Paula S. Schulz, PhD, RN Associate Professor, UNMC College of Nursing-Lincoln Division, Nebraska. Lani Zimmerman, PhD, RN Professor, UNMC College of Nursing-Lincoln Division, Nebraska. Patrik Johansson, MD, MPH Associate Professor, UNMC College of Public Health, Omaha, Nebraska.
J Cardiovasc Nurs. 2018 Jul/Aug;33(4):E35-E39. doi: 10.1097/JCN.0000000000000490.
Cardiovascular disease is the leading cause of death and hospitalization in the rural United States. Midwestern farmers are integral to rural communities, but little is known about the effect of occupational variability of seasonal work and technology use on their cardiovascular disease risk.
This study describes the relationships of health behaviors and cardiovascular disease risk in 40 Midwestern farmers during peak and off-peak farming seasons.
Objectively measured physical activity and self-report of demographics, diet, and health-related quality of life were collected during each farming season.
Farmers in this study were physically active, ate consistent diets, and reported high health status ratings throughout the year. Cardiovascular disease risk was positively correlated with age and body mass index (P < .01), and half of young and middle-age farmers reported anxiety and depression problems. Cardiovascular disease risk reduction interventions for farmers should address both physical and emotional aspects of farming.
心血管疾病是美国农村地区死亡和住院的主要原因。中西部农民是农村社区的重要组成部分，但对于季节性工作和技术使用的职业变化对他们心血管疾病风险的影响知之甚少。
本研究描述了 40 名中西部农民在农忙和农闲季节的健康行为与心血管疾病风险之间的关系。
在每个农忙季节收集客观测量的体力活动和人口统计学、饮食和与健康相关的生活质量的自我报告。
本研究中的农民在一年中都保持活跃的体力活动、一致的饮食和高健康状况评分。心血管疾病风险与年龄和体重指数呈正相关（P<0.01），一半的年轻和中年农民报告存在焦虑和抑郁问题。针对农民的心血管疾病风险降低干预措施应同时针对农业的身体和情感方面。
