| Autor: |
Zhidkova EA; Central Directorate of Healthcare-Branch of Joint Stock Company 'Russian Railways,' Moscow, Russia.; 'Moscow State Medical and Dental University named after A. I. Evdokimov' Ministry of Health of the Russian Federation, Moscow, Russia., Shlipakov SV; Joint Stock Company 'NPP System Technologies,' Saint Petersburg, Russia., Zaborova VA; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.; Moscow Institute of Physics and Technology (National Research University), Moscow Region, Russia., Krikheli NI; 'Moscow State Medical and Dental University named after A. I. Evdokimov' Ministry of Health of the Russian Federation, Moscow, Russia., Drapkina OM; State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation, Moscow, Russia., Barnard RT; School of Chemistry and Molecular Biosciences, The University of Queensland, Brisbane, Queensland, Australia., Gurevich KG; 'Moscow State Medical and Dental University named after A. I. Evdokimov' Ministry of Health of the Russian Federation, Moscow, Russia.; Research Institute of Health Organization and Medical Management of the Department of Health of the City of Moscow, Moscow, Russia. |
| Abstrakt: |
Heart diseases are the most common non-communicable diseases worldwide. We examined the prevalence of risk factors for heart disease among a sub-population of working men. In total, 11,059 railway crew workers of the Russian Railways Company were included in the study. We also asked participants to answer several questions based on the WHO STEPwise approach to surveillance (STEPS) translated into Russian. Only 30% of drivers had normal body mass index (BMI), whereas 70% were overweight or obese. In 12% of subjects, total cholesterol was higher than 5 mmol/L. In 15% of participants, glucose level was higher than 5.5 mmol/L. 38% of drivers reported smoking. Physical inactivity was registered in 54% of persons. Only 29% ate according to the key principles of good diet quality. 24% of respondents had a family history of heart disease. MANOVA demonstrated that BMI was determined by age, profession, smoking, physical inactivity, and diet quality. As age increased, the number of people with normal cholesterol levels decreased. It was demonstrated that a correlation existed between glucose levels and BMI. In the total group, the correlation was 0.46 ( p < .05). The correlation between those parameters increased due to age, from 0.33 in the <30 years of age group up to 0.52 in the >50 years of age group. This study demonstrated that there is a high prevalence of risk factors for heart disease in train drivers in the Russian Federation. |
