Cardiovascular risk factors among Polish employees of uniformed services.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-11-27 Epub Date: 2023-11-14 DOI:10.13075/ijomeh.1896.02205

Bartosz G Trzeciak, Waldemar Kowalczyk, Szymon Grymek, Piotr Gutknecht, Janusz Siebert

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引用次数: 0

Abstract

Objectives: Employees of uniformed services (EoUS) were screened for cardiovascular risk factors.

Material and methods: A total of 1138 EoUS (age M±SD 49.9±6.0 years) and 263 controls (age M±SD 54.4±9.7 years) under the care of the cardiology clinic in Gdańsk, Poland, were included in the study. Medical history and blood samples were collected, and a physical examination was performed. Ten-year cardiovascular risk of death was calculated using the systematic coronary risk evaluation (SCORE) risk algorithm for high-risk countries.

Results: Significantly higher values of mean systolic and mean diastolic blood pressure, mean total cholesterol level and mean BMI were recorded among the EoUS compared to controls (M±SD 141.7±11.6 mm Hg vs. 135.5±11.0 mm Hg, p < 0.001; 90.1±5.9 mm Hg vs. 84.5±6.8 mm Hg, p < 0.001; 6.01±0.76 mmol vs. 5.44±0.87 mmol, p < 0.001; 29.3±4.7 vs. 29.0±4.1, p < 0.001, respectively). Smoking cigarettes was most frequently reported by the youngest group (20-39 years old) - 47.7% and it was significantly higher in the entire EoUS group compared to control group (35.5% vs. 16.7%, p = 0.001). The occurrence of observed risk factors (blood pressure ≥140/90 mm Hg, total cholesterol concentration >5 mmol, smoking,) was significantly higher among EoUS compared to controls (92.1% vs. 57.8%, p < 0.001; 89.0% vs. 66.9%, p < 0.001; 35.5% vs. 16.7%, p < 0.001, respectively). In the male group, the mean calculated ten-year risk of fatal cardiovascular events, the percentage of high calculated risk, and very high risk were higher in the EoUS group compared to controls (M±SD 4.44±3.49 vs. 4.23±3.86, p = 0.001; 23.7% vs. 20.2%, p = 0.007; 7.4% vs. 6.5%, p = 0.03, respectively).

Conclusions: The prevalence of all identified risk factors was found to be higher among employees of uniformed services when compared to the control group. The presence of these risk factors within the population of uniformed service employees results in a greater risk of mortality from cardiovascular diseases. Int J Occup Med Environ Health. 2023;36(5):656-71.

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军警部门波兰雇员的心血管危险因素

目的:对军警人员(ous)进行心血管危险因素筛查。材料与方法:在波兰Gdańsk心脏病科门诊共纳入1138例患者(年龄M±SD 49.9±6.0岁)和263例对照组患者(年龄M±SD 54.4±9.7岁)。收集病史和血液样本，并进行体格检查。使用系统性冠状动脉风险评估(SCORE)风险算法计算高风险国家10年心血管死亡风险。结果:实验组的平均收缩压和平均舒张压、平均总胆固醇水平和平均BMI均显著高于对照组(M±SD 141.7±11.6 mm Hg vs 135.5±11.0 mm Hg, p < 0.001;90.1±5.9 mm Hg vs 84.5±6.8 mm Hg, p < 0.001;6.01±0.76 mmol vs. 5.44±0.87 mmol, p < 0.001;29.3±4.7 vs. 29.0±4.1,p < 0.001)。最年轻的年龄组(20-39岁)吸烟最常见，为47.7%，整个ae组的吸烟率明显高于对照组(35.5%比16.7%，p = 0.001)。观察到的危险因素(血压≥140/90 mm Hg、总胆固醇浓度bb0.5 mmol、吸烟)的发生率显著高于对照组(92.1% vs. 57.8%， p < 0.001;89.0% vs. 66.9%， p < 0.001;35.5% vs. 16.7%， p < 0.001)。男性组致命性心血管事件的平均计算10年风险、高计算风险百分比和极高计算风险百分比均高于对照组(M±SD 4.44±3.49比4.23±3.86,p = 0.001;23.7% vs. 20.2%， p = 0.007;7.4% vs. 6.5%， p = 0.03)。结论:与对照组相比，制服服务员工中所有确定的危险因素的患病率较高。这些风险因素在军警人员中存在，导致心血管疾病死亡的风险更大。中华医学杂志，2009;36(5)。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.