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    Tytuł:
    Relationship between occupational stress and cardiovascular diseases risk factors in drivers
    Autorzy:
    Biglari, Hamed
    Ebrahimi, Mohammad H.
    Salehi, Maryam
    Poursadeghiyan, Mohsen
    Ahmadnezhad, Iman
    Abbasi, Milad
    Powiązania:
    https://bibliotekanauki.pl/articles/2168373.pdf
    Data publikacji:
    2016-11-18
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    risk factors
    cardiovascular diseases
    occupational stress
    Osipow
    drivers
    cardiovascular risk factors
    Opis:
    Objectives Of all work stressors, occupational stress is the leading cause of many disorders among workers. Drivers are classified as a high risk group for work related stress. This study set out to determine the relationship between risk factors of cardiovascular diseases and occupational stress among drivers. Material and Methods Two hundred and twenty two Ilam’s intercity drivers were selected for the study. For measuring work stress, the Osipow work stress questionnaire was used. After a 10-h fasting period, systolic and diastolic blood pressure was recorded. Intravenous blood samples were taken to determine cholesterol, triglyceride and blood glucose levels. The independent samples t-test and Pearson’s correlation test were used to assess the relationship between variables and occupational stress. Results Seventy-one percent of the intercity drivers suffered from average to acute stress, and 3.1% of them suffered from acute stress. There was no significant relationship between occupational stress and diastolic blood pressure (p = 0.254) among the drivers. Nevertheless, the Pearson’s correlation test demonstrated a strong relationship between work stress and blood glucose (p < 0.01), while no strong correlation was found for blood triglycerides and cholesterol levels. Conclusions Based on the results, high rates of occupational stress were observed in the Ilam’s intercity drivers. Occupational stress may have effect on blood glucose levels but the results did not suggest a considerable relationship between risk factors of cardiovascular diseases and occupational stress among intercity drivers. Int J Occup Med Environ Health 2016;29(6):895–901
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2016, 29, 6; 895-901
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Association between job strain (high demand-low control) and cardiovascular disease risk factors among petrochemical industry workers
    Autorzy:
    Poorabdian, Siamak
    Mirlohi, Amir H.
    Habibi, Ehsan
    Shakerian, Mahnaz
    Powiązania:
    https://bibliotekanauki.pl/articles/2179129.pdf
    Data publikacji:
    2013-08-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    job demand
    job control
    job strain
    cardiovascular risk factors
    Opis:
    Objective: One of the practical models for assessment of stressful working conditions due to job strain is "job demand and control" or Karasek's job strain model. This model explains how adverse physical and psychological effects including cardiovascular disease risk factors can be established due to high work demand. The aim was to investigate how certain cardiovascular risk factors including body mass index (BMI), heart rate, blood pressure, serum total cholesterol levels, and cigarette smoking are associated with job demand and control in workers. Materials and Methods: In this cohort study, 500 subjects completed "job demand and control" questionnaires. Factor analysis method was used in order to specify the most important "job demand and control" questions. Health check-up records of the workers were applied to extract data about cardiovascular disease risk factors. Ultimately, hypothesis testing, based on Eta, was used to assess the relationship between separated working groups and cardiovascular risk factors (hypertension and serum total cholesterol level). Results: A significant relationship was found between the job demand-control model and cardiovascular risk factors. In terms of chisquared test results, the highest value was assessed for heart rate (Chi² = 145.078). The corresponding results for smoking and BMI were Chi² = 85.652 and Chi² = 30.941, respectively. Subsequently, Eta result for total cholesterol was 0.469, followed by hypertension equaling 0.684. Moreover, there was a significant difference between cardiovascular risk factors and job demand-control profiles among different working groups including the operational group, repairing group and servicing group. Conclusion: Job control and demand are significantly related to heart disease risk factors including hypertension, hyperlipidemia, and cigarette smoking.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2013, 26, 4; 555-562
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Effect of regular physical activity on non-lipid (novel) cardiovascular risk factors
    Autorzy:
    Naghii, Mohammad R.
    Aref, Mraryam A.
