Annals of Occupational and Environmental Medicine

Original Article

Overall and cardiovascular mortality according to 10-year cardiovascular risk of the general health checkup: the Kangbuk Samsung Cohort Study: Youshik Jeong, Yesung Lee, Eunchan Mun, Eunhye Seo, Daehoon Kim, Jaehong Lee, Jinsook Jeong, Woncheol Lee; Ann Occup Environ Med 2022;34:e40. Published online November 23, 2022; DOI: https://doi.org/10.35371/aoem.2022.34.e40

Abstract Abstract in Korean PDF PubReader ePub

Background

According to the occupational accident status analysis in 2020, of 1,180 occupational deaths, 463 were caused by cardiovascular disease (CVD). Workers should be assessed for CVD risk at regular intervals to prevent work-related CVD in accordance with the rules on occupational safety and health standards. However, no previous study has addressed risk and mortality. Therefore, this longitudinal study was conducted to evaluate the relationship between 10-year cardiovascular risk of the general health checkup and mortality.

Methods

The study included 545,859 participants who visited Kangbuk Samsung Total Healthcare Centers from January 1, 2002, to December 31, 2017. We performed 10-year cardiovascular risk assessment for the participants and the risk was divided into 4 groups (low, moderate, high, and very high). The study used death data from the Korea National Statistical Office for survival status as an outcome variable by December 31, 2019, and the cause of death based on the International Classification of Diseases, 10^th Revision (ICD-10) was identified. Statistical analysis was performed using Cox proportional hazards regression analysis, and the sum of the periods from the first visit to the date of death or December 31, 2019, was used as a time scale. We also performed a stratified analysis for age at baseline and sex.

Results

During 5,253,627.9 person-years, 4,738 overall deaths and 654 cardiovascular deaths occurred. When the low-risk group was set as a reference, in the multivariable-adjusted model, the hazard ratios (HRs) (95% confidence interval [CI]) for overall mortality were 3.36 (2.87–3.95) in the moderate-risk group, 11.08 (9.27–13.25) in the high-risk group, and 21.20 (17.42–25.79) in the very-high-risk group, all of which were statistically significant. In cardiovascular deaths, the difference according to the risk classification was more pronounced. The HRs (95% CI) were 8.57 (4.95–14.83), 38.95 (21.77–69.69), and 78.81 (42.62–145.71) in each group. As a result of a subgroup analysis by age and sex, the HRs of all-cause mortality and cardiovascular mortality tended to be higher in the high-risk group.

Conclusions

This large-scale longitudinal study confirmed that the risk of death increases with the 10-year cardiovascular risk of general health checkup.

