Intellectual workers’ health and cardiovascular prevention: the results of a standardised preventive examination
Abstract
Aim. To perform a standardised preventive examination in organised collectives of intellectual workers (educational and research institutions), to assess the potential and feasibility of cardiovascular risk assessment unification, with the goal of developing preventive workplace (WP) programmes.
Material and methods. A standardised preventive examination was performed in two organised collectives of intellectual workers (higher education institutions, 234 participants; technical research institute, 265 participants). According to the uniform protocol, questionnaire survey, anthropometry, and measurement of blood pressure (BP), cholesterol (CH) and blood glucose were performed.
Results. Among middle-aged educational and research workers, the WP examination demonstrated high prevalence of increased BP, high levels of total cardiovascular risk and separate risk factors (RFs). Therefore, cardiovascular risk reduction in intellectual workers should be addressed not only by health professionals, but also by rational work organisation and health promotion at WP.
Conclusion. The extended dispanserisation programme in educational and research workers should include simple methods of cardiovascular risk assessment (total risk and separate RFs). This would facilitate the creation of targeted preventive strategies for specific organised collectives of intellectual workers.
About the Authors
A. M. KalininaRussian Federation
Moscow
A. V. Kontsevaya
Russian Federation
Moscow
S. K. Kukushkin
Russian Federation
Moscow
S. V. Belonosova
Russian Federation
Moscow
Yu. M. Pozdnyakov
Russian Federation
Moscow
T. S. Romanenko
Russian Federation
Ivanovo
M. G. Omelyanenko
Russian Federation
Ivanovo
References
1. Приказ МЗ и СР РФ № 188 от 22.03.06 г. “О проведении дополнительной диспансеризации граждан, работающих в государственных и муниципальных учреждениях сферы образования, здравоохранения, социальной защиты, культуры, физической культуры и спорта и в научно-исследовательских учреждениях”.
2. WHO. Economic Consequences of Noncommunicable Diseases and Injuries in the Russian Federation (M. Suhrcke, L. Rocco, M. McKee, S. Mazzuco, Dieter Urban and Alfred Steinherr). WHO 2007; 89 p.
3. Клинические рекомендации Европейского общества кардиологов-2007. Москва “МЕДИ Экспо” 2008; 186с.
4. Гайнулин Ш.М. Факторы риска и эффективность целевой диспансеризации по раннему выявлению сердечно-сосудистых заболеваний среди населения г. Москвы в возрасте 35-55 лет. (популяционное исследование). Автореф дисс докт мед наук. Москва 2006.
5. Shea S, Basch C. A review of five major community-based cardiovascular disease prevention programs. Am J Health Promotion 1990; 4: 203-13.
6. Bankhead CR, Brett J, Bukach C. The impact of screening on future health-promoting behaviours and health beliefs: systemic review. Health technology assessment 2003; 7: 42.
7. Hanlon P, McEwen J, Carey L, et al. Health checks and coronary risk; further evidence from a randomized controlled trial. Br Medical J 1995; 311: 1609-13.
8. Gritz ER, Thompson B, Emmons K, et al. Gender differences among smokers and quitters in the Working Well trial. Prev Med 1998; 27:553-61.
9. Олейникова Н.В. Многофакторная профилактика артериальной гипертонии в коллективе педагогов средних общеобразовательных школ. Автореф диссер канд мед наук. Москва 2007.
10. Kristal AR, Glanz K, Tilley BC, Li SH. Mediating factors in dietary change: understanding the impact of a worksite nutrition intervention. Health Educ Behav 2000; 27: 112-25.
11. Glasgow RE, Terborg JR, Hollis JF, et al. Take Heart: results from the initial phase of work-site Wellness Program. Am J Public Health 1995; 85: 209-16.
12. Stoate HG. Can health screening damage your health? J Royal Coll Gen Pract 1989; 39: 193-5.
13. Оганов Р.Г., Калинина А.М., Поздняков Ю.М. Профилактическая кардиология (руководство для врачей). Москва “Меdia|77” 2007; 198-209, 213 с.
14. Rose G. The diagnosis of ischaemic heart pain and intermittent claudication in field surveys. Bull WHO 1962; 27: 645-58.
Review
For citations:
Kalinina A.M., Kontsevaya A.V., Kukushkin S.K., Belonosova S.V., Pozdnyakov Yu.M., Romanenko T.S., Omelyanenko M.G. Intellectual workers’ health and cardiovascular prevention: the results of a standardised preventive examination. Cardiovascular Therapy and Prevention. 2009;8(7):10-16. (In Russ.)