://doi.org/10.3389/fpubh.2023.1129797
Zheng, C., Liu, Y., Xu, C., Zeng, S., Wang, Q., Guo, Y., Li, J., Li, S., Dong, M., Luo, X., & Wu, Q. (2024). Association between obesity and the prevalence of dyslipidemia in middle-aged and older people: an observational study. Scientific Reports, 14(1), 23-35. https://doi.org/10.1038/s41598-024-62892-5
Zubery, D., Kimiywe, J., & Martin, H. D. (2021). Prevalence of Overweight and Obesity, and Its Associated Factors Among Health-care Workers, Teachers, and Bankers in Arusha City, Tanzania. Diabetes, Metabolic Syndrome and Obesity, 14, 455–465. https://doi.org/10.2147/DMSO.S28359
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