Framingham score and work-related variables for predicting cardiovascular disease in the working population

Zwaard, Albert-Jan van der; Geraedts, Anna; Norder, Giny; Heymans, Martijn W.; Roelen, Corné

doi:10.1093/eurpub/ckz008

Cited by 3 publications

(2 citation statements)

References 19 publications

(34 reference statements)

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“…In contrast, work‐related factors as a risk of CVD is relatively well‐researched issue among workers in general. 19 , 20 , 21 , 22 , 23 Researchers have identified both environmental and psychosocial CVD risk factors among workers. 19 The risk of CVD in diabetes patients is also well researched.…”

Section: Discussionmentioning

confidence: 99%

Work-related factors among people with diabetes and the risk of cardiovascular diseases: A systematic review

Saif‐Ur‐Rahman

Mamun

et al. 2021

Journal of Occupational Health

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Background Diabetes is a major risk factor for cardiovascular diseases (CVD). This systematic review aims to explore the work‐related factors among people with diabetes in developing CVD. Methods Four electronic databases were searched on 1 February 2021 using a comprehensive search strategy without any time restriction. Two independent researchers screened the articles and extracted data. The risk of bias was assessed independently using the risk of bias assessment tool for non‐randomized studies (RoBANS). A narrative synthesis was conducted considering the heterogeneity of the included articles. Results A total of five articles incorporating 4 409 810 participants from three geographic regions were included that highlights the research gap. As per the included studies, Occupational drivers with diabetes were at a higher risk of CVD in comparison to the nondrivers, workers with diabetes having a long working hour were at a higher risk of CVD mortality, workers with a lower occupational status were at a higher risk of 10‐years stroke risk, and occupational physical activity and occupational commuting lowered the risk of CVD deaths. Conclusions This systematic review summarized the available evidence on work‐related factors influencing the risk of CVD in people with diabetes. The findings should be interpreted cautiously pondering the limited evidence and imprecision. We identified only five articles related to the topic, and there were no studies from Japan. The scarcity of studies on work‐related factors on the prognosis of diabetic patients implies the need for more research in this field. We recommend further exploration of the topic designing primary studies.

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Section: Discussionmentioning

confidence: 99%

Work-related factors among people with diabetes and the risk of cardiovascular diseases: A systematic review

Saif‐Ur‐Rahman

Mamun

et al. 2021

Journal of Occupational Health

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“…FRS has been used to measure CVD risk in the general population, as well as working population, for example, it has been used for prediction of CVD risk among office workers [20] and rural workers [21]. In addition, the effect of workrelated variables on FRS prediction of CVD was evaluated [22], and FRS was used as a clinical tool of assessment of fitness for work [23].…”

