Valoración del riesgo cardiovascular en varones conductores profesionales del área mediterránea española y variables asociadas / Assessment of cardiovascular risk in male professional drivers of the Spanish mediterranean area and associated variables

INTRODUCCIÓN: El riesgo cardiovascular es una de las principales pre ocupaciones de los servicios de salud laboral. MATERIAL Y MÉTODOS: Se realiza un estudio retrospectivo y transversal en 2944 varones conductores profesionales (487 taxistas, 908 con ductores de autobús y 1549 conductores de camión) y se valoran diferentes variables relacionadas con riesgo cardiovascular. RESULTADOS: El 27,4% de los conductores son obesos, el 25% hiper tensos, un 48% presentan valores elevados de colesterol y un 29,5% triglicéridos altos, mientras la hiperglucemia aparece en el 6,5%. Un 15,8% cumplen los criterios de síndrome metabólico, un 2,6% presentan valores elevados en la escala REGICOR y un 7,9% en la escala SCORE. El riesgo elevado de padecer diabetes tipo 2 con la escala Findrisk aparece en el 13% de los conductores. CONCLUSIONES: Globalmente, el colectivo de taxistas es el que presenta peores resultados en todas las variables relacionadas con riesgo cardiovascular.

INTRODUCTION: Cardiovascular risk is one of the main concerns of occupational health services. MATERIAL AND METHODS: A retrospective and cross-sectional study was conducted in 2944 professional male drivers (487 taxi drivers, 908 bus drivers and 1549 truck drivers) and different variables related to cardiovascular risk were assessed. RESULTS: 27.4% of the drivers are obese, 25% hypertensive, 48% have high cholesterol and 29.5% high triglycerides, while hyperglycemia appears in 6.5%. 15.8% met the metabolic syndrome criteria, 2.6% presented high values on the REGICOR scale and 7.9% on the SCORE scale. The high risk of type 2 diabetes with the Findrisk scale appears in 13% of drivers. CONCLUSIONS: Globally the group of taxi drivers is the one that pres ents worse results in all the variables related to cardiovascular risk.

Relationship between blood glucose levels and cardiovascular risk in the Spanish Mediterranean population.

BACKGROUND/AIM: Diabetes is associated with an increased prevalence of cardiovascular disease. Impaired fasting glucose (IFG) is an intermediate clinical situation between normal glucose levels and type 2 diabetes. The aim of this study is to determine how fasting glucose concentrations affect different cardiovascular risk scales. MATERIALS AND METHODS: A descriptive study was conducted with 59,041 Mediterranean Spanish workers. IFG was determined using the American Diabetes Association (ADA) and the World Health Organization (WHO) criteria. Different indicators of cardiovascular risk were analyzed: body mass index, waist circumference, waist-to-height ratio, blood pressure, lipid parameters, atherogenic indices, metabolic syndrome, and various scales of cardiovascular risk such as REGICOR, DORICA, SCORE, Heart Age, and Vascular Age. RESULTS: All cardiovascular scales showed statistically significant differences between the IFG group and the normal glucose group. In all cases, values were worse in the IFG group; furthermore, men exhibited more unfavorable levels of cardiovascular risk factors than women. Higher odds ratio values were present in employees with metabolic syndrome according to ATP III criteria (9.42, 95% CI: 8.56-10.37 using WHO criteria and 9.25, 95% CI: 8.67-9.87 using ADA criteria).Conclusions: IFG increases cardiovascular risk whether using classical scales (REGICOR, SCORE, and metabolic syndrome) or other less studied scales (atherogenic indices, Heart Age, and Vascular Age).

[Prevalence of impaired fasting glucose in a working population of Spanish Mediterranean area: influence of sociodemographic variables and healthy habits]. / Prevalencia de glucemia basal alterada (GBA) en población laboral del área mediterránea española: Influencia de variables sociodemográficas y hábitos saludables.

