Gałuszka Z, Kolarzyk E, Stepniewski M, Salwińska-Ciećkiewicz B, Szpak D
Katedry Medycyny Pracy i Chorób Zawodowych, Akademii Medycznej im. M. Kopernika, Krakowie.
Folia Med Cracov. 1991;32(3-4):247-55.
Four hundred four men aged 30 to 59 years, belonging to one of 4 occupational groups were investigated in a standard clinical conditions. Two from those groups were characteristic for steel mill professions: 121 blast furnace workers; exerting strenuous physical effort and working in hot microclimate. 131 operators (the second group) performed work in comfort microclimate conditions not demanding much effort. The third group comprised 73 executives of industry. The fourth group consisted of 79 monks. For all subjects of investigations 8 selected risk factors of ischemic heart disease were evaluated. They included: age, sex, family history, habit of smoking, systolic blood pressure, fasting blood cholesterol level, obesity index and professional physical activity. The level of each risk factor had numerical value in a span from "0" to "8". The sum of all points was decisive to which of 3 groups of risk given man should be accounted. Those 3 groups were arbitrary divided into "low, intermediate and high risk". The highest risk was found for the executives group, and the lowest for blast furnace workers. From the risk factors under investigation highest overall influence on incidence of ischemic heart disease had habit of smoking and obesity. Described here point classification system seems to be very simple and useful for estimation of risk of ischemic heart disease in a given population.
在标准临床条件下，对404名年龄在30至59岁之间、分属4个职业组之一的男性进行了调查。其中两组具有钢铁厂职业特征：121名高炉工人，从事高强度体力劳动且在炎热的微气候环境中工作；131名操作员（第二组）在舒适的微气候条件下工作，劳动强度不大。第三组由73名工业管理人员组成。第四组由79名僧侣组成。对所有调查对象评估了8种选定的缺血性心脏病风险因素，包括年龄、性别、家族病史、吸烟习惯、收缩压、空腹血胆固醇水平、肥胖指数和职业体力活动。每个风险因素的水平在“0”到“8”的范围内有数值。所有分数的总和决定了该男性应被归入3个风险组中的哪一组。这3组被任意分为“低、中、高风险”。管理人员组的风险最高，高炉工人组的风险最低。在所调查的风险因素中，吸烟习惯和肥胖对缺血性心脏病发病率的总体影响最大。这里描述的分数分类系统似乎非常简单，有助于评估特定人群中缺血性心脏病的风险。
