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"A heart for Vienna" – The prevention program for the big city. Blue-collar workers as a special target group

"Ein Herz für Wien" – Das Präventionsprogramm für die Großstadt. Arbeiterinnen und Arbeiter als eine besondere Zielgruppe

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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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References

  • Statistik Austria (2005) Statistisches Jahrbuch Österreichs 2005. www.statistik.at

  • Rieder A (2000) Statistische Mitteilungen zur Gesundheit in Wien 2000/2. Herz- Kreislauferkrankungen in Wien. MA-L Dezernat für Gesundheitsplanung

  • Rieder A, Dorner T, Huebel U, Antes G, Strunz B, Schmidl H (2003) "Ein Herz für Wien". Eine Stadt widmet sich der Herzgesundheit ihrer Bewohner. Wien Klin Wochenschr, Magazin 2003: 19a–20a

    Google Scholar 

  • Huisman M, Kunst AE, Bopp M, Borgan JK, Borrell C, Costa G, Deboosere P, Gadeyne S, Glickman M, Marinacci C, Minder C, Regidor E, Valkonen T, Mackenbach JP (2005) Educational inequalities in cause-specific mortality in middle-aged and older men and women in eight western European populations. Lancet 365: 493–500

    PubMed  Google Scholar 

  • Doblhammer-Reiter G (1996) Soziale Ungleichheit vor dem Tod. Zum Ausmaß sozioökonomischer Unterschiede der Sterblichkeit in Österreich. Demographische Informationen 1995/96. Akademie der Wissenschaften, Wien

  • Steptoe A, Marmot M (2002) The role of psychobiological pathways in socio-economic inequalities in cardiovascular disease risk. Eur Heart J 23: 13–25

    Article  PubMed  CAS  Google Scholar 

  • Yarnell J, Yu S, McCrum E, Arveiler D, Hass B, Dallongeville J, Montaye M, Amouyel P, Ferrieres J, Ruidavets JB, Evans A, Bingham A, Ducimetiere P; PRIME study group (2004) Education, socioeconomic and lifestyle factors, and risk of coronary heart disease: the PRIME Study. Int J Epidemiol 34: 268–275

    Article  PubMed  Google Scholar 

  • Wannamethee SG, Whincup PH, Shaper G, Walker M (1996) Influence of fathers' social class on cardiovascular disease in middle-aged men. Lancet 348: 1259–1263

    Article  PubMed  CAS  Google Scholar 

  • Marmot MG, Bosma H, Hemingway H, Brunner E, Stansfeld S (1997) Contribution of job control and other risk factors to social variations in coronary heart disease incidence. Lancet 350: 235–239

    Article  PubMed  CAS  Google Scholar 

  • Marmot MG, Shipley MJ, Rose G (1984) Inequalities in death – specific explanations of a general pattern? Lancet 1: 1003–1006

    Article  PubMed  CAS  Google Scholar 

  • Siegrist J (2000) Place, social exchange and health: proposed sociological framework. Soc Sci Med 51: 1283–1293

    Article  PubMed  CAS  Google Scholar 

  • Helmert U (1996) Cardiovascular risk factors and occupation: results of the health survey of the German Cardiovascular Prevention Study. Soz Praventivmed 41: 165–177

    Article  PubMed  CAS  Google Scholar 

  • Pearson TA, Bazzarre TL, Daniels SR, Fair JM, Fortmann SP, Franklin BA, Goldstein LB, Hong Y, Mensah GA, Sallis JF Jr, Smith S Jr, Stone NJ, Taubert KA; American Heart Association Expert Panel on Population and Prevention Science (2003) American Heart Association Expert Panel on Population and Prevention Science. American Heart Association guide for improving cardiovascular health at the community level: a statement for public health practitioners, healthcare providers, and health policy makers from the American Heart Association Expert Panel on Population and Prevention Science. Circulation 107: 645–651

    Article  PubMed  Google Scholar 

  • Rieder, Neuwirth, Schwarz, Gude, Geserick (2003) Großstadtfaktor Wien – demographische, soziale Ungleichheiten bei selbstberichtetem Gesundheitsverhalten, Gesundheitsstatus, Konsum medizinischer Leistung. Scientific report

  • Fodor JG, Lietava J, Rieder A, Sonkodi S, Stokes H, Emmons T, Turton P (2004) Work-site hypertension prevalence and control in three Central European Countries. J Hum Hypertens 18: 581–585