일반건강검진 10년 심뇌혈관질환 발병 위험도에 따른 사망률: 강북삼성 코호트 연구
목적
한국산업안전보건공단(KOSHA)의 2020년도 산업재해 현황 분석에 따르면 2020년도 업무상 질병 사망자 1,180명 중 심뇌혈관질환으로 인한 사망자는 463명으로 높은 비중을 차지하였다. 근로자는 산업안전보건기준에 관한 규칙에 의거하여 작업 관련 심뇌혈관질환 예방을 위해 정해진 주기에 따라 뇌심혈관질환 발병 위험도 평가 및 사후 관리를 받아야 한다. 하지만 발병 위험도와 사망률에 대한 기존 연구는 없었다. 따라서 이번 종단 연구는 일반건강검진 10년 심뇌혈관질환 발병 위험도와 사망률 간의 관계를 평가하기 위해 수행되었다.
방법
연구는 2002년 1월 1일부터 2017년 12월 31일까지 강북삼성병원 종합건진센터에 방문한 545,859명의 수검자들을 대상으로 이루어졌다. 연구 대상자들은 KOSHA 가이드라인에 따라 저위험군, 중등도위험군, 고위험군, 최고위험군 총 4개의 군으로 분류되었다. 연구는 강북삼성병원 코호트 자료와 연계된 통계청 사망자료를 이용하여 사망 여부와 사망원인을 확인하였다. 2019년 12월 31일까지의 사망 여부를 확인하여 결과변수로 정했고, 사망원인은 국제질병분류(ICD-10)를 기반으로 확인하였다. 통계 분석은 Cox 회귀 분석으로 하였고, 첫 방문부터 사망일 혹은 2019년 12월 31일까지의 기간들의 합산을 시간 척도로 사용하였다. 또한 나이와 성별에 대해 층화분석을 시행하였다.
결과
추적 관찰 기간 중앙값 9.07년 및 총 5,253,627.9인년 동안 발생한 전체 사망자는 4,738명, 심뇌혈관계 사망자는 654명이었다. 저위험군을 기준으로 하였을 때, 다변수 보정 모형에서 전체 사망의 위험비(HR)(95% 신뢰구간)는 중등도위험군에서 3.36 (2.87-3.95), 고위험군에서 11.08 (9.27-13.25), 최고위험군에서 21.20 (17.42-25.79)으로 통계적으로 유의했다. 심뇌혈관계 사망의 위험비는 각각의 군에서 8.57 (4.95-14.83), 38.95 (21.77-69.69), 78.81 (42.62-145.71)로 차이가 더 두드러지는 것으로 관찰되었다. 또한 나이와 성별의 층화분석을 시행하였을 때도 고위험군에서 전체 사망률과 심뇌혈관계 사망률이 더 높은 경향을 보였다.
결론
이번 대규모 종단 연구를 통해서 일반건강검진 10년 심뇌혈관질환 발병 위험도가 높을수록 실제 사망 위험이 증가한다는 것을 확인할 수 있었다.

Citations

Citations to this article as recorded by

The Association Between Blood Lead Levels and Coronary Artery Calcium Score Determined by Using Coronary Computed Tomography Angiography
Eunyoung Park, Suwhan Kim, Seunghyeon Cho, Hyeonjun Kim, Inho Jung, Jai-Dong Moon, Won-Ju Park
Journal of Korean Medical Science.2023;[Epub] CrossRef

199 View
2 Download
1 Web of Science
1 Crossref

Research Article

Association between depression and cardiovascular disease risk in general population of Korea: results from the Korea National Health and Nutrition Examination Survey, 2016: Jinho Song, Tae Hwan Koh, One Park, Daeil Kwon, Seonghoon Kang, Kyeongmin Kwak, Jong-Tae Park; Ann Occup Environ Med 2019;31:e10. Published online June 20, 2019; DOI: https://doi.org/10.35371/aoem.2019.31.e10

Abstract PDF Supplementary Material PubReader ePub

Background

Depression is considered as a risk factor for cardiovascular disease (CVD) and associated with changes in individuals' health status that might influence CVD risk. However, most studies have scrutinized this relationship on a rather narrower and specific study population. By focusing on general population of Korea, we sought to inspect the association of depression with CVD risk and cardiovascular risk factors.

Methods

The data from the first year (2016) of the 7th Korea National Health and Nutrition Examination Survey was used. Participants were classified by the Patient Health Questionnaire-9 (PHQ-9) score as such: normal group (PHQ-9 score 0–4), mild depression (MD) group (PHQ-9 score 5–9) and moderate and severe depression (MSD) group (PHQ-9 score 10–27). General linear model was used to analyze differences and the trend of mean CVD risk according to depression level. Adjusted odds ratios (AORs) were calculated by logistic regression to identify the association between depression and cardiovascular risk factors after adjusting for age.

