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心肺适能与不同工作条件职业群体中心血管风险降低相关:一项针对警察和办公室职员的横断面研究。

Cardiorespiratory Fitness Is Associated with a Reduced Cardiovascular Risk in Occupational Groups with Different Working Conditions: A Cross-Sectional Study among Police Officers and Office Workers.

作者信息

Strauss Markus, Foshag Peter, Brzęk Anna, Vollenberg Richard, Jehn Ulrich, Littwitz Henning, Leischik Roman

机构信息

Department of Cardiology, Faculty of Health, School of Medicine, University Witten/Herdecke, 58095 Hagen, Germany.

Department of Cardiology I-Coronary and Peripheral Vascular Disease, Heart Failure Medicine, University Hospital Muenster, 48149 Muenster, Germany.

出版信息

J Clin Med. 2021 May 9;10(9):2025. doi: 10.3390/jcm10092025.

Abstract

Several studies reported a high prevalence of cardiovascular risk factors among police officers and office workers, and adequate cardiorespiratory fitness was reported to have protective effects in reducing cardiovascular risk. Therefore, the present study aimed to evaluate the effects of cardiorespiratory fitness on reducing cardiovascular risk factors in these occupational groups. This cross-sectional study enrolled 101 male participants (55 police officers and 46 office workers). Cardiorespiratory fitness was assessed via spiroergometry. Cardiovascular risk factors were also examined, and the 10-year cardiovascular risk and heart/vascular age were reported using the Framingham risk score. In both groups, higher cardiorespiratory fitness was associated with lower cardiovascular risk factors. Police officers and office workers with higher cardiorespiratory fitness demonstrated significantly lower values in BMI, waist circumference, body fat percentage, diastolic resting blood pressure, heart rate, triglycerides and total cholesterol values, and 10-year cardiovascular risk and heart/vascular age (all factors < 0.0077, age adjusted). Police officers and office workers mostly presented low levels of cardiorespiratory fitness: 60% of police officers and 58% of office workers were considered "not fit and obese". Despite different working conditions, both occupational groups had a high rate of low cardiorespiratory fitness levels and showed no differences in their cardiovascular risk profiles. In both groups, cardiorespiratory fitness reduced cardiovascular risk factors, but there was no difference in the influence of cardiorespiratory fitness on cardiovascular risk factors.

摘要

多项研究报告称,警察和办公室职员中心血管危险因素的患病率较高,据报道,充足的心肺适能对降低心血管风险具有保护作用。因此,本研究旨在评估心肺适能对降低这些职业群体心血管危险因素的影响。这项横断面研究招募了101名男性参与者(55名警察和46名办公室职员)。通过运动心肺功能测试评估心肺适能。还检查了心血管危险因素,并使用弗明汉风险评分报告了10年心血管风险和心脏/血管年龄。在两组中,较高的心肺适能与较低的心血管危险因素相关。心肺适能较高的警察和办公室职员在体重指数、腰围、体脂百分比、静息舒张压、心率、甘油三酯和总胆固醇值以及10年心血管风险和心脏/血管年龄方面的数值显著较低(所有因素<0.0077,年龄校正)。警察和办公室职员大多呈现出较低的心肺适能水平:60%的警察和58%的办公室职员被认为“不健康且肥胖”。尽管工作条件不同,但两个职业群体的心肺适能水平较低的比例都很高,并且在心血管风险状况方面没有差异。在两组中,心肺适能都降低了心血管危险因素,但心肺适能对心血管危险因素的影响没有差异。

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