Prevalence of cardiovascular risk factors among 28,000                     employees

Scheerbaum, Martin; Langenbach, Constantin; Scheerbaum, Petra; Heidemann, Franziska; Rieß, Henrik; Heigel, H; Debus, Sebastian; Behrendt, Christian‐Alexander

doi:10.1024/0301-1526/a000611

Cited by 9 publications

(6 citation statements)

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“…Increasing BMI was associated with hypertension regardless of the threshold used to define it. In a 2017 study among 28,000 German employees, it was also found that obesity was associated with a four-times higher risk of hypertension (Scheerbaum et al, 2017). Similarly a systematic review of the determinants of hypertension among 34,919 workers in West Africa found that obesity was a significant predictor of hypertension (Bosu, 2016).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of hypertension among office workers in a multi-national company in the Niger-Delta with the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines

Ofori

Obosi²

2019

Preventive Medicine Reports

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The 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guidelines propose a new classification of blood pressure (BP). The objective was to compare the prevalence of hypertension among staff of a multinational oil/gas company in Niger-Delta, Nigeria using the 2017 ACC/AHA guidelines and the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7) guidelines. Cross-sectional analysis of 235 individuals who presented for their annual medical review between March 2017 and February 2018 was done. Demographic, medical and family history data were obtained with a questionnaire. Blood pressure was measured using the recommended procedure. Fasting blood samples were analysed for blood glucose and lipids. Ten-year cardiovascular risk was estimated with the 2008 modified Framingham risk score (FRS). The prevalence of hypertension using the JNC7 and the 2017 ACC/AHA guidelines was 25.9% and 53.9% respectively. With the former, family history of hypertension and increased BMI were independently significantly associated with hypertension. With the latter, male gender, family history of hypertension, BMI and physical inactivity were significant predictors of hypertension. 184 (78.3%) were categorised as low CVD risk, 38 (16.2%) intermediate risk and 13 (5.5%) high risk for CVD. The 2017 ACC/AHA guidelines doubled the prevalence of hypertension from 25.9% to 53.9%. Adoption of this guideline will necessitate careful consideration of the consequences of labeling individuals as hypertensive as well as an increment of the health care budget provided by companies for its staff to meet the increased burden of hypertension.

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Section: Discussionmentioning

confidence: 99%

Prevalence of hypertension among office workers in a multi-national company in the Niger-Delta with the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines

Ofori

Obosi²

2019

Preventive Medicine Reports

View full text Add to dashboard Cite

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“…Obesity in the workforce is associated with difficulty performing work in confined spaces, decreased productivity, greater absenteeism, higher turnover and cost to company [61]. In addition, obesity has been associated with higher odds of hypertension among employees in developed [79] and developing countries [80,81]. The odds of hypertension were 2.3 times higher for employees with abdominal obesity (by WC) and 3.7 times higher for employees (by WHtR) in this study compared to employees with normal WC and WHtR.…”

Section: Discussionmentioning

confidence: 99%

Undiagnosed Hypertension in a Workplace: The Case of a Logistics Company in Gauteng, South Africa

2021

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A large proportion of the population with hypertension remains undiagnosed, untreated, or inadequately treated, contributing to the rising burden of cardiovascular diseases in South Africa. A workplace may either mitigate or accentuate the risk factors for hypertension. A cross sectional study was conducted to determine the prevalence of undiagnosed hypertension and associated factors among 312 employees in a Logistics Company, South Africa. A modified, validated, self-administered WHO STEPwise questionnaire was used to collect data on demography, lifestyle factors, anthropometry and blood pressure (BP). Hypertension was defined at BP ≥ 140/90 mmHg. Data was analysed using STATA 14. Mean age of employees was 40 ± 10 years, with a 50% prevalence of undiagnosed hypertension. No significant association was observed between occupation and undiagnosed hypertension, except for high prevalence of undiagnosed hypertension among truck drivers and van assistants (43%), and general workers (27%), having higher odds of increased waist-to-height ratio. Hypertension was associated with age (OR = 2.3, 95%CI; 1.21–4.27), alcohol use (AOR = 1.8, 95%CI; 1.05–2.93), waist circumference (AOR = 2.3, 95%CI; 1.29–4.07) and waist-to-height-ratio (AOR = 3.7, 95%CI; 1.85–7.30). Improved and effective workplace health programs and policies are necessary for management of undiagnosed hypertension among employees. Longitudinal studies on mediation of occupation in association of demographic and lifestyle factors with hypertension in workplaces are needed.

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“…The results showed that UA, lnTG, lnLp (a), and lnHCY were relatively independent and were used in subsequent logistic analysis; in the blood lipid spectrum, although lnTG has a wide correlation with other indicators, the correlation coefficient is < 0.5, so it was also included in the subsequent logistic analysis. HDL-C and LDL-C are common clinical indexes that serve as common risk factors for CHD, but their role in the prediction of CHD is still in dispute, 13 , 14 and needs to be confirmed by research analyses, so they were also included in the subsequent logistic analysis. Pearson correlation matrix analysis showed that LDL-C and lnAPOB100 have a strong correlation, and that HDL-C and APOA1 have a strong correlation; in order to ensure the reliability of the results analysis regarding HDL-C and LDL-C, APOA1 and lnAPOB100 were not included in the regression indexes.…”

Section: Discussionmentioning

confidence: 99%

Differential analysis of disease risk assessment using binary logistic regression with different analysis strategies

Zhao

Nian

et al. 2018

J Int Med Res

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ObjectiveTo investigate the importance of controlling confounding factors during binary logistic regression analysis.MethodsMale coronary heart disease (CHD) patients (n = 664) and healthy control subjects (n = 400) were enrolled. Fourteen indexes were collected: age, uric acid, cholesterol, triglyceride, high density lipoprotein cholesterol, low density lipoprotein cholesterol, apolipoprotein A1, apolipoprotein B100, lipoprotein a, homocysteine, total bilirubin, direct bilirubin, indirect bilirubin, and γ-glutamyl transferase. Associations between these indexes and CHD were assessed by logistic regression, and results were compared by using different analysis strategies.Results1) Without controlling for confounding factors, 14 indexes were directly inputted in the analysis process, and 11 indexes were finally retained. A model was obtained with conflicting results. 2) According to the application conditions for logistic regression analysis, all 14 indexes were weighed according to their variances and the results of correlation analysis. Seven indexes were finally included in the model. The model was verified by receiver operating characteristic curve, with an area under the curve of 0.927.ConclusionsWhen binary logistic regression analysis is used to evaluate the complex relationships between risk factors and CHD, strict control of confounding factors can improve the reliability and validity of the analysis.

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Prevalence of cardiovascular risk factors among 28,000 employees

Abstract: We regard obesity as the number one cardiovascular risk which should be assessed by various medical, legislative, and socio-economic actions to limit future mortality and health-care costs in Germany.

Cited by 9 publications

References 0 publications

Prevalence of hypertension among office workers in a multi-national company in the Niger-Delta with the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines

Prevalence of hypertension among office workers in a multi-national company in the Niger-Delta with the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines

Undiagnosed Hypertension in a Workplace: The Case of a Logistics Company in Gauteng, South Africa

Differential analysis of disease risk assessment using binary logistic regression with different analysis strategies

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