INTRODUCTION: The impaired fasting glucose (IFG) is an intermediate clinical situation between normal glucose and type 2 diabetes, it is known that 25% of people with IFG progress to type 2 diabetes. METHODS: Descriptive study in 60,798 Spanish workers. The IFG was determined using the American Diabetes Association (ADA) criteria: 100-125 mg/dl and the World Health Organization (WHO) criteria: 110-125 mg/dl. The influence of sociodemographic variables (age, sex, social class, studies class) and healthy habits (tobacco, alcohol consumption, physical activity, feeding) were evaluated in the IFG prevalence. RESULTS: The IFG prevalence was 3.3% (1.8% in women and 4.5% in men) using the WHO criteria and 11.8% (7% in women and 15.4% in men) using the ADA criteria. The IFG is more common in men and increases with age. People with low socioeconomic status (social classes IV and V, blue collar and primary studies) and poor health habits (smokers, heavy alcohol consumption and low physical activity) have a higher prevalence. CONCLUSIONS: The sociodemographic variables and the healthy habits, except consumption of fruits and vegetables, influence the prevalence of IFG.

Índices aterogénicos en trabajadores de diferentes sectores laborales del área mediterránea española / Atherogenic indices in workers of different occupational sectors of the Spanish Mediterranean area

Introducción: Los índices aterogénicos permiten predecir las enfermedades cardiovasculares ya que reflejan muy bien las interacciones clínicas y metabólicas de las fracciones lipídicas. Material y método: Estudio descriptivo y transversal en 60.798 trabajadores del área mediterránea española en los que se determinan diferentes índices aterogénicos (colesterol/HDL, LDL/HDL, triglicéridos/HDL) y se valora la influencia que tiene en ellos el trabajo en diferentes sectores productivos. Resultados: En las mujeres los valores medios de los diferentes índices aterogénicos son mejores en el sector sanitario, mientras que en los varones lo son en el sector primario. El porcentaje de mujeres trabajadoras con valores bajos es igualmente mayor en el sector sanitario, mientras que en los hombres no hay un sector en el que predominen claramente, observándose los mejores valores en hostelería y sector primario. Conclusión: El reparto de factores de riesgo cardiovascular y los valores de los diferentes índices aterogénicos analizados varían en los diferentes sectores laborales

Introduction: Atherogenic indices predict cardiovascular disease, as they provide a good reflection of the clinical and metabolic interactions of lipid fractions. Material and method: A descriptive cross-sectional study was conducted on 60,798 workers in the Spanish Mediterranean area on whom different atherogenic indices (cholesterol/HDL, LDL/HDL, triglycerides/HDL) were determined, and the influence they have in the different productive work sectors. Results: In women, the mean values of the different atherogenic indices are better in the health sector, while they are better in men in the primary sector. The percentage of working women with low values is also greater in the healthcare sector, while in men there is no clear predominant sector, with the best values being shown in the hospitality and primary sector. Conclusion: The distribution of cardiovascular risk factors and the values of the different atherogenic indices analyzed vary in different industrial sectors

[Atherogenic indices in workers of different occupational sectors of the Spanish Mediterranean area]. / Índices aterogénicos en trabajadores de diferentes sectores laborales del área Mediterránea Española.

INTRODUCTION: Atherogenic indices predict cardiovascular disease, as they provide a good reflection of the clinical and metabolic interactions of lipid fractions. MATERIAL AND METHOD: A descriptive cross-sectional study was conducted on 60,798 workers in the Spanish Mediterranean area on whom different atherogenic indices (cholesterol/HDL, LDL/HDL, triglycerides/HDL) were determined, and the influence they have in the different productive work sectors. RESULTS: In women, the mean values of the different atherogenic indices are better in the health sector, while they are better in men in the primary sector. The percentage of working women with low values is also greater in the healthcare sector, while in men there is no clear predominant sector, with the best values being shown in the hospitality and primary sector. CONCLUSION: The distribution of cardiovascular risk factors and the values of the different atherogenic indices analyzed vary in different industrial sectors.