Results

Mean CVD risk of MSD group was higher than that of normal group (p < 0.05). There was a tendency of CVD risk to increase as depression worsened (p < 0.01). Among men, MSD group was associated with current smoking (AOR, 2.97; 95% confidence interval [CI], 1.78–4.97), taking antihypertensive medications (AOR, 2.42; 95% CI, 1.26–4.66), increased fasting blood sugar (> 125 mg/dL; AOR, 2.37; 95% CI, 1.25–4.50) and taking diabetes medications (AOR, 3.08; 95% CI, 1.65–5.72). MD group was associated with current smoking (AOR, 1.60; 95% CI, 1.18–2.17). Among women, MSD group was associated with high body mass index (≥ 25 kg/m²; AOR, 1.61; 95% CI, 1.11–2.32), large waist circumference (≥ 85 cm; AOR, 1.63; 95% CI, 1.12–2.37), current smoking (AOR, 5.11; 95% CI, 3.07–8.52) and taking diabetes medications (AOR, 2.62; 95% CI, 1.68–4.08). MD group was associated with current smoking (AOR, 1.86; 95% CI, 1.18–2.93).

Conclusions

We suggest that depression is associated with increased risk for CVD occurrence in general population of Korea.

Citations

Citations to this article as recorded by

A Potential Role for MAGI-1 in the Bi-Directional Relationship Between Major Depressive Disorder and Cardiovascular Disease
Priyanka Banerjee, Khanh Chau, Sivareddy Kotla, Eleanor L. Davis, Estefani Berrios Turcios, Shengyu Li, Zhang Pengzhi, Guangyu Wang, Gopi Krishna Kolluru, Abhishek Jain, John P. Cooke, Junichi Abe, Nhat-Tu Le
Current Atherosclerosis Reports.2024; 26(9): 463. CrossRef
Awareness and related factors of depressive symptoms in breastfeeding people in South Korea: a survey-based cross-sectional study
Jiyoung Song, Eunwon Lee
BMJ Open.2023; 13(7): e068282. CrossRef
Depression and cardiovascular risk in primary care patients
Stephanie A. Hooker, Patrick J. O'Connor, JoAnn M. Sperl-Hillen, A. Lauren Crain, Kris Ohnsorg, Sheryl Kane, Rebecca Rossom
Journal of Psychosomatic Research.2022; 158: 110920. CrossRef
The relationship between lifestyle risk factors and depression in Korean older adults: a moderating effect of gender
Shinuk Kim
BMC Geriatrics.2022;[Epub] CrossRef
Self-Esteem as a Mediator between Life Satisfaction and Depression among Cardiovascular Disease Patients
Zeying Qin, Songli Mei, Tingting Gao, Leilei Liang, Chuanen Li, Yueyang Hu, Xinmeng Guo, Cuicui Meng, Jianping Lv, Tongshuang Yuan, Junsong Fei, Qian Tong, Yang Yang
Clinical Nursing Research.2022; 31(1): 115. CrossRef
Muscle Strength Moderates the Relationship between Nutritional Health Risk and Depression in Korean Older Adults
Jeonghyeon Kim, Seamon Kang, Haeryun Hong, Hyunsik Kang, Ju-Hyoung Kim, Sang-Koo Woo
Nutrients.2022; 14(3): 665. CrossRef
Association of Depression With Cardiovascular Diseases
Zain I Warriach, Sruti Patel, Fatima Khan, Gerardo F Ferrer
Cureus.2022;[Epub] CrossRef
Research on the Influence of New Media Construction on Health Examination
姗姗郭
Nursing Science.2019; 08(06): 436. CrossRef

203 View
0 Download
10 Web of Science
8 Crossref

Research Article

Cardiovascular Disease Risk of Bus Drivers in a City of Korea: Seung Yong Shin, Chul Gab Lee, Han Soo Song, Sul Ha Kim, Hyun Seung Lee, Min Soo Jung, Sang Kon Yoo; Ann Occup Environ Med 2013;25:34-34. Published online November 11, 2013; DOI: https://doi.org/10.1186/2052-4374-25-34

Abstract PDF PubReader ePub

Objective

To prevent the occurrence of CV events such as MI and stroke among professional drivers in Korea, bus drivers were compared to other occupations through the Framingham risk scoring system (FRS) or metabolic syndrome (MS) of cardiovascular disease (CVD) risk assessment methods.

