韩国某城市公交车司机的心血管疾病风险
Cardiovascular disease risk of bus drivers in a city of Korea.
作者信息
Shin Seung Yong, Lee Chul Gab, Song Han Soo, Kim Sul Ha, Lee Hyun Seung, Jung Min Soo, Yoo Sang Kon
机构信息
Occupational and Environmental Medicine, Chosun University Hospital, Pilmundaero 365, Dong-gu, Gwang-Ju, 501-717, Korea.
出版信息
Ann Occup Environ Med. 2013 Nov 11;25(1):34. doi: 10.1186/2052-4374-25-34.
OBJECTIVE
To prevent the occurrence of CV events such as MI and stroke among professional drivers in Korea, bus drivers were compared to other occupations through the Framingham risk scoring system (FRS) or metabolic syndrome (MS) of cardiovascular disease (CVD) risk assessment methods.
METHODS
In October 2012, a health examination survey was conducted for 443 male bus drivers in a big city. Their CVD risk factors were compared to those of a 'total employed' (A group) and 'crafts and machine operators' (B group) extracted from Fifth Korea National Health and Nutrition Examination Survey (KNHANES, 2010) data by using FRS and MS. We calculated proportions of the CVD risk factors distribution between bus drivers and the A, B groups by the bootstrapping method. The Odds ratio (OR) between CV event risk combining MS with CHD equivalent risk of FRS and occupational factors like shift patterns and professional driving duration/age ratios (PDAR) of bus drivers was calculated through multinominal logistic regression.
RESULTS
The proportion of BMI ≥ 25 kg/m2 was 53.9% and waist circumference ≥ 90cm was 40.9% among bus drivers. Hypertension and MS prevalence of bus drivers was 53.3%, 49.9% which is higher than 17.6%, 22.6% in the A group and 19.7%, 23.8% in the B group respectively. OR of high CV event risk in alternate shift was 2.58 (95% CI 1.335.00) in comparison with double shift pattern and OR in PDAR ≥ 0.5 was 2.18 (95% CI 1.154.14).
CONCLUSION
Middle aged male drivers in a big city of Korea stand a higher chance of developing CV event than other professions of the same age.
目的
为预防韩国职业司机中诸如心肌梗死和中风等心血管事件的发生，通过弗雷明汉风险评分系统（FRS）或心血管疾病（CVD）风险评估方法中的代谢综合征（MS），将公交车司机与其他职业进行比较。
方法
2012年10月，对某大城市的443名男性公交车司机进行了健康检查调查。通过FRS和MS，将他们的心血管疾病风险因素与从第五次韩国国家健康与营养检查调查（KNHANES，2010）数据中提取的“全体就业人员”（A组）和“手工艺和机器操作员”（B组）的风险因素进行比较。我们通过自助法计算了公交车司机与A、B组之间心血管疾病风险因素分布的比例。通过多项逻辑回归计算了将MS与FRS的冠心病等效风险相结合的心血管事件风险与公交车司机的轮班模式和职业驾驶时长/年龄比（PDAR）等职业因素之间的优势比（OR）。
结果
公交车司机中体重指数（BMI）≥25 kg/m²的比例为53.9%，腰围≥90cm的比例为40.9%。公交车司机的高血压和MS患病率分别为53.3%、49.9%，高于A组的17.6%、22.6%以及B组的19.7%、23.8%。与双班模式相比，交替轮班时心血管事件高风险的OR为2.58（95%可信区间1.335.00），PDAR≥0.5时的OR为2.18（95%可信区间1.154.14）。
结论
韩国某大城市的中年男性司机发生心血管事件的几率高于同年龄的其他职业。
Zotero 插件