    Article  PubMed  CAS  Google Scholar 

  • Fodor GJ, Kotrec M, Bacskai K, Dorner T, Lietava J, Sonkodi S, Rieder A, Turton P (2005) Is interview a reliable method to verify the compliance with antihypertensive therapy? An International Central-European Study. J Hypertens 23: 1261–1266

    Article  PubMed  CAS  Google Scholar 

  • Mattu GS, Perry TL, Wright JM (2001) Comparison of the oscillometric blood pressure monitor (BPM-100 Beta) with the auscultatory mercury sphygmomanometer. Blood Press Monit 6: 153–159

    Article  PubMed  CAS  Google Scholar 

  • European Society of Hypertension-European Society of Cardiology Guidelines Committee (2003) 2003 European Society of Hypertension-European Society of Cardiology guidelines for the management of arterial hypertension. J Hypertens 21: 1011–1053

    Google Scholar 

  • National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) (2002) Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III): Final report. US Department of Health and Human Services; Public Health Service; National Institutes of Health; National Heart, Lung, and Blood Institute. Circulation 106: 3143

  • Hitzenberger G (1999) Hypertonie – Situation in Österreich. Wien Med Wochenschr 154: 2–7

    Article  Google Scholar 

  • Kiefer I, Kunze M, Rieder A (2001) Epidemiologie der Adipositas. J Ernährungsmed 3: 17–19

    Google Scholar 

  • Groman E, Bayer P, Kunze U, Schmeiser-Rieder A, Schoberberger R (2000) Analysis of the needs for diagnosis and therapy of tobacco dependence in Austria. Wien Med Wochenschr 150: 109–114

    PubMed  CAS  Google Scholar 

  • Dorner T, Leitner B, Stadlmann H, Fischer W, Neidhart B, Lawrence K, Kiefer I, Rathmanner T, Kunze M, Rieder A (2004) Prevalence of overweight and obesity in Austrian male and female farmers. Soz Praventivmed 49: 243–246

    PubMed  Google Scholar 

  • Greenland P, Knoll MD, Stamler J, Neaton JD, Dyer AR, Garside DB, Wilson PW (2003) Major risk factors as antecedents of fatal and nonfatal coronary heart disease events. JAMA 290: 891–897

    Article  PubMed  Google Scholar 

  • Kannel WB, Gordon T, Schwartz MJ (1971) Systolic versus diastolic blood pressure and risk of coronary heart disease: The Framingham Study. Am J Cardiol 27: 335–346

    Article  PubMed  CAS  Google Scholar 

  • MacMahon S, Neal B, Rodgers A (1995) Blood pressure lowering for the primary and secondary prevention of coronary and cerebrovascular disease. Schweiz Med Wochenschr 125: 2479–2486

    PubMed  CAS  Google Scholar 

  • Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289: 76–79

    Article  PubMed  Google Scholar 

  • Despres JP, Lemieux I, Prudhomme D (2001) Treatment of obesity: need to focus on high risk abdominally obese patients. BMJ 322: 716–720

    Article  PubMed  CAS  Google Scholar 

  • Jee SH, Suh I, Kim IS, Appel LJ (1999) Smoking and atherosclerotic cardiovascular disease in men with low levels of serum cholesterol: the Korea Medical Insurance Corporation Study. JAMA 282: 2149–2155

    Article  PubMed  CAS  Google Scholar 

  • Vasan RS, Larson MG, Leip EP, Kannel WB, Levy D (2001) Assessment of frequency of progression to hypertension in non-hypertensive participants in the Framingham Heart Study: a cohort study. Lancet 358: 1682–1686

    Article  PubMed  CAS  Google Scholar 

  • Ljung R, Peterson S, Hallqvist J, Heimerson I, Diderichsen F (2005) Socioeconomic differences in the burden of disease in Sweden. Bull World Health Organ 83: 92–99

    PubMed  Google Scholar 

  • Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH (1999) The disease burden associated with overweight and obesity. JAMA 282: 1523–1529

    Article  PubMed  CAS  Google Scholar 

  • Liese AD, Doring A, Hense HW, Keil U (2001) Five year changes in waist circumference, body mass index and obesity in Augsburg, Germany. Eur J Nutr 40: 282–288

    Article  PubMed  CAS  Google Scholar 

  • Palta M, Prineas RJ, Berman R, Hannan P (1982) Comparison of self-reported and measured height and weight. Am J Epidemiol 115: 223–230

    PubMed  CAS  Google Scholar 

  • Rowland ML (1990) Self-reported weight and height. Am J Clin Nutr 52: 1125–1133

    PubMed  CAS  Google Scholar 

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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

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