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Published on: September 26, 2018
[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.
Abstract:
The objective of this study was to assess the cardiovascular risk factors among health professionals, particularly hypertension, and stratify them according to the Framingham Risk Score (FRS). The participants were 154 professionals working in pre-hospital care in São Paulo, Brazil, and on the Br-116 highway. Values were considered significant for p<0.05. The prevalence of hypertension was 33%, 20.1% were smokers, 47% consumed alcoholic beverages, 64% were sedentary, 66% were obese/overweight and 70% had an altered abdominal circumference. In terms of laboratory values: glucose>110mg/dL- 11%, total cholesterol >200mg/dL- 36%, LDL-c>130mg/dL- 33%, HDL-c<60mg/dL- 89%, triglycerides>150mg/dL- 30% and C reactive protein>0.5mg/dL- 16%. The FRS was average in 10.3% and high in 1.3%. In logistic regression analysis, it was verified that hypertension was associated with: HDL-c (odds ratio: 0.257,) and FRS (odds ratio: 23.159). There was strong correlation between hypertension and FRS. Data are noteworthy, as this is a relatively young sample of health professionals.
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