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评估年轻医疗专业人员的心血管疾病风险:Q-Risk 3计算的见解

Evaluating Cardiovascular Disease Risk in Young Healthcare Professionals: Insights from Q-Risk 3 Calculations.

作者信息

Rangarajan Ramya, Premnath Sujatha M

机构信息

Department of Biochemistry, Pondicherry Institute of Medical Science, Pondicherry University, Puducherry, India.

出版信息

Indian J Occup Environ Med. 2025 Apr-Jun;29(2):136-140. doi: 10.4103/ijoem.ijoem_272_23. Epub 2025 Jun 13.

Abstract

BACKGROUND

There is a global rise in cardiovascular diseases (CVD), particularly among the current generation of young adults, including the health professionals. Factors such as poor lifestyle choices, inadequate nutrition, sedentary work, and prolonged working hours contribute to occupational stress.

AIM

This study aimed to investigate the prevalence of CVD risk factors in young healthcare workers aged 25-40 and assess their 10-year CVD risk using the QRISK 3 prediction algorithm.

MATERIALS AND METHODS

A cross-sectional study was conducted on 248 health workers aged 25-40 years in a tertiary care hospital in Pondicherry. Data collected include questionnaire responses for the QRISK 3 algorithm, weight, height, and two SBP readings on two different days, and blood samples for HDL-c, Fasting glucose, and Total cholesterol level.

RESULT

Nearly 26.6% of the participants had high body mass index (BMI), 5.24% had diabetes mellitus, 16.12% had hypertension, 25.4% were found with hyperlipidemia, 6.3% had a history of light smoking, and 47.5% had a family history of CVD. Most of the risk factors except hypertension and low HDL-c showed female preponderance. Despite the high prevalence, the mean QRISK score of a 10-year risk of getting CVD among young healthcare workers is less, which is only 1.3%.

CONCLUSION

Though the prevalence of major risk factors is high among healthcare workers other risk factors that the QRISK 3 algorithm takes into consideration were very low among the participants. The higher prevalence of metabolic risk factors emphasizes the need for the change in lifestyle behaviors of participants.

摘要

背景

心血管疾病(CVD)在全球范围内呈上升趋势,尤其是在包括卫生专业人员在内的当代年轻人中。不良的生活方式选择、营养不足、久坐不动的工作以及长时间工作等因素会导致职业压力。

目的

本研究旨在调查25至40岁年轻医护人员中CVD危险因素的患病率,并使用QRISK 3预测算法评估他们10年患CVD的风险。

材料与方法

在本地治里的一家三级护理医院对248名年龄在25至40岁的卫生工作者进行了横断面研究。收集的数据包括用于QRISK 3算法的问卷调查回复、体重、身高、在两个不同日期的两次收缩压读数,以及用于检测高密度脂蛋白胆固醇(HDL-c)、空腹血糖和总胆固醇水平的血液样本。

结果

近26.6%的参与者体重指数(BMI)较高,5.24%患有糖尿病,16.12%患有高血压,25.4%患有高脂血症,6.3%有轻度吸烟史,47.5%有CVD家族史。除高血压和低HDL-c外,大多数危险因素在女性中更为常见。尽管患病率较高,但年轻医护人员中10年患CVD风险的平均QRISK评分较低,仅为1.3%。

结论

尽管医护人员中主要危险因素的患病率较高,但QRISK 3算法考虑的其他危险因素在参与者中非常低。代谢危险因素的较高患病率强调了参与者改变生活方式行为的必要性。

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