Methods

In October 2012, a health examination survey was conducted for 443 male bus drivers in a big city. Their CVD risk factors were compared to those of a ‘total employed’ (A group) and ‘crafts and machine operators’ (B group) extracted from Fifth Korea National Health and Nutrition Examination Survey (KNHANES, 2010) data by using FRS and MS. We calculated proportions of the CVD risk factors distribution between bus drivers and the A, B groups by the bootstrapping method. The Odds ratio (OR) between CV event risk combining MS with CHD equivalent risk of FRS and occupational factors like shift patterns and professional driving duration/age ratios (PDAR) of bus drivers was calculated through multinominal logistic regression.

Results

The proportion of BMI ≥ 25 kg/m² was 53.9% and waist circumference ≥ 90cm was 40.9% among bus drivers. Hypertension and MS prevalence of bus drivers was 53.3%, 49.9% which is higher than 17.6%, 22.6% in the A group and 19.7%, 23.8% in the B group respectively. OR of high CV event risk in alternate shift was 2.58 (95% CI 1.33~5.00) in comparison with double shift pattern and OR in PDAR ≥ 0.5 was 2.18 (95% CI 1.15~4.14).

Conclusion

Middle aged male drivers in a big city of Korea stand a higher chance of developing CV event than other professions of the same age.