Section: Study Toolsmentioning

confidence: 99%

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Elshaer¹

2021

Alexandria Journal of Medicine

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Background:The production of carbon black (CB) has been considered as one of the top 50 industrial chemicals manufactured worldwide. Working in CB manufacturing process might pose a cardiovascular risk. This study was conducted to estimate 10-year coronary heart disease (CHD) risks among workers in CB manufacturing process. Methods: A cross-sectional comparative approach was adopted. Workers at a CB factory in Alexandria were included (n = 271). Participants were distributed into two groups: exposed (n = 154) and unexposed (n = 117). All participants were subjected to an interview questionnaire and blood pressure, anthropometric, and lipid profile measurements. The Framingham risk score (FRS) was calculated for every participant to assess 10-year CHD . Descriptive and analytic statistics were done. Results: The mean diastolic blood pressure and mean body mass index were significantly higher among exposed workers (81.49 ± 9.75 mmHg and 32.07 ± 5.81 kg/m 2 , respectively) than those among unexposed workers (77.86 ± 9.45 mmHg and 29.68 ± 4.94 kg/m 2 , respectively) (p < 0.01). The mean total cholesterol, triglyceride, and LDL levels were significantly higher among exposed workers (212.44 ± 40.48 mg/dl, 144.25 ± 74.66 mg/dl, and 146.12 ± 34.9 mg/dl, respectively) than those among unexposed workers (199.94 ± 47.33 mg/dl, 114.02 ± 62.94 mg/ dl, and 134.12 ± 30.4 mg/dl, respectively) (p < 0.01); while the protective HDL level was significantly lower among exposed workers (41.39 ± 8.76 mg/dl) compared with unexposed workers (43.6 ± 9.08 mg/dl) (p = 0.04). Ten-year CHD risk percentage was significantly higher among exposed workers (8.62 ± 7.79) compared with unexposed workers (5.34 ± 6.66) (p < 0.001). The percentage of workers who had intermediate-to-high 10-year CHD risk was significantly higher among exposed workers. Conclusions: Working at CB manufacturing process could carry an increased 10-year CHD risk. The study recommends that strategies for reduction of CHD risk focus on active screening of workers by utilizing a simple tool (FRS) to monitor risk over time, motivate the workers toward healthy behaviors, and treat hypertension and dyslipidemia, for primary prevention of CHD.

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Risk of cardiovascular disease according to the Framingham score in patients with high blood pressure from Píllaro, Ecuador. 2017-2018

et al. 2021

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Introducción. Las enfermedades cardiovasculares (ECV) son la principal casusa de morbimortalidades a nivel mundial; el uso de la escala de Framingham es de gran importancia para predecir el riesgo de ECV. Objetivo. Determinar el riesgo de ECV a 10 años en pacientes adultos con diagnóstico de hipertensión arterial (HTA) que asistieron al servicio de consulta externa del Centro de Salud de San Miguelito de Píllaro, Tungurahua, Ecuador utilizando la escala de riesgo de Framingham (2008). Materiales y métodos. Estudio transversal, observacional, prospectivo y descriptivo realizado en 120 pacientes con edades entre 30 y 74 años y con diagnóstico de HTA que asistieron al servicio de consulta externa entre enero y octubre de 2017. Los datos se obtuvieron a partir de la revisión de las historias clínicas, las cuales, a su vez, fueron actualizadas durante la ejecución del estudio. El riesgo de ECV a 10 años se determinó según el puntaje obtenido en la escala Framingham. Se realizó un análisis descriptivo de los datos en el programa Epi Info 7 utilizando frecuencias absolutas y porcentajes. Resultados. De los 120 pacientes, 59.17% eran mujeres. Además, 15% de los participantes había sido diagnosticado con diabetes mellitus tipo 2, 13.33 % tenía antecedentes de tabaquismo, 47.50% tenía presión arterial sistólica elevada, y el 39.17% tenía hipercolesterolemia. El riesgo cardiovascular fue bajo (≤ 1% puntaje Framingham), intermedio (10-19%) y alto (≥ 20%) en 15%, 29.16% y 59.16% de los participantes. Ninguno tuvo riesgo muy bajo (≤1%). Conclusión. La escala Framingham fue útil para estimar el riesgo cardiovascular de los participantes en el contexto de la atención primaria de salud, por lo que se recomienda un uso más amplio de este instrumento en las diferentes unidades de salud, con el fin de obtener una mejor estimación del riesgo de enfermedades cardiovasculares y así lograr la implementación de acciones de prevención y atención en salud que mejoren su pronóstico en el mediano y largo plazo, y, por tanto, la calidad de vida de estos pacientes.

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Framingham score and work-related variables for predicting cardiovascular disease in the working population

Cited by 3 publications

References 19 publications

Work-related factors among people with diabetes and the risk of cardiovascular diseases: A systematic review

Work-related factors among people with diabetes and the risk of cardiovascular diseases: A systematic review

Removal Statement

Risk of cardiovascular disease according to the Framingham score in patients with high blood pressure from Píllaro, Ecuador. 2017-2018

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