    Almadadi, Mehdi
    Hedayati, Mehdi
    Powiązania:
    https://bibliotekanauki.pl/articles/2185376.pdf
    Data publikacji:
    2011-12-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    physical activity
    non-lipid cardiovascular risk factors
    cytokines
    military personnel
    Opis:
    Objectives: Cardiovascular — coronary heart disease, causing heart attack and heart failure is a leading cause of disability and death worldwide. The most important risk factors for CVD are well-established and physical activity has long been considered the cornerstone of interventions and has shown extremely important in reducing the burden of this disease. The aim of this study was to examine the association between activity and inactivity and non-lipid CVD risk factors in healthy military recruits. Materials and Methods: Selected hormones and variables such as testosterone, free testosterone, Vitamin D, homocysteine, folic acid, with the inflammatory cytokines such as hsCRP, TNF-α and IL-6 were assessed in two groups (active = 50, inactive = 50), randomly matched by a questionnaire. Relationships between some measured variables and CVD risk factors were determined using simple correlation procedures. Results: Physically active subjects had signifi cantly lower results of homocysteine (14.3±1.9 vs. 16.5±3.7, p < 0.000) and interleukin-6 (2.9.±5.3 vs. 6±8.2, p < 0.025) and tended to have a nearly signifi cantly higher free testosterone level (13.1±7.1 vs. 11±5.3, p = 0.08). Signifi cant correlations were found between BMI, WC, tHcy, and the corresponding risk factors; and also between hsCRP and IL-6, as well as TT and FT. Conclusions: Reducing the risk factors of developing CVD events such as homocysteine and interleukin-6, together with increasing free testosterone and signifi cantly preventing its progression, clearly serve to underscore the benefi cial properties of physical activity and to promote its effectiveness as a support means for healthier lifestyles in the community and, particularly, among military personnel.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2011, 24, 4; 380-390
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Health status of long-term sick leave and working female teachers in Germany: A cross-sectional study
    Autorzy:
    Brütting, Julia
    Druschke, Diana
    Spitzer, Silvia
    Seibt, Reingard
    Powiązania:
    https://bibliotekanauki.pl/articles/2161789.pdf
    Data publikacji:
    2017-11-03
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    Mental Health
    sickness absence
    cardiovascular risk factors
    teacher
    disease burden
    cardiovascular health
    Opis:
    Objectives: Limited research on the health situation of teachers on long-term sick leave is available. The aim of this study has been to describe the health status of female teachers on long-term sick leave (LSFT) in comparison to working female teachers (WFT) and to determine predictors for their state of mental health (MH) and cardiovascular fitness (CF). Material and Methods: Twenty-eight LSFT and 300 WFT (average age: 53±5 years old) participated in a screening diagnostic inventory. Mental health, CF, blood pressure (BP), body mass index (BMI), body fat mass (BFM), health behavior (smoking, alcohol intake, physical activity) and disease burden (DB – number of medical diagnoses) were analyzed for the purpose of characterization of the health status. The multiple linear regression analysis was performed to identify predictors for the state of MH and CF. Results: Adverse values for the MH but also for CF, BFM and the DB (median of medical diagnoses: LSFT: 5; WFT: 2) among the LSFT in comparison to the WFT were confirmed. Additionally, the part of smokers among LSFT (25%) was higher (WFT: 8%). In contrast, the WFT (61%) were much more affected by an elevated BP (LSFT: 26%). Disease burden proved as the strongest predictor for MH of the female teachers. Age, BMI and DB proved as predictors for CF. Conclusions: Health-related differences between long-term sick leave and working teachers were particularized and a link between physical and mental health among teachers was quantified. Therefore, health-related concepts for teachers should equally focus on physical and psychological aspects. The relevance of regular well-structured occupational health check-ups should be brought to the attention of the profession to prevent diseases and early retirements. Int J Occup Med Environ Health 2018;31(2):227–242
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2018, 31, 2; 227-242
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Cardiovascular risk factors determined via the Internet in 2 periods of time: 2004–2009 and 2010–2015 in Poland
    Autorzy:
    Trzeciak, Bartosz G.
    Siebert, Janusz
    Gutknecht, Piotr
    Molisz, Andrzej
    Filipiak, Krzysztof J.