Citations

Citations to this article as recorded by

Are work-related stress and positivity associated with health-related quality of life? Results of an observational study in a transport company in Italy
Maria Vittoria Manai, Corrado Colaprico, Eleonora Ricci, Sabrina Fabbri, Graziano Di Feo, Barbara Dorelli, Rosario Andrea Cocchiara, Augusto Faticoni, Sabina Sernia, Simone De Sio, Giuseppe La Torre
Journal of Public Health.2024;[Epub] CrossRef
The relationship between perceived stress and emotional eating in bus drivers: the effect of shift work
Emre Bayraktaroglu, Hilal Hizli-Guldemir, Serkan Eti, Merve Kayali-Sevim, Neda Saleki
International Journal of Food Sciences and Nutrition.2024; : 1. CrossRef
Sociodemographic and lifestyle factors and the risk of metabolic syndrome in taxi drivers: A focus on street food
Machoene Derrick Sekgala, Maretha Opperman, Buhle Mpahleni, Zandile June-Rose Mchiza
Frontiers in Nutrition.2023;[Epub] CrossRef
Facilitators and barriers to achieving dietary and physical activity goals: focus group interviews with city bus drivers and counseling dietitians
Yongmin Jo, Suhyeun Cho, Young-Hee Han, Taisun Hyun
Korean Journal of Community Nutrition.2023; 28(5): 376. CrossRef
Risk factors for cardiovascular diseases in professional drivers
Aneta Atanasovska
Archives of Public Health.2023; 15(1): 16. CrossRef
A Retrospective Medical Record Review to Describe Health Status and Cardiovascular Disease Risk Factors of Bus Drivers in South Africa
Susan C. Aitken, Samanta T. Lalla-Edward, Maren Kummerow, Stan Tenzer, Bernice N. Harris, W. D. Francois Venter, Alinda G. Vos
International Journal of Environmental Research and Public Health.2022; 19(23): 15890. CrossRef
Cardiovascular risk in high-hazard occupations: the role of occupational cardiology
Iain T Parsons, Edward D Nicol, David Holdsworth, Norbert Guettler, Rienk Rienks, Constantinos H Davos, Martin Halle, Gianfranco Parati
European Journal of Preventive Cardiology.2022; 29(4): 702. CrossRef
Body physiological responses of city bus drivers subjected to noise and vibration exposure in working environment
Ramin Rahmani, Mohsen Aliabadi, Rostam Golmohammadi, Mohammad Babamiri, Maryam Farhadian
Heliyon.2022; 8(8): e10329. CrossRef
Obesity as a Risk Factor for Hypertension and Diabetes among Truck Drivers in a Logistics Company, South Africa
Perpetua Modjadji, Morongwa Bokaba, Kebogile Elizabeth Mokwena, Tshimangadzo Selina Mudau, Kotsedi Daniel Monyeki, Peter Modupi Mphekgwana
Applied Sciences.2022; 12(3): 1685. CrossRef
Effects of safety pattern, cabin ergonomics, and sleep on work-related stress and burnout of city and transit bus drivers in Lahore, Pakistan
Zahara Batool, Muhammad Waqas Younis, Ammar Yasir, Atteq Ur Rehman, Mudassar Dilawar, Mazhar Yasin, Muhammad Hamza, Saqib Shahzad, Muhammad Sarmad Ali, Arslan Jamil, Muhammad Haris Asghar Khan
Ergonomics.2022; 65(5): 704. CrossRef
Australian bus drivers’ modifiable and contextual risk factors for chronic disease: A workplace study
Alison Brodie, Toby Pavey, Cameron Newton, Marguerite C. Sendall, Sergio A. Useche
PLOS ONE.2021; 16(7): e0255225. CrossRef
Risk assessment of metabolic syndrome prevalence involving sedentary occupations and socioeconomic status
Ming-Shu Chen, Chi-Hao Chiu, Shih-Hsin Chen
BMJ Open.2021; 11(12): e042802. CrossRef
Metabolic syndrome and its determinants among professional drivers: a systematic review and meta-analysis
Nazanin Izadi, Arezu Najafi, Maryam Saraei
Journal of Diabetes & Metabolic Disorders.2021; 20(2): 2015. CrossRef
Cardiovascular risk and associated risk factors in Spanish professional drivers
Ángel Arturo López-González, María Albaladejo-Blanco, Sebastiana Arroyo-Bote, J. Ignacio Ramírez-Manent, Nora López-Safont, Estefanía García-Ruiz, María Teófila Vicente-Herrero
Journal of Transport & Health.2021; 23: 101266. CrossRef
Prevalence of hypertension among professional drivers
Y Krishnamoorthy, G Sarveswaran, M Sakthivel
Journal of Postgraduate Medicine.2020; 66(2): 81. CrossRef
Prevalence and Determinants of Hypertension among Iranian Taxi Drivers (2018)
Payam Khanlari, Masoud Khosravipour, Faramarz Gharagozlou, Rashid Heidarimoghadam, Mohammad Babamiri
Journal of Occupational Health and Epidemiology.2020; 9(1): 1. CrossRef
Bus Workers’ Experiences with and Perceptions of a Health Promotion Program: A Qualitative Study Using a Focus Group Discussion
