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基于雅加达心血管疾病评分的高校教职工冠心病危险因素:一项横断面研究。

Coronary heart disease risk factors among academic workers based on the Jakarta Cardiovascular Score: A cross-sectional study.

作者信息

Sawitri Harvina, Maulina Nora

机构信息

Department of Public Health, School of Medicine, Universitas Malikussaleh, Lhokseumawe, Indonesia.

Department of Physiology, School of Medicine, Universitas Malikussaleh, Lhokseumawe, Indonesia.

出版信息

Narra J. 2023 Aug;3(2):e162. doi: 10.52225/narra.v3i2.162. Epub 2023 Jul 12.

Abstract

Change in lifestyle leads to change in disease patterns from infectious diseases and malnutrition to degenerative diseases, such as coronary heart disease (CHD). The increasing prevalence of cardiovascular diseases among Indonesian workers and the general public will not only burden medical care expenses but also reduce work productivity, leading to more work-related injuries and work-related losses. The aim of this study was to determine the risk factors for CHD (age, sex, blood pressure, smoking, diabetes mellitus, body mass index, and weekly physical activity) and the CHD risk level among university workers. A cross-sectional study was conducted at workers at School of Medicine, Universitas Malikussaleh, Lhokseumawe, Indonesia. The risk level of CHD was calculated using Jakarta Cardiovascular Score and predicting model analyzed with multiple logistic regression model. Our data found that 58.2%, 25.5% and 16.3% of the university workers had low-, medium- and high-risk to have CHD. The final model indicted that the risk of heart disease was determined by gender, age, and the presence of hypertension and diabetes mellitus. Being male had odds ratio (OR) 30.84, aged >41 years old had OR 11.52, having hypertension had OR 4.87 and having diabetes mellitus had OR 13.99 for having high risk of CHD compared to female, those younger than 41 years old, having no hypertension and having no diabetes mellitus, respectively. In conclusion, our data suggests that more than 15% the respondents (university employees) have high risk of CHD and being male and older, and having hypertension and diabetes mellitus are associated with risk of CHD. Implantation of the preventive measures is therefore important to be implemented at the universities.

摘要

生活方式的改变导致疾病模式从传染病和营养不良转变为退行性疾病,如冠心病(CHD)。印度尼西亚工人和普通民众中心血管疾病患病率的上升不仅会增加医疗费用负担,还会降低工作效率,导致更多与工作相关的伤害和损失。本研究的目的是确定冠心病的风险因素(年龄、性别、血压、吸烟、糖尿病、体重指数和每周体育活动)以及大学工作人员中的冠心病风险水平。在印度尼西亚洛克苏马韦马利库萨莱大学医学院的工作人员中进行了一项横断面研究。使用雅加达心血管评分计算冠心病风险水平,并通过多元逻辑回归模型分析预测模型。我们的数据发现,58.2%、25.5%和16.3%的大学工作人员患冠心病的风险为低、中、高。最终模型表明,心脏病风险由性别、年龄以及高血压和糖尿病的存在决定。与女性、41岁以下、无高血压和无糖尿病的人相比,男性患冠心病高风险的优势比(OR)为30.84,年龄>41岁的人为11.52,患有高血压的人为4.87,患有糖尿病的人为13.99。总之,我们的数据表明,超过15%的受访者(大学员工)患冠心病的风险较高,男性、年龄较大以及患有高血压和糖尿病与冠心病风险相关。因此,在大学实施预防措施很重要。

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