Which health professionals are most at risk for cardiovascular disease? Or do not be a manager
| Autor: | Michaela Kribska, Markéta Kaletová, Eliška Sovová, Markéta Sovová, Lenka Radová, Marie Nakládalová |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent event lcsh:Medicine Disease Shift work Occupational medicine Physician Executives Young Adult Sex Factors Nursing Risk Factors Health care medicine Humans Longitudinal Studies Obesity hospital employees Aged Health professionals business.industry cardiovascular Incidence (epidemiology) Incidence lcsh:R Health condition Public Health Environmental and Occupational Health General Medicine Middle Aged Occupational Diseases Personnel Hospital Physical stress Cardiovascular Diseases Family medicine Female business |
| Zdroj: | International Journal of Occupational Medicine and Environmental Health, Vol 27, Iss 1, Pp 71-77 (2014) |
| ISSN: | 1896-494X |
| Popis: | Objectives: Health care workers constitute a high-risk occupational category owing to the character of their work that includes high-risk environment, shift work and mental as well as physical stress. In occupational medicine, caring for their health condition should be a priority and include measures aimed at preventing cardiovascular diseases. The study aimed at determining the prevalence of cardiovascular disease (CVD) risk factors in employees of a large hospital and assessing their effect on the incidence of cardiovascular events. Materials and Methods: The group comprised 3124 employees with a mean age of 36.1 years (SD = 11.4), out of whom 562 were males (mean age of 37.1 years, range: 18-72; SD = 12.26) and 2562 were females (mean age of 35.9 years, range: 18-68; SD = 11.24). At their initial examination, the employees filled in a questionnaire on basic CVD risk factors (according to valid recommendations). This was supplemented with objective data to determine the risk of CVD using valid charts. From this group, a subset of persons at a high or intermediate risk was selected, comprising 247 individuals with a mean age of 54.1 years (SD = 5.73). After 5-9 years (mean 7.24±1.38 years), they either underwent another examination or their health status was ascertained by phone or in a computer database. The end point was the incidence of cardiovascular events (sudden death, acute myocardial infarction, unstable angina pectoris, percutaneous coronary intervention, cardiac failure, stroke or transient ischemic attack). Results: The end point was noted in a total of 15 males (6.07%) and 6 females (2.42%), being statistically significantly present in managers (males p < 0.00007, females p < 0.00001), male physicians/surgeons (p < 0.025), tertiary-educated males (p < 0.0095), female smokers (p < 0.015), male ex-smokers (p < 0.007), overweight or obese males (p < 0.02) and those with the waist-to-hip ratio above 1.0 (p < 0.005). Conclusions: Cardiovascular events are most likely to occur in obese male physicians/surgeons holding managerial positions and in female managers. |
| Databáze: | OpenAIRE |
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