Jeehee Pyo, Mina Lee, Minsu Ock, Gwiok Park, Dongseok Yang, Jungsun Park, Yangho Kim
International Journal of Environmental Research and Public Health.2020; 17(6): 1992. CrossRef
Cancer risk in road transportation workers: a national representative cohort study with 600,000 person-years of follow-up
Wanhyung Lee, Mo-Yeol Kang, Jihyun Kim, Sung-Shil Lim, Jin-Ha Yoon
Scientific Reports.2020;[Epub] CrossRef
Prevalence of Metabolic Syndrome and Lifestyle Characteristics by Business Type among Japanese Workers in Small- and Medium-sized Enterprises
Hiroko Hozawa, Ayano Takeuchi, Yuko Oguma
The Keio Journal of Medicine.2019; 68(3): 54. CrossRef
Fatores associados à obesidade em rodoviários da Região Metropolitana de Belo Horizonte, Minas Gerais, Brasil
Luís Paulo Souza e Souza, Ada Ávila Assunção, Adriano Marçal Pimenta
Revista Brasileira de Epidemiologia.2019;[Epub] CrossRef
Cardiovascular disease risk differences between bus company employees and general workers according to the Korean National Health Insurance Data
Ji-Hoo Yook, Dong-Wook Lee, Min-Seok Kim, Yun-Chul Hong
Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
Work stress and health problems of professional drivers: a hazardous formula for their safety outcomes
Sergio A. Useche, Boris Cendales, Luis Montoro, Cristina Esteban
PeerJ.2018; 6: e6249. CrossRef
Effects of 8 weeks of circuit training on blood lipids, insulin resistance, cardiovascular function, and metabolic syndrome risk factors in bus drivers
임은철, Man-Gyoon Lee, 조현석
Korean Journal of Sport Science.2017; 28(1): 11. CrossRef
Effects of 8 Weeks of Circuit Exercise Training on Body Composition, Physical Fitness, Stress Index, and Atherogenic Index in Bus Drivers
Eun-Cheol Eem, Hyun-Seok Cho, Man-Gyoon Lee
The Korean Journal of Physical Education.2017; 56(2): 553. CrossRef
A socioecological framework for research on work and obesity in diverse urban transit operators based on gender, race, and ethnicity
BongKyoo Choi, Peter Schnall, Marnie Dobson, Haiou Yang, Dean Baker, YoungJu Seo
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef
Şehiriçi Toplu Taşıma Araçlarını Kullanan Şoförlerde Kardiyovasküler Risk Faktörleri, Fiziksel Aktivite Düzeyi Ve Anksiyete Durumunun Değerlendirmesi
Saniye AYDOĞAN ASLAN
Ergoterapi ve Rehabilitasyon Dergisi.2017; 5(2): 87. CrossRef
Prevalence of Hypertension in Professional Drivers (from the RACER-ABPM Study)
Anna E. Platek, Filip M. Szymanski, Krzysztof J. Filipiak, Marcin Kotkowski, Anna Rys, Karolina Semczuk-Kaczmarek, Karolina Adamkiewicz
The American Journal of Cardiology.2017; 120(10): 1792. CrossRef
Driving to Better Health: Screening for Hypertension and Associated Factors Among Commercial Taxi Drivers in Buffalo City Metropolitan Municipality, South Africa
Aanuoluwa Odunayo Adedokun, Daniel Ter Goon, Eyitayo Omolara Owolabi, Oladele Vincent Adeniyi, Anthony Idowu Ajayi
The Open Public Health Journal.2017; 10(1): 303. CrossRef
Prevalence of Metabolic Syndrome and Its Components among Japanese Workers by Clustered Business Category
Tomoo Hidaka, Takehito Hayakawa, Takeyasu Kakamu, Tomohiro Kumagai, Yuhei Hiruta, Junko Hata, Masayoshi Tsuji, Tetsuhito Fukushima, Suryaprakash Sambhara
PLOS ONE.2016; 11(4): e0153368. CrossRef
Occupational vehicle-related particulate exposure and inflammatory markers in trucking industry workers
Yueh-Hsiu Mathilda Chiu, Eric Garshick, Jaime E. Hart, Donna Spiegelman, Douglas W. Dockery, Thomas J. Smith, Francine Laden
Environmental Research.2016; 148: 310. CrossRef
Effects of high occupational physical activity, aging, and exercise on heart rate variability among male workers
Dongmug Kang, Youngki Kim, Jongeun Kim, Yongsik Hwang, Byungmann Cho, Taekjong Hong, Byungmok Sung, Yonghwan Lee
Annals of Occupational and Environmental Medicine.2015;[Epub] CrossRef
Association of Work-related Characteristics and Hypertension among White Collar Workers
Chae-Bong Kim, KyooSang Kim
Journal of Korean Society of Occupational and Environmental Hygiene.2015; 25(3): 418. CrossRef
Associations of Work Hours, Job Strain, and Occupation With Endothelial Function
Luenda E. Charles, Desta Fekedulegn, Paul Landsbergis, Cecil M. Burchfiel, Sherry Baron, Joel D. Kaufman, Karen Hinckley Stukovsky, Kaori Fujishiro, Capri G. Foy, Michael E. Andrew, Ana V. Diez Roux
Journal of Occupational & Environmental Medicine.2014; 56(11): 1153. CrossRef

