학술논문
[Incidence of ischemic heart disease and stroke in workers of a local administration in southern Spain over ten years of follow-up].
Document Type
Academic Journal
Author
Álvarez-Fernández C; Departamento de Seguridad y Salud Laboral. Ayuntamiento de Córdoba. Córdoba. España.; Romero-Saldaña M; Departamento de Seguridad y Salud Laboral. Ayuntamiento de Córdoba. Córdoba. España.; Álvarez-López C; Distrito Sanitario Guadalquivir (Córdoba). Servicio Andaluz de Salud. Córdoba. España.; Vaquero-Abellán M; Dirección General de Prevención y Protección Ambiental. Universidad de Córdoba. Córdoba. España.
Source
Publisher: Ministerio de Sanidad y Consumo Country of Publication: Spain NLM ID: 9600212 Publication Model: Electronic Cited Medium: Internet ISSN: 2173-9110 (Electronic) Linking ISSN: 11355727 NLM ISO Abbreviation: Rev Esp Salud Publica Subsets: MEDLINE
Subject
Language
Spanish; Castilian
Abstract
Objective: Cardiovascular disease is the first cause of death in Spain. There are a few studies about the incidence of ischemic heart disease and cerebrovascular disease in workers. The objectives of this study were to determine the incidence of coronary and cerebrovascular disease in a cohort of workers of a public administration in the south of Spain, to estimate the prevalence of CVRF and its contribution to it, as well as to evaluate the predictive behavior of the REGICOR function.
Methods: Longitudinal historical cohort study, not concurrent, consisting of 698 workers, recruited from occupational health examinations. The dependent variables were the appearance of CI or CVD while leading independent were glucose, cholesterol, triglycerides, BMI, blood pressure, waist circumference, physical activity, smoking and REGICOR score and Score. Is performed Cox regression and its calculated area AUC of the ROC curve area for the explanatory variables.
Results: According to the REGICOR function, 0.6% of the population was classified as high risk. The Incidence Density per 100,000 persons-year for ischemic heart disease in women was found to be 53.9 by 357.4 in men, without significant differences with respect to those expected from the REGICOR function. The combined DI for ischemic heart disease and stroke was 477.1 per 100,000 person-years (men).
Conclusions: The REGICOR function adequately assesses cardiovascular risk globally, losing predictive capacity according to risk groups. Smoking and blood pressure are shown as modifiable risk factors with greater independent association in the onset of cardiovascular disease.
Competing Interests: Disclosure The authors report no conflicts of interest in this work.
Methods: Longitudinal historical cohort study, not concurrent, consisting of 698 workers, recruited from occupational health examinations. The dependent variables were the appearance of CI or CVD while leading independent were glucose, cholesterol, triglycerides, BMI, blood pressure, waist circumference, physical activity, smoking and REGICOR score and Score. Is performed Cox regression and its calculated area AUC of the ROC curve area for the explanatory variables.
Results: According to the REGICOR function, 0.6% of the population was classified as high risk. The Incidence Density per 100,000 persons-year for ischemic heart disease in women was found to be 53.9 by 357.4 in men, without significant differences with respect to those expected from the REGICOR function. The combined DI for ischemic heart disease and stroke was 477.1 per 100,000 person-years (men).
Conclusions: The REGICOR function adequately assesses cardiovascular risk globally, losing predictive capacity according to risk groups. Smoking and blood pressure are shown as modifiable risk factors with greater independent association in the onset of cardiovascular disease.
Competing Interests: Disclosure The authors report no conflicts of interest in this work.