心血管风险与 COVID-19 大流行:医疗保健专业人员人群中的回顾性观察研究。

Cardiovascular risk and the COVID-19 pandemic: A retrospective observational study in a population of healthcare professionals.

机构信息

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy.

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy.

出版信息

Nutr Metab Cardiovasc Dis. 2023 Jul;33(7):1415-1419. doi: 10.1016/j.numecd.2023.04.006. Epub 2023 Apr 15.

Abstract

BACKGROUND AND AIM

To contain the spread of COVID-19, many countries imposed several restrictive measures, leading to radical changes in daily life behaviors. Healthcare workers experienced additional stress due to the increased risk of contagion, possibly causing an increase in unhealthy habits. We investigated changes in cardiovascular (CV) risk assessed by the SCORE-2 in a healthy population of healthcare workers during the COVID-19 pandemic; an analysis by subgroups was also conducted (sportspeople vs sedentary subjects).

METHODS AND RESULTS

We compared medical examination and blood tests in a population of 264 workers aged over 40, performed yearly before (T0) and during the pandemic (T1, T2). We found a significant increase in the average CV risk, according to SCORE-2, during the follow-up in our healthy population, with a shift from a mean low-moderate risk profile at T0 (2.35%) to a mean high-risk profile at T2 (2.80%). Furthermore, in sedentary subjects was observed a greater and early increase in SCORE-2 compared to sportspeople.

CONCLUSIONS

Since 2019, we observed an increase in CV risk profile in a healthy population of healthcare workers, particularly in sedentary subjects, highlighting the need to reassess SCORE-2 every year to promptly treat high-risk subjects, according to the latest Guidelines.

摘要

背景与目的

为了控制 COVID-19 的传播,许多国家实施了多项限制措施,导致日常生活行为发生了重大变化。由于感染风险增加,医护人员面临额外的压力,可能导致不健康习惯的增加。我们调查了 COVID-19 大流行期间医护人员这一健康人群中,通过 SCORE-2 评估的心血管(CV)风险的变化;还对亚组(运动员与久坐人群)进行了分析。

方法与结果

我们比较了 264 名年龄在 40 岁以上的工作人员在大流行前(T0)和期间(T1、T2)的体检和血液检查。我们发现,在随访期间,我们的健康人群中 SCORE-2 平均 CV 风险显著增加,从 T0 时的平均低-中度风险(2.35%)转变为 T2 时的平均高风险(2.80%)。此外,与运动员相比,久坐人群的 SCORE-2 更早且更大幅度地增加。

结论

自 2019 年以来,我们观察到医护人员健康人群的 CV 风险状况增加,尤其是久坐人群,这突显了根据最新指南,每年重新评估 SCORE-2 以及时治疗高危人群的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d818/10105375/9e1cc8e6b7de/gr1_lrg.jpg

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