    Wożakowska-Kapłon, Beata
    Powiązania:
    https://bibliotekanauki.pl/articles/2161872.pdf
    Data publikacji:
    2017-05-08
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    cardiovascular risk factors
    SCORE
    diabetes prevalence
    coronary artery disease prevalence
    medical website
    global risk
    Opis:
    Objectives Web information systems may serve as a diagnostic tool for the Internet users and they also support the epidemiological work of doctors and health care providers. As part of this study, a system has been created for detecting and calculating cardiovascular risk. The aim of this study has been the comparison of cardiovascular risk factors and calculated fatal cardiovascular risk in 2 periods of time: 2004–2009 and 2010–2015 in Poland, as determined via the Internet. Material and Methods The “Ryzyko program” (“Risk program”) is available on the website of the Medical University of Gdańsk. To assess the cardiovascular death risk in a 10-year period, the algorithm of the SCORE (Systematic Coronary Risk Evaluation) project was used and 30 402 results of the algorithm have been analyzed. Results Over 30 402 webpage visitors entered the required data and received the outcome. More than 78% of the Internet users who had entered the data, received a recommendation for medical check-up. Significant differences between the data collected in 2004– 2009 and 2010–2015 were noticed. Hypercholesterolemia prevalence (67.3% vs. 70.8%; p < 0.001), mean total cholesterol concentration in blood (5.60±1.65 mml/l vs. 5.66±1.35 mml/l; p < 0.001), prevalence of hypertension (36.6% vs. 35.3%; p = 0.039), mean systolic blood pressure (131.5±20.3 mm Hg vs. 132.6±18.0 mm Hg; p < 0.001), prevalence of declared smoking (30.7% vs. 26.5%; p < 0.001), declared diabetes mellitus (DM) (6.4% vs. 9.7%; p < 0.001), and declared coronary artery disease (CAD) (7.2% vs. 14.1%; p < 0.001), respectively. Conclusions The prevalence of cardiovascular risk factors has changed during the observed period of time. Online automatic gathering of new data by “Ryzyko program” provides up-to-date observations. Int J Occup Med Environ Health 2017;30(3):499–510
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2017, 30, 3; 499-510
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Cardiovascular risk factors among Polish employees of uniformed services
    Autorzy:
    Trzeciak, Bartosz G.
    Kowalczyk, Waldemar
    Grymek, Szymon
    Gutknecht, Piotr
    Siebert, Janusz
    Powiązania:
    https://bibliotekanauki.pl/articles/21375383.pdf
    Data publikacji:
    2023-11-27
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    police officers
    uniformed services
    stress at work
    cardiovascular risk factors
    state fire brigade
    border guards
    Opis:
    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.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2023, 36, 5; 656-671
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Zapobieganie chorobom układu krążenia – program profilaktyczny wdrożony w wybranym przedsiębiorstwie
    Prevention of cardiovascular diseases – Prophylactic program in a selected enterprise
    Autorzy:
    Siedlecka, Jadwiga
    Gadzicka, Elżbieta
    Szyjkowska, Agata
    Siedlecki, Patryk
    Szymczak, Wiesław
    Makowiec-Dąbrowska, Teresa
    Bortkiewicz, Alicja
    Powiązania:
    https://bibliotekanauki.pl/articles/2164005.pdf
    Data publikacji:
    2017-10-17
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    dieta
    stres
    aktywność fizyczna
    palenie tytoniu
    profilaktyka chorób układu krążenia
    czynniki ryzyka chorób sercowo-naczyniowych
    dietary habits
    stress
    physical activity
    smoking
    prevention of cardiovascular disease
    cardiovascular diseases risk factors
    Opis:
    Wstęp Choroby układu krążenia (ChUK), zaliczane do chorób związanych z pracą, są przyczyną 25% niezdolności do pracy i 50% wszystkich zgonów w Polsce, w tym 26,9% zgonów osób przed 65. rokiem życia. Założeniem pracy była analiza oczekiwań pracowników wybranego przedsiębiorstwa odnośnie do działań profilaktycznych ukierunkowanych na ChUK w zależności od płci. Materiał i metody Na potrzeby badania przygotowano ankietę obejmującą dane socjodemograficzne, charakterystykę pracy, czynniki środowiska pracy i pytania dotyczące oczekiwań respondentów odnośnie do planowanego programu profilaktycznego. Grupę badaną stanowiło losowo dobranych 407 pracowników wieloprofilowego przedsiębiorstwa. Średnia wieku badanych wynosiła 46,7 roku (odchylenie standardowe (standard deviation – SD) = 9,1) – 330 mężczyzn (81,1%) o średniej wieku = 46,9 roku (SD = 9,2) i 77 kobiet (18,9%) o średniej wieku = 45,9 roku (SD = 8,2). Badania przeprowadzono z zastosowaniem ankiety audytoryjnej. Wyniki