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Published in: International Archives of Occupational and Environmental Health 1/2020

Open Access 01-01-2020 | Original Article

Prevalence of high cardiovascular risk by economic sector

Authors: Godelieve J. M. Vandersmissen, M. Schouteden, C. Verbeek, S. Bulterys, L. Godderis

Published in: International Archives of Occupational and Environmental Health | Issue 1/2020

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Abstract

Purpose

The aim of this study was to assess the prevalence of high cardiovascular risk and the trend of cardiovascular risk factors in a large sample of Belgian workers.

Methods

A cross-sectional study was performed on the data of workers under medical surveillance by the non-profit occupational health service IDEWE in 2018. The prevalence of poor health for smoking, physical activity, body mass index (BMI), and blood pressure according to the American Heart Association (AHA) definition was investigated. The presence of three or more poor cardiovascular health metrics was considered high cardiovascular risk. A log-binomial regression model was used to compare the prevalence of high cardiovascular risk between economic sectors taking into account age and gender and to calculate predicted probabilities of high cardiovascular risk.

Results

Data about 212,792 workers were available. In 2018, overall, 7% of workers had high cardiovascular risk. Transport and construction had the highest prevalence of high cardiovascular risk, 14% and 12%, respectively. The lowest prevalence, 3%, was observed in education. Differences between sectors remained statistically significant after adjustment for age and gender. In men, workers in transport and storage and in construction had the highest predicted probability of high cardiovascular risk that increased with age. In women, highest predicted probability was observed in transport and storage.

