[Cardiovascular risk among health professionals working in pre-hospital care services]

Luciane Cavagioni1, Angela Maria Geraldo Pierin

  • 1Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil. luciane.cavagioni@gmail.com

Insights

Cardiovascular risk factors, including hypertension, are prevalent among health professionals. Hypertension strongly correlates with the Framingham Risk Score (FRS), highlighting the need for targeted interventions.

Area of Science:

  • Cardiology
  • Public Health
  • Occupational Health

Background:

  • Cardiovascular diseases remain a leading cause of morbidity and mortality globally.
  • Health professionals, despite their awareness, are not immune to cardiovascular risk factors.
  • Pre-hospital care professionals face unique occupational stressors that may influence cardiovascular health.

Purpose of the Study:

  • To evaluate cardiovascular risk factors, specifically hypertension, in pre-hospital care professionals.
  • To stratify cardiovascular risk using the Framingham Risk Score (FRS).
  • To identify associations between hypertension and other risk factors in this population.

Main Methods:

  • Cross-sectional study involving 154 pre-hospital care professionals in São Paulo, Brazil.
  • Assessment of hypertension, smoking, alcohol consumption, physical activity, obesity, and abdominal circumference.
  • Laboratory analysis included glucose, total cholesterol, LDL-c, HDL-c, triglycerides, and C-reactive protein.
  • Framingham Risk Score (FRS) calculation and logistic regression analysis.

Main Results:

  • Hypertension prevalence was 33%. High rates of sedentary lifestyle (64%), obesity/overweight (66%), and altered abdominal circumference (70%) were observed.
  • Low levels of HDL-c (89%) and elevated triglycerides (30%) were common laboratory findings.
  • Hypertension showed a strong association with low HDL-c (odds ratio: 0.257) and high FRS (odds ratio: 23.159).

Conclusions:

  • A significant prevalence of hypertension and associated cardiovascular risk factors exists among young health professionals.
  • The Framingham Risk Score effectively identifies elevated cardiovascular risk in this cohort.
  • Findings underscore the importance of cardiovascular risk management programs tailored for healthcare workers.

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