Zusammenfassung
ZIEL: durch Screening nach kardiovaskulären Risikofaktoren "Awareness" für kardiovaskuläre Gesundheit zu kreieren, und dabei zu einem gesünderen Lebensstil zu motivieren. Dieses Projekt im Rahmen des städtischen Präventionsprojektes "Ein Herz für Wien" konzentrierte sich auf Arbeiterinnen und Arbeiter in der Großstadt, eine Population mit höchstem Risiko für die Entwicklung von Herz- Kreislauferkrankungen. ERGEBNISSE: Die Prävalenz von Hypertonie, Übergewicht, Adipositas, abdomineller Adipositas und Rauchenbetrug je 29,7 %, 62,4 %, 16,4 %, 29,3 %, und 49,8 %. 87,6 % hatten zumindest einen der untersuchten kardialen Risikofaktoren. Mit zunehmendem Alter stieg die Prävalenz von Hypertonie, Übergewicht, Adipositas und abdomineller Adipositas an. Hypertonie, Übergewicht und abdominelle Adipositas waren signifikant häufiger bei männlichen Hilfsarbeitern als bei männlichen Facharbeitern. Bei weiblichen Arbeiterinnen war die Prävalenz von Adipositas und abdomineller Adipositas mehr als 1,5 Mal höher, als bei männlichen Arbeitern. SCHLUSSFOLGERUNG: Arbeiterinnen und Arbeiter repräsentieren eine Population, in der Gesundheitsförderung und Prävention von Herz- Kreislauferkrankungen hohe Priorität haben sollten. Selbst in der Gruppe der Arbeiterinnen und Arbeiter gilt, je niedriger der Ausbildungsgrad, umso schlechter ist das kardiovaskuläre Risikoprofil.
Summary
OBJECTIVES: To create awareness of cardiovascular health status by screening for cardiovascular risk factors, and thereby motivate people to improve their life style habits. This was carried out in form of a project within the framework of the government prevention programme "A Heart for Vienna" focussing on urban blue-collar workers, a population at greatest risk for developing cardiovascular disease. RESULTS: The prevalence of hypertension, overweight, obesity, abdominal obesity and smoking were 29.7 %, 62.4 %, 16.4 %, 29.3 %, and 49.8 %, respectively. 87.6 % presented at least one of the screened cardiac risk factors. The prevalence of hypertension, overweight, obesity and abdominal obesity increased with age. Hypertension, overweight and abdominal obesity were significantly more prevalent among unskilled compared to skilled male bluecollar workers. The prevalence of obesity and abdominal obesity was more than 1.5 times higher among female compared to male blue-collar workers. CONCLUSION: Blue-collar workers represent a population where health promotion and prevention of cardiovascular disease should have high priority. Within the bluecollar group itself the cardiovascular risk profile worsened with reduction in skill level.
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Dorner, T., Fodor, J., Allichhammer, D. et al. "A heart for Vienna" – The prevention program for the big city. Blue-collar workers as a special target group. Wien Med Wochenschr 156, 552–557 (2006). https://doi.org/10.1007/s10354-006-0340-3
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DOI: https://doi.org/10.1007/s10354-006-0340-3