Potrzebę działań w zakresie aktywności fizycznej (korzystanie z siłowni, basenu, sali gimnastycznej, kortu tenisowego) zgłosiło 56,5% badanych, a w zakresie walki z nałogiem palenia (sesje edukacyjne dotyczące zaprzestania palenia) – 24,6%. Niewielki odsetek osób był zainteresowany działaniami dotyczącymi zdrowego żywienia. Według większości badanych zakres badań profilaktycznych powinien być rozszerzony. Na podstawie niniejszych badań i danych z piśmiennictwa przygotowano program profilaktyczny przeznaczony dla przedsiębiorstwa, w którym przeprowadzono badania. Program i wyniki jego ewaluacji będą przedstawione w kolejnej publikacji. Wnioski Na podstawie uzyskanych wyników wykazano istotne ilościowe i jakościowe różnice dotyczące pozazawodowych i zawodowych czynników ryzyka ChUK między grupą kobiet a mężczyzn oraz preferencji dotyczących udziału w programach profilaktycznych. Wyniki wskazują, że przy planowaniu programów profilaktycznych należy uwzględniać różnice wynikające z płci. Med. Pr. 2017;68(6):757–769
    Background In Poland cardiovascular diseases (CVD), classified as work-related diseases, are responsible for 25% of disability and cause 50% of all deaths, including 26.9% of deaths in people aged under 65 years. The aim of the study was to analyze employee expectations regarding CVD- oriented prophylactic activities in the selected enterprise. Material and Methods A questionnaire, developed for this study, consists of: socio-demographic data, job characteristics, occupational factors, and questions about the respondents’ expectations concerning the prevention program. The study group comprised 407 multi-profile company employees aged (mean) 46.7 years (standard deviation (SD) = 9.1), including 330 men (81.1%), mean age = 46.9 (SD = 9.2) and 77 women (18.9%), mean age = 45.9 (SD = 8.2) The study was performed using the method of auditorium survey. Results Employees declared the need for actions related to physical activity: use of gym, swimming pool, tennis (56.5%), smoking habits – education sessions on quitting smoking (24.6%). A few people were interested in activities related to healthy diet. According to the majority of the study group, the scope of preventive examinations should be expanded. Based on our own findings and literature data CVD- -oriented preventive program, addressed to the analyzed enterprise was prepared. The program will be presented in another paper. Conclusions The results showed significant quantitative and qualitative differences in the classic and occupational CVD risk factors between men and women, as well as in preferences for participation in prevention programs. Therefore, gender differences should be taken into account when planning prevention programs. Med Pr 2017;68(6):757–769
    Źródło:
    Medycyna Pracy; 2017, 68, 6; 757-769
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Which health professionals are most at risk for cardiovascular disease? Or do not be a manager
    Autorzy:
    Sovova, Eliska
    Nakladalová, Marie
    Kaletova, Marketa
    Sovova, Marketa
    Radova, Lenka
    Kribska, Michaela
    Powiązania:
    https://bibliotekanauki.pl/articles/2178788.pdf
    Data publikacji:
    2014-03-22
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    cardiovascular
    event
    hospital employees
    risk factors
    Opis:
    Objectives: Health care workers constitute a high-risk occupational category owing to the character of their work that includes high-risk environment, shift work and mental as well as physical stress. In occupational medicine, caring for their health condition should be a priority and include measures aimed at preventing cardiovascular diseases. The study aimed at determining the prevalence of cardiovascular disease (CVD) risk factors in employees of a large hospital and assessing their effect on the incidence of cardiovascular events. Materials and Methods: The group comprised 3124 employees with a mean age of 36.1 years (SD = 11.4), out of whom 562 were males (mean age of 37.1 years, range: 18-72; SD = 12.26) and 2562 were females (mean age of 35.9 years, range: 18-68; SD = 11.24). At their initial examination, the employees filled in a questionnaire on basic CVD risk factors (according to valid recommendations). This was supplemented with objective data to determine the risk of CVD using valid charts. From this group, a subset of persons at a high or intermediate risk was selected, comprising 247 individuals with a mean age of 54.1 years (SD = 5.73). After 5-9 years (mean 7.24±1.38 years), they either underwent another examination or their health status was ascertained by phone or in a computer database. The end point was the incidence of cardiovascular events (sudden death, acute myocardial infarction, unstable angina pectoris, percutaneous coronary intervention, cardiac failure, stroke or transient ischemic attack). Results: The end point was noted in a total of 15 males (6.07%) and 6 females (2.42%), being statistically significantly present in managers (males p < 0.00007, females p < 0.00001), male physicians/surgeons (p < 0.025), tertiary-educated males (p < 0.0095), female smokers (p < 0.015), male ex-smokers (p < 0.007), overweight or obese males (p < 0.02) and those with the waist-to-hip ratio above 1.0 (p < 0.005). Conclusions: Cardiovascular events are most likely to occur in obese male physicians/surgeons holding managerial positions and in female managers.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 1; 71-77
