Evaluation of Fitness Levels and Associated Factors among Public Health Pharmacy Staff in Perlis.

Authors

  • Soo Pei Pei Pharmaceutical Services Division, State Health Department of Perlis, Malaysia.
  • Muhammad Hassan Fikry Saiful Hilmi Hadad Pharmacy Unit, Kangar Health Clinic, Jalan Kolam, 01000 Kangar, Perlis, Malaysia
  • Shaleni Murugiah Pharmacy Unit, Kangar Health Clinic, Jalan Kolam, 01000 Kangar, Perlis, Malaysia
  • Nurulaishah Mohmmad Pharmacy Unit, Kangar Health Clinic, Jalan Kolam, 01000 Kangar, Perlis, Malaysia
  • Ng Yit Han Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.70672/3yfn4383

Keywords:

Cardiovascular endurance, healthcare workers, muscle endurance, muscle strength, physical fitness.

Abstract

Background: Maintaining good fitness levels is vital for healthcare workers due to the physical and mental demands of their roles. This study assessed the fitness levels of pharmacy staff at public health clinics in Perlis and explored associated factors. Methods: A cross-sectional study was conducted from April to June 2024 among pharmacy staff in 13 public health facilities in Perlis. Data on sociodemographic characteristics, fitness levels (cardiovascular endurance, muscle strength, and muscle endurance), and mental health symptoms were collected using an English-language questionnaire and analysed with SPSS version 25.0. Results: Of the 72 participants (mean age 36.3 years, SD=7.04), most were Malay (95.8%), female (77.8%), and married (70.8%). Obesity (BMI ≥30 kg/m²) was present in 11 participants (15.3%). Cardiovascular endurance was rated average or above in 87.5% of participants, muscle strength in 55.6%, and muscle endurance in 73.6%. Overall, 37.5% were classified as physically fit. Exercising four to five times per week significantly increased the likelihood of being physically fit compared to those who did not exercise (AOR=17.29, p=0.030). Conclusion: A considerable proportion of pharmacy staff were not classified as physically fit, highlighting the need for targeted interventions. Regular exercise, particularly four to five times per week, was strongly associated with improved fitness levels.

References

[1]. World Health Organization. Physical activity. WHO. 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/physical-activity

[2]. Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32(5):541-56. https://doi.org/10.1097/HCO.0000000000000437

[3]. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126-31. https://pubmed.ncbi.nlm.nih.gov/3920711/

[4]. Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-59. https://doi.org/10.1249/MSS.0b013e318213fefb

[5]. Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008;9(1):58-65. https://doi.org/10.1038/nrn2298

[6]. Togashi, K., Nakashima, T., & Sato, K.. The influence of physical fitness on work-related injuries and performance in healthcare workers. Journal of Occupational Health. 2016;58(5), 379-384. https://doi:10.1539/joh.16-0196-OA

[7]. Stults-Kolehmainen MA, Sinha R. The effects of stress on physical activity and exercise. Sports medicine. 2014;44:81-121. https://doi:10.1007/s40279-013-0090-5

[8]. Magnavita N, Garbarino S. Sleep, health and wellness at work: A scoping review. Int J Environ Res Public Health. 2017;14(11):1347. https://doi.org/10.3390/ijerph14111347

[9]. Jakobsen MD, Sundstrup E, Brandt M, Jay K, Aagaard P, Andersen LL. Physical exercise at the workplace prevents deterioration of work ability among healthcare workers: cluster randomized controlled trial. BMC public health. 2015;15:1-9. https://doi:10.1186/s12889015-2448-0

[10]. Abu Saad H, Abdullah N, Mohd Nor NA, et al. Level of Physical Activity and Its Associated Factors among Primary Healthcare Workers in Perak, Malaysia. Int J Environ Res Public Health. 2020 Aug 16;17(16):5947. https://doi:10.3390/ijerph17165947

[11]. Kit LP, Abu Saad HA, Jamaluddin R, Phing CH. Prevalence of overweight and obesity among primary healthcare workers in Perak, Malaysia. IIUM Med J Malaysia. 2020 Nov 4;19(1):1327. https://doi:10.31436/imjm.v19i1.1327