209 View
2 Download
34 Web of Science
33 Crossref

Original Article

Risk Assessment for Cardiovascular Diseases in Male Workers: Comparing KOSHA Guidelines and the Framingham Risk Score System: In Yong Um, Won Jun Choi, Deul Lee, Jae Seok Oh, Min Kee Yi, Jong Wan Yoon, Sang Hwan Han; Korean Journal of Occupational and Environmental Medicine 2012;24(4):365-374. Published online December 31, 2012; DOI: https://doi.org/10.35371/kjoem.2012.24.4.365

Abstract PDF

OBJECTIVES
This study aimed to investigate the 10-year risk of cardiovascular disease (CVD) by Framingham risk score (FRS) who classified as "healthy group" by Korean Occupational Safety and Health Agent (KOSHA)' s cardiovascular risk assessment.
METHODS
The subjects of this study were 1,781 male workers in a large steel company. Health status was obtained periodically through medical examinations and questionnaires. We assessed cardiovascular risk using KOSHA guidelines and calculated the 10-year risk of cardiovascular disease using the Framingham risk score for those categorized to the "healthy group" by KOSHA guideline. A closer examination of cardiovascular risk factors was performed in 62 subjects paradoxically placed in the "healthy group" by KOSHA guidelines and the "high-risk group" by FRS.
RESULTS
Among the "healthy group" by KOSHA's cardiovascular risk assessment, 230(15.8%) subjects had more than 3 CVD risk factors and 62(4.2%) subjects were high risk group (more than 20%) in 10-years risk of CVD by Framingham risk score. Modifiable risk factors included cigarette smoking (96.8%), high serum total cholesterol (82.3%), high serum triglyceride (66.1%), insufficient physical activity (66.1%), and obesity (58.1%).
CONCLUSIONS
Among subjects with normal blood pressure, it seems that KOSHA guidelines underestimate CVD risk, identified by the Framingham risk score. For the effective prevention and management of CVD, modifiable risk factors, such as cigarette smoking, dyslipidemia, and obesity, need to be constructively controlled.

Citations

Citations to this article as recorded by

Comparing Korea Occupational Safety & Health Agency and National Health Insurance Service’s cardio-cerebrovascular diseases risk-assessment tools using data from one hospital’s health checkups
Yunrae Cho, Dong Geon Kim, Byung-Chan Park, Seonhee Yang, Sang Kyu Kim
Annals of Occupational and Environmental Medicine.2023;[Epub] CrossRef
Comparison of risk-assessment tools for cardio-cerebrovascular diseases (CVD) in male shipyard workers: a cross-sectional study
Jea Chul Ha, Jun Seok Son, Young Ouk Kim, Chang Ho Chae, Chan Woo Kim, Hyoung Ouk Park, Jun Ho Lee, Young Hoo Shin, Hyun Woo Park
Annals of Occupational and Environmental Medicine.2019;[Epub] CrossRef
Cardiovascular Disease According to Job Type and Life Style
Wan-Young Yoon
Journal of Digital Convergence.2016; 14(2): 501. CrossRef
The Assessment of Framingham Risk Score and 10 Year CHD Risk according to Application of LDL Cholesterol or Total Cholesterol
Se Young Kwon, Young Ak Na
Korean Journal of Clinical Laboratory Science.2016; 48(2): 54. CrossRef
10-Year Risk for Cardiovascular Disease Among Male Workers in Small-Sized Industries
Kyongok Park, Seon Young Hwang
Journal of Cardiovascular Nursing.2015; 30(3): 267. CrossRef

76 View
0 Download
5 Crossref

Original Article

The Correlation of Cardiovascular Risk Factors and Hearing Loss: Sung Pil Jung, Soo Young Kim, Tae Yong Lee, Young Chae Cho, Dong Bae Lee; Korean Journal of Occupational and Environmental Medicine 1998;10(2):189-202. Published online May 31, 1998; DOI: https://doi.org/10.35371/kjoem.1998.10.2.189

