5年干预对伊斯法罕和纳贾法巴德工厂及办公室员工心血管危险因素的影响：工作场所干预项目——伊斯法罕健康心脏计划

Effects of 5-year interventions on cardiovascular risk factors of factories and offies employees of isfahan and najafabad: worksite intervention project-isfahan healthy heart program.

作者信息

Boshtam Maryam, Sarafzadegan Nizal, Zare Karim, Sadeghi Shahriar, Sajjadi Firoozeh, Rabiei Katayoun, Boshtam Mansoreh

机构信息

MSc, Animal Physiology, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

ARYA Atheroscler. 2010 Fall;6(3):94-101.

PMID:22577423

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3347823/

Abstract

BACKGROUND

Effects of 5-year interventions of Worksite Intervention Project from Isfahan Healthy Heart Program on cardiovascular risk factors of factories and offices employees were studied in Isfahan and Najafabad (intervention area) compared to Arak (control area).

METHODS

We had especial interventions for nutrition, physical activity and smoking as well as hypertension and obesity screening systems in all offices and factories, and other risk factors screening systems whenever possible. Before and after the interventions, questionnaires containing demographic and other required data were completed for the two populations; height, weight and blood pressure (BP) were measured and a fasting and 2h blood sample was taken for the measurement of blood sugar (BS) and lipid levels.

RESULTS

The prevalence of hypercholesterolemia, hypertriglyceridemia and central obesity decreased, but low HDL increased in office staff (P < 0.01). Waist circumference, HDL and total cholesterol mean values decreased, and diastolic BP and fasting and 2h BS increased among the intervention group. In factory workers, the prevalence of hypertriglyceridemia and central obesity decreased, while low HDL prevalence increased in intervention group (P < 0.001). Mean values of waist circumference, HDL and total cholesterol, and triglyceride decreased significantly (P < 0.001), while diastolic BP and fasting BS increased.

CONCLUSION

It seems that Worksite Intervention Project has a protective effect on CVD risk factors in factories and offices employees. So, the modifiable project can be used as an applicable tool for health improvement in worksites which creates tangible changes in employees' lifestyle.

摘要

背景

在伊斯法罕和纳贾法巴德（干预地区），研究了伊斯法罕健康心脏项目工作场所干预项目的5年干预措施对工厂和办公室员工心血管危险因素的影响，并与阿拉克（对照地区）进行了比较。

方法

我们在所有办公室和工厂对营养、身体活动和吸烟以及高血压和肥胖筛查系统进行了特别干预，并尽可能建立了其他危险因素筛查系统。在干预前后，为这两个人群完成了包含人口统计学和其他所需数据的问卷；测量了身高、体重和血压（BP），并采集了空腹和2小时血样以测量血糖（BS）和血脂水平。

结果

办公室工作人员中高胆固醇血症、高甘油三酯血症和中心性肥胖的患病率下降，但低高密度脂蛋白（HDL）患病率上升（P<0.01）。干预组的腰围、HDL和总胆固醇平均值下降，舒张压以及空腹和2小时血糖升高。在工厂工人中，干预组的高甘油三酯血症和中心性肥胖患病率下降，而低HDL患病率上升（P<0.001）。腰围、HDL、总胆固醇和甘油三酯的平均值显著下降（P<0.001），而舒张压和空腹血糖升高。