PD637 - NUTRITIONAL STATUS OF HEALTHCARE WORKERS IN A PRIVATE TERTIARY-CARE HOSPITAL: A CROSS-SECTIONAL STUDY

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PD637

NUTRITIONAL STATUS OF HEALTHCARE WORKERS IN A PRIVATE TERTIARY-CARE HOSPITAL: A CROSS-SECTIONAL STUDY

F. Estrada-Moya1,2,*, K. Escalante Rincón3, B. A. Avelar Martínez3, J. A. Luna Morán3, A. E. Serralde-Zúñiga1, N. S. Marin Okamoto3

1Servicio de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, 2Sección de Estudios de Posgrado e Investigación, Instituto Politécnico Nacional, 3Servicio de Nutriología Clínica, Hospital Ángeles del Pedregal, Mexico City, Mexico

 

Rationale: Despite their role in health promotion, healthcare workers (HCWs) frequently exhibit suboptimal self-care. Traditional metrics like Body Mass Index (BMI) may misclassify individuals with excess adiposity. This study aims to identify specific body composition phenotypes to move beyond surface-level anthropometry.

Methods: In this cross-sectional study at a private tertiary-care hospital, HCWs were evaluated for demographic and anthropometric data. Structural and functional status were determined using bioelectrical impedance analysis (BIA) and handgrip dynamometry.

Results: Among 320 HCWs (76% women; median age, 37 years), sex-based composition differences are shown in Table 1. Prevalence of sarcopenia and sarcopenic obesity were 12.5% and 6.8%, respectively. BMI and waist circumference (WC) correlated positively with adiposity (rho=0.69 and rho=0.45, respectively). However, both showed limited diagnostic performance: BMI had low sensitivity (40.9%) but high specificity (99.1%), with a Youden index of 0.40 and fair agreement (κ=0.33), reflecting a 59.1% false-negative rate. Conversely, WC showed high sensitivity (87.7%) but modest specificity (57.3%), with a Youden index of 0.45 and moderate agreement (κ=0.47), resulting in a 42.7% false-positive rate.

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Conclusion: These findings suggest that commonly used anthropometric measures, although correlated with adiposity, lack sufficient accuracy and agreement to reliably identify excess body fat, and are inadequate for the identification of sarcopenia or sarcopenic obesity when used in isolation.

Disclosure of Interest: None declared