Coronary heart disease risk factors among academic workers based on the Jakarta Cardiovascular Score: A cross-sectional study.

Narra J Pub Date : 2023-08-01 Epub Date: 2023-07-12 DOI:10.52225/narra.v3i2.162
Harvina Sawitri, Nora Maulina
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Abstract

Change in lifestyle leads to change in disease patterns from infectious diseases and malnutrition to degenerative diseases, such as coronary heart disease (CHD). The increasing prevalence of cardiovascular diseases among Indonesian workers and the general public will not only burden medical care expenses but also reduce work productivity, leading to more work-related injuries and work-related losses. The aim of this study was to determine the risk factors for CHD (age, sex, blood pressure, smoking, diabetes mellitus, body mass index, and weekly physical activity) and the CHD risk level among university workers. A cross-sectional study was conducted at workers at School of Medicine, Universitas Malikussaleh, Lhokseumawe, Indonesia. The risk level of CHD was calculated using Jakarta Cardiovascular Score and predicting model analyzed with multiple logistic regression model. Our data found that 58.2%, 25.5% and 16.3% of the university workers had low-, medium- and high-risk to have CHD. The final model indicted that the risk of heart disease was determined by gender, age, and the presence of hypertension and diabetes mellitus. Being male had odds ratio (OR) 30.84, aged >41 years old had OR 11.52, having hypertension had OR 4.87 and having diabetes mellitus had OR 13.99 for having high risk of CHD compared to female, those younger than 41 years old, having no hypertension and having no diabetes mellitus, respectively. In conclusion, our data suggests that more than 15% the respondents (university employees) have high risk of CHD and being male and older, and having hypertension and diabetes mellitus are associated with risk of CHD. Implantation of the preventive measures is therefore important to be implemented at the universities.

基于雅加达心血管评分的学术工作者冠心病风险因素:横断面研究
生活方式的改变导致疾病模式的改变,从传染病和营养不良转变为退化性疾病,如冠心病(CHD)。心血管疾病在印尼工人和公众中的发病率不断上升,不仅会加重医疗费用负担,还会降低工作效率,导致更多工伤和与工作相关的损失。本研究的目的是确定大学职工的心血管疾病风险因素(年龄、性别、血压、吸烟、糖尿病、体重指数和每周体育锻炼)和心血管疾病风险水平。这项横断面研究的对象是印度尼西亚洛克苏马韦市马利库萨雷大学医学院的工作人员。研究人员使用雅加达心血管评分计算了患冠心病的风险水平,并使用多元逻辑回归模型对预测模型进行了分析。我们的数据发现,58.2%、25.5% 和 16.3% 的大学工作人员患有冠心病的风险分别为低、中和高。最终模型显示,患心脏病的风险取决于性别、年龄、是否患有高血压和糖尿病。与女性、年龄小于 41 岁、无高血压和无糖尿病相比,男性患冠心病的高风险几率比(OR)为 30.84,年龄大于 41 岁的几率比(OR)为 11.52,患有高血压的几率比(OR)为 4.87,患有糖尿病的几率比(OR)为 13.99。总之,我们的数据表明,超过 15%的受访者(大学员工)有罹患冠心病的高风险,而男性、年龄较大、患有高血压和糖尿病与罹患冠心病的风险有关。因此,在大学实施预防措施非常重要。
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