Baygi Fereshteh, Jensen Olaf C, Qorbani Mostafa, Farshad Aliasghar, Salehi Seyed Ali, Mohammadi Fatemeh, Asayesh Hamid, Shidfar Farzad
Occupational Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Centre of Maritime Health and Society, Institute of Public Health, University of Southern Denmark, Esbjerg, Denmark.
Med J Islam Repub Iran. 2017 Mar 20;31:23. doi: 10.18869/mjiri.31.23. eCollection 2017.
Little information is available on the trend in cardiovascular risk factors and hepatic enzymes in Iranian seafarers. The present study aimed at assessing the pattern of obesity, hypertension, diabetes, elevated serum glutamic oxaloacetate transaminase (SGOT), and serum glutamate pyruvate transaminase (SGPT) in Iranian seafarers during 2010 to 2014. Data on cardiovascular risk factors and hepatic enzymes were extracted from seafarers' annual health examination of National Iranian Tanker Company (NITC) of 2010, 2012, and 2014. The repeated measure ANOVA was used to compare continuous variables across 3 years. Categorical data were analyzed using Chi-square test. Over weight was defined as BMI (Body Mass Index) >25 kg/m; obesity was defined as BMI>=30 kg/m; hypertension was defined as systolic blood pressure (SBP)> 140 mmHg, and diastolic blood pressure (DBP)> 90 mmHg, or a history of antihypertensive drug use. Diabetes (DM) was defined as fasting blood sugar (FBS) > 110 mg/dl, or having a history of oral hypoglycemic agents; and elevated SGOT and SGPT were defined as SGOT > 40 U/L and SGPT > 40 U/L, respectively. The BMI mean±SD values of Iranian seafarers were 24.81±3.07 kg/m, 25.51±2.96 kg/m, and 25.96 ± 3.02 kg/m in 2010, 2012, and 2014, respectively. A significant difference was observed in BMI over the study period. The mean of systolic and diastolic blood pressure did not significantly increase over time. The SGOT and SGPT means were not significantly different from 2010 to 2014. The prevalence of overweight increased significantly from 46.7% to 60.9% over the study period; however, the prevalence of obesity, hypertension, elevated SGOT, and elevated SGPT did not change significantly. The current survey showed that the obesity problem has increased among Iranian seafarers working on tankers, which is a concerning problem because obesity has negative effects on seafarers' health.
关于伊朗海员心血管危险因素和肝酶变化趋势的信息较少。本研究旨在评估2010年至2014年期间伊朗海员的肥胖、高血压、糖尿病、血清谷草转氨酶（SGOT）升高和血清谷丙转氨酶（SGPT）升高的情况。心血管危险因素和肝酶的数据取自伊朗国家油轮公司（NITC）2010年、2012年和2014年海员的年度健康检查。采用重复测量方差分析比较3年期间的连续变量。分类数据采用卡方检验进行分析。超重定义为体重指数（BMI）>25kg/m；肥胖定义为BMI>=30kg/m；高血压定义为收缩压（SBP）>140mmHg，舒张压（DBP）>90mmHg，或有使用抗高血压药物的病史。糖尿病（DM）定义为空腹血糖（FBS）>110mg/dl，或有口服降糖药的病史；SGOT和SGPT升高分别定义为SGOT>40U/L和SGPT>40U/L。2010年、2012年和2014年伊朗海员的BMI平均值±标准差分别为24.81±3.07kg/m、25.51±2.96kg/m和25.96±3.02kg/m。在研究期间观察到BMI有显著差异。收缩压和舒张压的平均值没有随时间显著增加。2010年至2014年期间，SGOT和SGPT的平均值没有显著差异。在研究期间，超重患病率从46.7%显著增加到60.9%；然而，肥胖、高血压、SGOT升高和SGPT升高的患病率没有显著变化。目前的调查显示，在油轮上工作的伊朗海员中肥胖问题有所增加，这是一个令人担忧的问题，因为肥胖会对海员的健康产生负面影响。