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Czynniki ryzyka chorób układu krążenia (CVD) a stres życiowy i zawodowy u policjantów
    Cardiovascular risk factors and life and occupational stress among policemen
    Autorzy:
    Czaja-Mitura, Izabela
    Merecz-Kot, Dorota
    Szymczak, Wiesław
    Bortkiewicz, Alicja
    Powiązania:
    https://bibliotekanauki.pl/articles/2166766.pdf
    Data publikacji:
    2014-11-03
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    stres zawodowy
    praca zmianowa
    czynniki ryzyka chorób układu krążenia
    nadciśnienie tętnicze
    hypercholesterolemia
    occupational stress
    shift work
    risk factors for cardiovascular disease
    hypertension
    Opis:
    Wprowadzenie: W wielu badaniach wykazano związek między stresem związanym z pracą a czynnikami ryzyka chorób układu krążenia. Tylko nieliczne z nich dotyczyły policjantów. Cel pracy: Celem pracy była ocena związku między stresem ogólnym i zawodowym a funkcjonowaniem układu krążenia u policjantów. Grupa badana: Badania przeprowadzono u 126 policjantów w wieku 37,8±7,3 lat, o średnim stażu pracy: 14,4±7 lat. Metody: Badanie obejmowało: ocenę stanu zdrowia na podstawie badania lekarskiego i wywiadu dotyczącego stwierdzonych chorób, czynników ryzyka i dolegliwości ze strony układu krążenia, nawyków żywieniowych, aktywności fizycznej, używek oraz wywiadu rodzinnego, badania stężenia cholesterolu całkowitego, frakcji HDL (high density lipoprotein - lipoproteina wysokiej gęstości) i LDL (low density lipoprotein - lipoproteina niskiej gęstości), trójglicerydów i glikemii na czczo. Poziom stresu oceniano z zastosowaniem „Kwestionariusza do subiektywnej oceny pracy” i Skali Spostrzeganego Stresu. Wyniki: Nadciśnienie tętnicze w badaniu lekarskim stwierdzono u 36% osób. Dolegliwości w klatce piersiowej zgłaszało 60% osób. Średni wskaźnik masy ciała (body mass index - BMI), stężenie cholesterolu i frakcji LDL było podwyższone (odpowiednio: 22,7±4,1; 222,6±41,7 mg/dl i 142,7±39,7 mg/dl). Średnie stężenie triglicerydów, frakcji HDL i glukozy na czczo w całej grupie było w normie. Poziom stresu ogólnego i zawodowego był wyższy niż w innych grupach zawodowych (wynosił odpowiednio: 34,9±4,8 i 128,0±33,3). W grupie o najwyższym poziomie stresu istotnie więcej było osób z dolegliwościami ze strony układu krążenia (81%), spożywających mocny alkohol co najmniej raz w tygodniu (27%), pracujących w systemie 3-zmianowym (40,5%) i w godzinach nadliczbowych (44%). Wnioski: Wyniki badania wskazują, że policjanci są grupą o wysokim ryzyku sercowo-naczyniowym związanym ze stresem zawodowym. Med. Pr. 2013;64(3):335–348
    Background: Several studies have shown an association between work-related stress and risk factors for cardiovascular disease. However, only a few studies concerned the police. The aim of this study was to assess the relationship between the general and work-related stress, and the functioning of the circulatory system in the police staff. Material and Methods: The study group consisted of 126 policemen (aged 37.8±7.3 years), with average employment duration of 14.4±7 years. The study comprised the assessment of health status based on the medical examination and medical history of identified diseases, cardiovascular risk factors and symptoms, dietary habits, physical activity, intake of drugs, data on the family history, determinations of serum total cholesterol, HDL and LDL fractions, triglycerides, and fasting glycemia. The stress level was assessed using the Questionnaire for the Subjective Assessment of Work and Perceived Stress Scale. Results: On medical examination hypertension was found in 36% of the people under study. Chest discomfort was reported by 60% of the subjects. Average body mass index (BMI), serum cholesterol and LDL were elevated (22.7±4.1, 222.6±41.7 mg/dl and 142.7±39.7 mg/dl, respectively). Mean triglyceride, HDL fraction and fasting glucose levels were normal in the whole group. The levels of general and occupational stress were 34.9±4.8 and 128.0±33.3, respectively, being higher than in other occupational groups. In the group with the highest level of stress, there were significantly more people with circulatory problems (81%), drinking strong alcohol at least once a week (27%), working in a 3-shift system (40.5%) and working overtime (44%). Conclusions: The results show that the police are a group at high risk of developing cardiovascular diseases due to work-related stress. Med Pr 2013;64(3):335–348
