{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T09:33:58Z","timestamp":1793612038150,"version":"4.5.0"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"Introduction<\/jats:title>Non-communicable diseases (NCDs) account for 74% of global mortality and place significant socioeconomic burdens on healthcare systems. Despite their knowledge and awareness, healthcare workers (HCWs) often struggle to adopt preventive measures due to demanding work conditions and high-stress environments.<\/jats:p><\/jats:sec>Methods<\/jats:title>This observational study aimed to evaluate the prevalence of NCD risk factors among HCWs at the University Hospital \u201cPaolo Giaccone\u201d in Palermo, Italy. An online questionnaire, based on the WHO\u2019s STEPS approach, was administered to 390 HCWs. Data from 273 responses were analyzed using SPSS software.<\/jats:p><\/jats:sec>Results<\/jats:title>The sample comprised 57.9% women, predominantly nurses (35.9%).<\/jats:p><\/jats:sec>Discussion<\/jats:title>Key findings revealed that 56.8% consumed alcohol, 42.1% used tobacco, and 86.1% frequently skipped meals due to work. Lifestyle factors, such as fruit and vegetable consumption, salt intake, and physical activity, were assessed alongside metabolic risk factors like blood pressure, glycemia, and triglycerides. Despite their expertise in NCD prevention, HCWs often failed to implement healthy behaviors. While evening shift work showed limited correlation with lifestyle changes, results underscored the need for targeted health promotion programs for HCWs. Healthcare institutions should actively support their workforce in adopting healthier lifestyles to mitigate NCD risks and improve public health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1609034","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T04:10:30Z","timestamp":1748232630000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["An observational study on non-communicable disease risk factors among healthcare workers in high-stress environments"],"prefix":"10.3389","volume":"13","author":[{"given":"Alessandra","family":"Pirrello","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele Giacomo","family":"Mancuso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Pace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Immordino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Meli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Tramuto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Casuccio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palmira","family":"Immordino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"key":"ref1","article-title":"Noncommunicable Diseases & key Risk Factors, noncommunicable diseases data portal","year":"2025"},{"key":"ref2","article-title":"Global health estimates: leading causes of death. 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Geneva","year":"2020"},{"key":"ref3","article-title":"Noncommunicable diseases","year":"2024"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"991","DOI":"10.1016\/S0140-6736(20)31907-3","article-title":"The lancet NCDI poverty commission: bridging a gap in universal health coverage for the poorest billion","volume":"396","author":"Bukhman","year":"2020","journal-title":"Lancet"},{"key":"ref5","article-title":"Chronic diseases and aging","year":"2025"},{"key":"ref6","year":"2023"},{"key":"ref7","year":"2025"},{"key":"ref8","volume-title":"Basic concepts of infection control","author":"Friedman","year":"2016"},{"key":"ref9","year":"2008"},{"key":"ref10","article-title":"New ILO\/WHO guide urges greater safeguards to protect health workers, occupational safety and health for health workers","year":"2022"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1203","DOI":"10.1007\/s00420-023-02001-7","article-title":"Relation of the work ability index to fitness for work in healthcare and public employees in a region of northeastern Italy","volume":"96","author":"Ronchese","year":"2023","journal-title":"Int Arch Occup Environ Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2568","DOI":"10.4103\/jfmpc.jfmpc_431_19","article-title":"Health problems in healthcare workers: a review","volume":"8","author":"Mohanty","year":"2019","journal-title":"J Family Med Prim Care"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"469","DOI":"10.26719\/2017.23.7.469","article-title":"Urbanization and non-communicable disease (NCD) risk factors: WHO STEPwise Iranian NCD risk factors surveillance in","volume":"2017","author":"Khorrami","year":"2011","journal-title":"East Mediterr Health J"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1093\/occmed\/kqab133","article-title":"Shift work, inflammation and musculoskeletal pain -the HUNT study","volume":"71","author":"Matre","year":"2021","journal-title":"Occup Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"206","DOI":"10.5271\/sjweh.1230","article-title":"Cardiovascular risk factors and primary selection into shift work","volume":"34","author":"Nabe-Nielsen","year":"2008","journal-title":"Scand J Work Environ Health"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"5235","DOI":"10.3390\/ijerph19095235","article-title":"Impact of rotating shifts on lifestyle patterns and perceived stress among nurses: a cross-sectional study","volume":"19","author":"Chiang","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref17","volume-title":"Sixth European working conditions survey \u2013 Overview report. Publications Office of the European Union","year":"2021"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/1476-511X-5-9","article-title":"Shift working and risk of lipid disorders: a cross-sectional study","volume":"5","author":"Ghiasvand","year":"2006","journal-title":"Lipids Health Dis"},{"key":"ref19","first-page":"875","article-title":"Globalization and health: a framework for analysis and action","author":"Woodwrad","year":"2001","journal-title":"Bull World Health Organ"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1609034\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T04:10:32Z","timestamp":1748232632000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1609034\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,26]]},"references-count":19,"alternative-id":["10.3389\/fpubh.2025.1609034"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1609034","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,26]]},"article-number":"1609034"}}