Abstract PDF

To investigate the effects of cardiovascular risk factors on hearing loss, hearing threshold and cardiovascular risk factors such as blood pressure, hematologic values, and serum lipid levels of 3,827 persons who visited the Health Center of a University Hospital in Kumi for health examination from January 1, 1995 to July 31, 1997 were analysed. The results were summarized as follows ; 1. Hearing threshold was shifted highly in both sex groups with age increased. Smoking did not influence increase of hearing loss, but drinking alcohol amount increased hearing threshold when sex was adjusted. The most highly increased hearing threshold showed among farmers group, but next was blue collars group. Hearing threshold increasing basis with BMI increased. 2. Systolic and diastolic blood pressure and hematocrit value increased the hearing threshold in both sex groups, but hemoglobin value did not related to the hearing threshold. 3. Total cholesterol, LDL-cholesterol, triglyceride, and atherosclerosis index were significantly increased with the grade of hearing lose increased, when age was adjusted. 4. In the logistic regression analysis, the atherosclerosis index, age, and hematocrit value revealed risk factors which contributed in that orders, though the values were small they showed statistical significances, but the risks were lowered when hemoglobin values increased, in both sex groups. Consequently, hyperlipidemia was significantly related to the hearing loss when age was adjusted.

Citations

Citations to this article as recorded by

Spatio-temporal Characteristics of the Frequency of Weather Types and Analysis of the Related Air Quality in Korean Urban Areas over a Recent Decade (2007-2016)
Hyeong-Sik Park, Sang-Keun Song, Seung-Beom Han, Seongbin Cho
Journal of Environmental Science International.2018; 27(11): 1129. CrossRef

61 View
0 Download
1 Crossref

Original Article

The Effect of Day and Night Shift on Risk Factors of Cardiovascular Disease in Automobile: Manufacturing Plant Workers: Jae Haek Shin, Jung Jeung Lee, Kyeong Soo Lee, Joon Sakong, Chang Yoon Kim, Jong Hak Chung; Korean Journal of Occupational and Environmental Medicine 1995;7(1):28-45. Published online February 28, 1995; DOI: https://doi.org/10.35371/kjoem.1995.7.1.28

Abstract PDF: An investigation of effects of shift work on cardiovascular risk factors has been carried out on workers of a motor company in Ulsan, for 2 months from 20 April to 20 June,1993. This cross-sectional survey was designed to compare the shift workers (n=420) with day workers (n=88). The study subjects were drawn from workers who were employed in twelve hour shift system. A control group who never experienced shift work was drawn from different sections of the factory. Each worker completed a medical and occupational questionnaire and cardiovascular risk factors such as blood pressure, total cholesterol, triglyceride, apolipoprotein A-1 and B were measured. In univariate analysis, apolipoprotein B and the ratio of apolipoprotein B to apolipoprotem A-1 increased in shift workers. In multiple regression analysis for the systolic blood pressure, shift work was significant independent variable (p=0.059). In multiple regression analysis for the cholesterol, age and body mass index were significant independent variables(p<0.01), but shift work was not a statistically significant independent variable. In multiple regression analysis for the ratio of apolipoprotein B to apolipoprotein A-1, shift work was significant independent variable (p<0.05). Shift workers who have engaged in shift work more than 5 years have an excess of total cholesterol, apolipoprotein B and ratio of apolipoprotein B to apolipoprotein A-1 than those who have engaged in shift work less than 5 years (p<0.05). In multiple regression analysis for the cholesterol, duration of shift work was a significant independent variable (p=0.012). In multiple regression analysis for the apolipoprotein B and ratio of apolipoprotein B to apolipoprotein A-1, duration of shift work was not a significant independent variable.

44 View
0 Download

First
Prev
Page of 1
Next
Last

Search