Finnair Health Services, Finnair, Finland.
Prim Care Diabetes. 2012 Jul;6(2):95-102. doi: 10.1016/j.pcd.2012.01.003. Epub 2012 Feb 4.
To assess the risk for type 2 diabetes (T2D) and cardiovascular disease (CVD) among employees of a Finnish airline; to study the association of shift work with T2D and CVD risk; and to test the feasibility of risk screening in occupational health care setting.
Altogether 4169 employees were invited for a health check-up and 2312 participated in this study. The check-up included physical examinations, questionnaires on working hours, sleep, and lifestyle, diabetes risk score FINDRISC, and blood tests. Lifestyle counselling was offered for those with increased T2D risk.
Altogether 15% of participants had a high T2D risk (FINDRISC≥15 and/or elevated, but non-diabetic blood glucose), and a further 15% had a moderate T2D risk (FINDRISC 10-14 and normal blood glucose). Of those 60% agreed to attend lifestyle counselling. Metabolic syndrome was more common, lipid profile more unfavorable and hsCRP higher by increasing FINDRISC score category. Risk factor profiles linked to shift work status were not self-evident.
The renewed health check-up process effectively identified those employees with increased T2D and CVD risk who would benefit from lifestyle intervention. The use of FINDRISC questionnaire was a feasible first-step screening method in occupational health care setting.
评估芬兰一家航空公司员工患 2 型糖尿病（T2D）和心血管疾病（CVD）的风险；研究轮班工作与 T2D 和 CVD 风险的关系；并检验在职业健康保健环境中进行风险筛查的可行性。
共邀请 4169 名员工进行健康检查，其中 2312 名员工参加了这项研究。检查包括体检、工作时间、睡眠和生活方式问卷、糖尿病风险评分 FINDRISC 和血液测试。对于那些有较高 T2D 风险的人，提供生活方式咨询。
共有 15%的参与者有较高的 T2D 风险（FINDRISC≥15 分和/或血糖升高但未达糖尿病标准），另有 15%的参与者有中度 T2D 风险（FINDRISC 10-14 分和正常血糖）。其中 60%的人同意参加生活方式咨询。随着 FINDRISC 评分类别的增加，代谢综合征更为常见，血脂谱更差，hsCRP 更高。与轮班工作状况相关的风险因素特征并不明显。
新的健康检查流程有效地确定了那些 T2D 和 CVD 风险增加的员工，他们将受益于生活方式干预。在职业健康保健环境中使用 FINDRISC 问卷是一种可行的初步筛选方法。