    Źródło:
    Medycyna Pracy; 2013, 64, 3; 335-348
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Rzadkie choroby układu krążenia w kontekście opieki profilaktycznej nad pracownikiem
    Rare cardiovascular diseases in the context of occupational health care
    Autorzy:
    Salska, Agata
    Chiżyński, Krzysztof
    Salski, Witold
    Wiszniewska, Marta
    Walusiak-Skorupa, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/2166194.pdf
    Data publikacji:
    2015-02-20
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    praca
    choroby układu krążenia
    tętniak aorty
    kardiomiopatia tako-tsubo
    zespół Brugada
    nagła śmierć sercowa
    occupational risk factors
    cardiovascular risk
    aortic aneurysm
    tako-tsubo cardiomyopathy
    Brugada syndrome
    sudden cardiac death
    Opis:
    Zarówno w Polsce, jak i innych krajach Europy obserwuje się korzystną tendencję zmniejszania chorobowości i umieralności z powodu chorób układu krążenia. Nadal jednak są one jednym z najistotniejszych problemów zdrowotnych w populacji polskiej i europejskiej. Nie tylko bowiem stanowią przyczynę blisko połowy zgonów (w tym przedwczesnych), ale wpływają także na jakość życia pod względem zdrowotnym i społeczno-ekonomicznym poprzez ograniczanie możliwości podjęcia i/lub kontynuowania pracy zawodowej. Choroby układu krążenia coraz częściej dotyczą osób młodych i aktywnych zawodowo, których aktywność zawodowa, organizacja pracy oraz narażenie na szkodliwe i uciążliwe warunki środowiska pracy mogą z kolei istotnie wpływać na rozwój i przebieg chorób układu krążenia. Celem pracy jest prezentacja opublikowanych danych dotyczących związku rzadszych chorób i patologii układu krążenia z pracą zawodową, a także tych chorób i patologii, których związek z wykonywanym zawodem nie został udokumentowany w sposób pewny, ale które mogą mieć znaczenie w ochronie zdrowia osób pracujących. Omówiono m.in. kardiomiopatię tako-tsubo, tętniaka aorty, rozwarstwienie aorty, tamponadę osierdzia, zespół Brugadów i nagłą śmierć sercową. Oprócz tego w artykule zasygnalizowano nowe zagadnienia, pojawiające się wraz z rozwojem nowoczesnych technik diagnostycznych i terapeutycznych w kardiologii, takie jak postępowanie z osobami z wszczepionym kardiostymulatorem oraz użycie automatycznych defibrylatorów zewnętrznych. Powyższe zagadnienia zostały przedstawione w kontekście ich związku z pracą zawodową pacjentów, z uwzględnieniem możliwych do podjęcia działań w ramach opieki profilaktycznej nad pracownikiem. Med. Pr. 2014;65(6):847–856
    In Poland like in other European countries a favorable trend towards reducing morbidity and mortality from cardiovascular disease has been observed. Nevertheless they are still one of the most important health problems in the population, responsible for nearly half of all deaths, including premature deaths. They also affect the quality of life in terms of health and socio-economic development, limiting the possibility of taking and/or continuing employment. Nowadays, cardiovascular diseases have become more common among young, professionally active people. Their professional activity, work organization and exposure to a broad range of occupational factors and environmental conditions may significantly influence the development and course of the cardiovascular disease. The aim of the study was to present the relationship between occupation and some rarer diseases and cardiovascular pathologies, as well as those in which this relationship has not as yet been fully evidenced, however, they may play an important role in workers’ health care. In this paper tako-tsubo cardiomyopathy, aortic aneurysm, aortic dissection, pericardial tamponade, Brugada syndrome and sudden cardiac death are discussed. In addition, the authors indicate new issues emerging along with the development of modern diagnostic and therapeutic techniques in cardiology, such as the care of patients with implanted pace-maker and the use of automated external defibrillators. These issues are presented in the context of their relationship with the occupation, taking into account the activities possibly to be undertaken under preventive care programs. Med Pr 2014;65(6):847–856
    Źródło:
    Medycyna Pracy; 2014, 65, 6; 847-856
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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