Conclusions

When implementing health promotion initiatives, priority should be given to sectors and professions where risk factors are most prevalent or are increasing rapidly. Measures should be tailored to the special needs of the occupational groups at high risk.
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Literature
go back to reference Espelt A, Mari-Dell’Olmo M, Penelo E et al (2017) Applied prevalence ratio estimation with different regression models: an example from a cross-national study on substance use research. Adicciones 29(2):105–112CrossRef Espelt A, Mari-Dell’Olmo M, Penelo E et al (2017) Applied prevalence ratio estimation with different regression models: an example from a cross-national study on substance use research. Adicciones 29(2):105–112CrossRef
go back to reference Godderis L, Mylle G, Coene M et al (2015) Data warehouse for detection of occupational diseases in OHS data. Occup Med (Lond) 65(8):651–658CrossRef Godderis L, Mylle G, Coene M et al (2015) Data warehouse for detection of occupational diseases in OHS data. Occup Med (Lond) 65(8):651–658CrossRef
go back to reference Gram B, Westgate K, Karstad K et al (2016) Occupational and leisure-time physical activity and workload among construction workers—a randomized control study. Int J Occup Environ Health 22(1):36–44CrossRef Gram B, Westgate K, Karstad K et al (2016) Occupational and leisure-time physical activity and workload among construction workers—a randomized control study. Int J Occup Environ Health 22(1):36–44CrossRef
go back to reference Hartmann B, Fleischer AG (2005) Physical load exposure at construction sites. Scand J Work Environ Health 31(2):88–95 Hartmann B, Fleischer AG (2005) Physical load exposure at construction sites. Scand J Work Environ Health 31(2):88–95
go back to reference Holtermann A, Krause N, van der Beek AJ et al (2018) The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. Br J Sports Med 52(3):149–150CrossRef Holtermann A, Krause N, van der Beek AJ et al (2018) The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. Br J Sports Med 52(3):149–150CrossRef
go back to reference Kelsall HL, Fernando PHS, Gwini SM et al (2018) Cardiovascular disease and type 2 diabetes risk across occupational groups and industry in a statewide study of an Australian working population. J Occup Environ Med 60(3):286–294CrossRef Kelsall HL, Fernando PHS, Gwini SM et al (2018) Cardiovascular disease and type 2 diabetes risk across occupational groups and industry in a statewide study of an Australian working population. J Occup Environ Med 60(3):286–294CrossRef
go back to reference Kristensen TS (1989a) Cardiovascular diseases and the work environment. A critical review of the epidemiological literature on nonchemical factors. Scand J Work Environ Health 15(3):165–179CrossRef Kristensen TS (1989a) Cardiovascular diseases and the work environment. A critical review of the epidemiological literature on nonchemical factors. Scand J Work Environ Health 15(3):165–179CrossRef
go back to reference Kristensen TS (1989b) Cardiovascular diseases and the work environment. A critical review of the epidemiological literature on chemical factors. Scand J Work Environ Health 15(4):245–264CrossRef Kristensen TS (1989b) Cardiovascular diseases and the work environment. A critical review of the epidemiological literature on chemical factors. Scand J Work Environ Health 15(4):245–264CrossRef
go back to reference Lloyd-Jones DM, Hong Y, Labarthe D et al (2010) Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association's strategic Impact Goal through 2020 and beyond. Circulation 121(4):586–613CrossRef Lloyd-Jones DM, Hong Y, Labarthe D et al (2010) Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association's strategic Impact Goal through 2020 and beyond. Circulation 121(4):586–613CrossRef
go back to reference MacDonald LA, Bertke S, Hein MJ et al (2017) Prevalence of cardiovascular health by occupation: a cross-sectional analysis among US workers aged ≥45 years. Am J Prev Med 53(2):152–161CrossRef MacDonald LA, Bertke S, Hein MJ et al (2017) Prevalence of cardiovascular health by occupation: a cross-sectional analysis among US workers aged ≥45 years. Am J Prev Med 53(2):152–161CrossRef
go back to reference Olsen O, Kristensen TS (1991) Impact of work environment on cardiovascular diseases in Denmark. J Epidemiol Community Health 45:4–10CrossRef Olsen O, Kristensen TS (1991) Impact of work environment on cardiovascular diseases in Denmark. J Epidemiol Community Health 45:4–10CrossRef
go back to reference Piepoli MF, Hoes AW, Agewall S et al (2016) 2016 European guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of 10 societies and by invited experts) developed with the special contribution of the European Association for cardiovascular prevention & rehabilitation (EACPR). Eur Heart J 37(29):2315–2381CrossRef Piepoli MF, Hoes AW, Agewall S et al (2016) 2016 European guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of 10 societies and by invited experts) developed with the special contribution of the European Association for cardiovascular prevention & rehabilitation (EACPR). Eur Heart J 37(29):2315–2381CrossRef
go back to reference Shockey TM, Sussell AL, Odom EC (2016) Cardiovascular health status by occupational group—21 States, 2013. MMWR Morb Mortal Wkly Rep 65(31):793–798CrossRef Shockey TM, Sussell AL, Odom EC (2016) Cardiovascular health status by occupational group—21 States, 2013. MMWR Morb Mortal Wkly Rep 65(31):793–798CrossRef
go back to reference Steel J, Luyten J, Godderis L (2018) Occupational health: the global evidence and value. Society of Occupational Medicine (SOM), London Steel J, Luyten J, Godderis L (2018) Occupational health: the global evidence and value. Society of Occupational Medicine (SOM), London
go back to reference Tak S, Buchholz B, Punnett L et al (2011) Physical ergonomic hazards in highway tunnel construction: overview from the construction occupational health program. Appl Ergon 42(5):665–671CrossRef Tak S, Buchholz B, Punnett L et al (2011) Physical ergonomic hazards in highway tunnel construction: overview from the construction occupational health program. Appl Ergon 42(5):665–671CrossRef
go back to reference Wilkins E, Wilson L, Wickramasinghe K et al (2017) European cardiovascular disease statistics, 2017th edn. European Heart network, Brussels Wilkins E, Wilson L, Wickramasinghe K et al (2017) European cardiovascular disease statistics, 2017th edn. European Heart network, Brussels
go back to reference Zimmermann Verdejo M, Gonzáles Gómez MF, Galán Labaca I (2010) Perfiles de exposición de riesgo cardiovascular según la ocupación laboral en la comunidad de Madrid. Rev Esp Salud Publica 84(3):293–308CrossRef Zimmermann Verdejo M, Gonzáles Gómez MF, Galán Labaca I (2010) Perfiles de exposición de riesgo cardiovascular según la ocupación laboral en la comunidad de Madrid. Rev Esp Salud Publica 84(3):293–308CrossRef
Metadata
Title
Prevalence of high cardiovascular risk by economic sector
Authors
Godelieve J. M. Vandersmissen
M. Schouteden
C. Verbeek
S. Bulterys
L. Godderis
Publication date
01-01-2020
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 1/2020
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-019-01458-9

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