Workplace programme of cardiovascular prevention: clinical effectiveness

Aim. To develop, test and evaluate the workplace (wp) programme of multifactorial prevention of cardiovascular disease (CVD). Material and methods. In a technical research institute, with 523 employees, a complex programme of CVD prevention was introduced, including preventive examination, preventive intervention, and clinical effectiveness monitoring. Preventive examination included complex assessment of CVD and CVD risk factors (RFs) (response rate 89,5 %). Preventive intervention, developed with consideration of CVD prevention demand, was performed in the intervention group (IG). The control group (CG) was formed according to “case-control” principle. In clinical effectiveness analysis, the dynamics of blood pressure (BP), total cholesterol (TC), psycho-emotional RFs, and SCORE-calculated CVD risk was assessed. Results. Preventive examination demonstrated high prevalence of arterial hypertension (AH), metabolic and psycho-emotional RFs at wp, together with high interest in RF correction. Preventive intervention resulted in a significant reduction in systolic BP (SBP) — by 9 mm Hg, in diastolic BP (DBP) — by 9,7 mm Hg, in TC — by 0,7 mmol/l, and also in SCORE-calculated CVD risk — from 3,8 % to 3,0 %. Conclusion. Complex CVD prevention at wp was associated with substantial beneficial effects within first 12 months.

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