[12]. Kunyahamu MS, Daud A, Jusoh N. Obesity among Health-Care Workers: Which Occupations Are at Higher Risk of Being Obese? International Journal of Environmental Research and Public Health [Internet]. 2021; 20;18(8):4381. https://doi.org/10.3390/ijerph18084381

[13]. Soleimani E, Tahmasebi R, Daneshmandi H, Salimi SH, Aliasghari F. Work-life balance and health among pharmacists: physical activity, sleep quality, and general health. BMC Health Services Research. 2024. 11;24(1):1217. https://doi.org/10.1186/s12913-024-11701-w

[14]. Edem MJ, Akpan EU, Pepple NM. Impact of workplace environment on health workers. Occup Med Health Aff. 2017 Jul;5(2):1-5. https://doi.10.4172/2329-6879.1000261

[15]. Oberg EB, Frank E. Physicians' health practices strongly influence patient health practices. The journal of the Royal College of Physicians of Edinburgh. 2009;39(4):290. https://doi: 10.4997/JRCPE.2009.42

[16]. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney: Psychology Foundation; 1995. https://doi.org/10.1037/t01004-000

[17]. Golding LA. YMCA Fitness Testing and Assessment Manual. 4th ed. Champaign: Human Kinetics; 2000.

[18]. Garberr CE, Blissmeer B, Descheness MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults. Med Sci Sports Exerc. 2011;43(7):1334-59. https://doi.org/10.1249/MSS.0b013e318213fefb

[19]. American Council on Exercise (ACE). ACE Personal Trainer Manual. 5th ed. San Diego: American Council on Exercise; 2014.

[20]. SPSS Inc. SPSS Statistics for Windows, Version 25.0. Armonk (NY): IBM Corp.; 2017.

[21]. Hosmer D, Lemeshow S. Applied logistic regression. 3rd ed. New York (NY): Wiley; 2013.

[22]. Cohen C, Pignata S, Bezak E, Tie M, Childs J. Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. BMJ Open. 2023;13(6):e071203. https://doi.org/10.1136/bmjopen-2022-071203

[23]. Wannamethee SG, Shaper AG, Whincup PH. Modifiable lifestyle factors and the metabolic syndrome in older men: effects of lifestyle changes. Journal of the American Geriatrics Society. 2006 ;54(12):1909-14. https://doi.10.1111/j.1532-5415.2006.00974.x

[24]. Warburton DER, Bredin SSD. Health Benefits of Physical activity: a Systematic Review of Current Systematic Reviews. Curr Opin Cardiol. 201;32(5):541–56. https://doi:10.1097/HCO.0000000000000437

[25]. Pinckard K, Baskin KK, Stanford KI. Effects of Exercise to Improve Cardiovascular Health. Frontiers in Cardiovascular Medicine [Internet]. 2019 Jun 4;6(69). Available from: https://doi.org/10.3389/fcvm.2019.00069

[26]. Abu Saad H, Low PK, Jamaluddin R, Chee HP. Level of physical activity and its associated factors among primary healthcare workers in Perak, Malaysia. International journal of environmental research and public health. 2020;17(16):5947. https://doi: 10.3390/ijerph17165947

[27]. Kua Z, Hamzah F, Tan PT, Ong LJ, Tan B, Huang Z. Physical activity levels and mental health burden of healthcare workers during COVID‐19 lockdown. Stress and Health. 2022 Feb;38(1):171-9. https://doi. 10.1002/smi.3078 [27]. Salgado de Snyder VN, Villatoro AP, McDaniel MD, Ocegueda AS, Garcia D, Parra-Medina D. Occupational stress and mental health among healthcare workers serving socially vulnerable populations during the COVID-19 pandemic. Frontiers in public health. 2021 9;9:782846. https://doi.10.3389/fpubh.2021.782846

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Published

31-10-2025

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Original Articles

How to Cite

Soo Pei Pei, Muhammad Hassan Fikry Saiful Hilmi Hadad, Shaleni Murugiah, Nurulaishah Mohmmad, & Ng Yit Han. (2025). Evaluation of Fitness Levels and Associated Factors among Public Health Pharmacy Staff in Perlis. Asian Journal of Medicine & Health Sciences, 8(2). https://doi.org/10.70672/3yfn4383