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Coronary heart disease risk factors among academic workers based on the Jakarta Cardiovascular Score: A
Harvina Sawitri1, Nora Maulina2
1Department of Public Health, School of Medicine, Universitas Malikussaleh, Lhokseumawe, Indonesia.
Insights
Over 15% of university workers face a high risk of coronary heart disease (CHD). Key risk factors include being male, older age, hypertension, and diabetes mellitus, highlighting the need for preventive measures.
Area of Science:
- Cardiology
- Public Health
- Occupational Health
Background:
- Lifestyle changes are shifting disease patterns towards degenerative conditions like coronary heart disease (CHD).
- Rising cardiovascular disease prevalence in Indonesia burdens healthcare and reduces work productivity.
- University workers are a population group susceptible to these health trends.
Purpose of the Study:
- To identify coronary heart disease (CHD) risk factors among university workers.
- To assess the coronary heart disease (CHD) risk level within this population.
- To inform targeted preventive strategies in academic settings.
Main Methods:
- A cross-sectional study was conducted at the School of Medicine, Universitas Malikussaleh.
- Coronary heart disease (CHD) risk was calculated using the Jakarta Cardiovascular Score.
- Predictive modeling employed multiple logistic regression analysis.
Main Results:
- 58.2% had low risk, 25.5% medium risk, and 16.3% high risk for coronary heart disease (CHD).
- Significant risk factors identified were male gender (OR 30.84), age >41 years (OR 11.52), hypertension (OR 4.87), and diabetes mellitus (OR 13.99).
- The final model indicated gender, age, hypertension, and diabetes mellitus as key determinants of CHD risk.
Conclusions:
- More than 15% of university employees are at high risk for coronary heart disease (CHD).
- Being male, older age, hypertension, and diabetes mellitus are significantly associated with increased CHD risk.
- Implementing preventive measures within universities is crucial to mitigate this health burden.
Abstract:
Change in lifestyle leads to change in disease patterns from infectious diseases and malnutrition to degenerative diseases, such as coronary heart disease (CHD). The increasing prevalence of cardiovascular diseases among Indonesian workers and the general public will not only burden medical care expenses but also reduce work productivity, leading to more work-related injuries and work-related losses. The aim of this study was to determine the risk factors for CHD (age, sex, blood pressure, smoking, diabetes mellitus, body mass index, and weekly physical activity) and the CHD risk level among university workers. A cross-sectional study was conducted at workers at School of Medicine, Universitas Malikussaleh, Lhokseumawe, Indonesia. The risk level of CHD was calculated using Jakarta Cardiovascular Score and predicting model analyzed with multiple logistic regression model. Our data found that 58.2%, 25.5% and 16.3% of the university workers had low-, medium- and high-risk to have CHD. The final model indicted that the risk of heart disease was determined by gender, age, and the presence of hypertension and diabetes mellitus. Being male had odds ratio (OR) 30.84, aged >41 years old had OR 11.52, having hypertension had OR 4.87 and having diabetes mellitus had OR 13.99 for having high risk of CHD compared to female, those younger than 41 years old, having no hypertension and having no diabetes mellitus, respectively. In conclusion, our data suggests that more than 15% the respondents (university employees) have high risk of CHD and being male and older, and having hypertension and diabetes mellitus are associated with risk of CHD. Implantation of the preventive measures is therefore important to be implemented at the universities.
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