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评估波兰士兵的心血管风险:使用POL SCORE工具的见解。

Assessing Cardiovascular Risk Among Polish Soldiers: Insights Using the POL SCORE Tool.

作者信息

Zawadzka Magdalena, Marszałkowska-Jakubik Justyna, Ejchman-Pac Ewelina, Pająk-Tarnacka Beata, Szymański Paweł

机构信息

Department of Epidemiology and Public Health, Medical University of Lodz, Żeligowskiego 7/9, 90-752 Lodz, Poland.

Department of Hygiene and Epidemiology, Military Institute of Hygiene and Epidemiology, Kozielska 4, 01-163 Warsaw, Poland.

出版信息

J Clin Med. 2025 Mar 20;14(6):2130. doi: 10.3390/jcm14062130.

DOI:10.3390/jcm14062130
PMID:40142938
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11943057/
Abstract

: Maintaining the health and operational readiness of military personnel is a strategic priority, particularly in the context of cardiovascular diseases (CVDs), which remain a significant public health challenge in Poland. Despite a decline in mortality rates between 2006 and 2012, Poland continues to report higher premature mortality rates compared to the OECD average. This study highlights the importance of effective risk assessment and management strategies, employing the POL SCORE scale, an adaptation of the European Society of Cardiology's Systematic Coronary Risk Evaluation (SCORE) project. : This study included 196 participants, comprising soldiers and civilian employees of the Ministry of National Defense, to assess their 10-year cardiovascular mortality risk. Data were collected using clinical evaluations and self-reported questionnaires. : Findings revealed that 66.3% of participants were at moderate risk, with significant differences observed based on gender and education level. Notably, the average triglyceride level was 219.3 ± 114.31 mg/dL in the very high-risk group, compared to 97.4 ± 41.31 mg/dL in the low-risk group. Stress, reported by 88.2% of participants, emerged as the most prevalent work-related risk factor. Alarmingly, a lack of awareness regarding cardiovascular risk factors was observed, particularly among high-risk individuals. : This study underscores the need for targeted health education, regular preventive screenings, and psychological support, particularly among military personnel. These interventions are crucial to mitigating the burden of CVDs and ensuring the operational readiness of armed forces.

摘要

维持军事人员的健康和作战准备状态是一项战略重点,尤其是在心血管疾病(CVD)的背景下,心血管疾病在波兰仍然是一项重大的公共卫生挑战。尽管2006年至2012年间死亡率有所下降,但与经合组织平均水平相比,波兰的过早死亡率仍然较高。本研究强调了有效风险评估和管理策略的重要性,采用了波兰心血管风险评分量表(POL SCORE),这是对欧洲心脏病学会系统冠状动脉风险评估(SCORE)项目的一种改编。

本研究纳入了196名参与者,包括国防部的士兵和文职雇员,以评估他们10年心血管疾病死亡风险。数据通过临床评估和自我报告问卷收集。

研究结果显示,66.3%的参与者处于中度风险,基于性别和教育水平观察到显著差异。值得注意的是,极高风险组的平均甘油三酯水平为219.3±114.31毫克/分升,而低风险组为97.4±41.31毫克/分升。88.2%的参与者报告称压力是最普遍存在的与工作相关的风险因素。令人担忧的是,观察到对心血管疾病风险因素缺乏认识,尤其是在高风险个体中。

本研究强调了针对性健康教育、定期预防性筛查和心理支持的必要性,特别是在军事人员中。这些干预措施对于减轻心血管疾病负担和确保武装部队的作战准备状态至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c873/11943057/d4e2d144f8ee/jcm-14-02130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c873/11943057/e7883535645b/jcm-14-02130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c873/11943057/d4e2d144f8ee/jcm-14-02130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c873/11943057/e7883535645b/jcm-14-02130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c873/11943057/d4e2d144f8ee/jcm-14-02130-g002.jpg

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