4.1 Article

EVALUATION OF SELECTED RISK FACTORS FOR CARDIOVASCULAR DISEASES AND DIABETES AS A BACKGROUND FOR THE PREVENTION PROGRAM IN OCCUPATIONAL HEALTHCARE

Publisher

NOFER INST OCCUPATIONAL MEDICINE, POLAND
DOI: 10.13075/ijomeh.1896.01531

Keywords

occupational medicine; health promotion at the workplace; occupational health system; risk factors of civilization diseases; Systemic Coronary Risk Evaluation; health of the working-age population

Funding

  1. Nofer Institute of Occupational Medicine in Lodz [12.10]
  2. National Health Program [6/4/2.1.2/NPZ/2016/312/1656]

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This study evaluated the health condition of workers in a Polish research and medical institution and proposed preventive measures for civilization diseases. Women and individuals with university education were the majority of participants. The study found that work stress and unhealthy habits were important factors contributing to health problems.
Objectives: Cardiovascular and metabolic disorders constitute major health problems in the working populations in Europe. The aim of this project was to evaluate the health condition of workers employed in a Polish research and medical institution, and then to establish the necessary preventive actions by creating a modern model of occupational healthcare integrated with civilization disease (CivD) prevention. Material and Methods: Overall, 100 workers voluntarily participated in a health program for CivD prevention during mandatory prophylactic examinations. Data from these examinations was collected in a system of electronic documentation to enable the analysis of the workers' health condition and risk factors of CivDs. Results: Women accounted for 72% of the employees who voluntarily participated in the prevention program, and 80% of the subjects had university education. As regards the health condition, 27% of the patients had elevated systolic, and 23% diastolic, blood pressure, and 21% had an abnormal fasting glucose level. Stressful job was an important factor correlated with an excessive body mass index, diastolic blood pressure, as well as total and low-density lipoprotein cholesterol levels. Smoking, sedentary work and a lack of physical activity were significant factors for abdominal obesity. Generally, 94% of the program participants required some further interventions in lifestyle, diagnostics or treatment. Conclusions: Civilization disease prevention should focus on increasing physical activity both in leisure time and at the workplace as far as practicable. There is a need for implementing projects leading to occupational stress reduction and smoking cessation. Men as well as workers with vocational and elementary education need to be recruited for prevention programs dedicated to employees.

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