Coronary Heart Disease Risk and Associated Risk Factor Among Workers at PT.X in 2023
Abstract
Introduction: Coronary heart disease is also a major cause of death and permanent disability among workers. In Indonesia, the estimated loss due to decreased productivity and treatment costs for CHD is 6.8% of GDP per year. The risk of CHD in industry is increased due to stress from long working hours, shift work affecting work, eating, and sleeping patterns.
Objective: To evaluate the risk of CHD among workers at PT. X, an oil and gas company, and to describe the frequency distribution of CHD risk factors
Method: The research design is descriptive analytics with a cross-sectional design. Sample data was collected from annual health examination data at PT. X in 2023. Framingham risk score (FRS) used to predict the incidence rate of CHD in the next 10 years.
Result: The data of PT. X indicates that man employees comprise 76.2%, age <40 years old 44.9%, 8.8% of employees have hypertension, 2.6% diabetes, and 62.1% obese. The results of CHD prediction risk calculations using Framingham are 0.4% of workers at high risk, 15.9% at intermediate risk. Risk factor of CHD found gender (pvalue = 0,000 ; OR 18,6), age (pvalue = 0,000; OR 54,3), SBP (pvalue = 0,002; OR 3,2), TC (pvalue = 0,032; OR 2,1), HDL (pvalue = 0,017; OR 0,4), fasting blood sugar (pvalue = 0,000; OR 6,5), smoking habits (pvalue = 0,000; OR 4,8), and BMI (pvalue = 0,013; OR 4,2).
Conclusion: The results of predicting the risk of coronary heart disease over the next 10 years using Framingham among PT.X workers indicate that 0.4% of workers have a high risk and 15.9% have a intermediate risk. Gender, age, systolic blood pressure, total cholesterol, HDL, fasting blood sugar, smoking habits, and body mass index (BMI) are significantly associated with the risk of coronary heart disease.
References
López-González ÁA, Albaladejo-Blanco M, Arroyo-Bote S, Ramírez-Manent JI, López-Safont N, García-Ruiz E, et al. Cardiovascular risk and associated risk factors in Spanish professional drivers. Journal of Transport & Health. 2021 Dec;23:101266.
Hu S, Fan H, Zhang S, Chen C, You Y, Wang C, et al. Association of LDL-C/HDL-C ratio with coronary heart disease: A meta-analysis. Indian Heart Journal. 2024 Feb
Ralapanawa U, Sivakanesan R. Epidemiology and the Magnitude of Coronary Artery Disease and Acute Coronary Syndrome: A Narrative Review. Journal of Epidemiology and Global Health. 2021;11(2):169.
Kementerian Kesehatan RI . Pedoman Pengendalian Faktor Risiko Penyakit Jantung dan Pembuluh Darah . Jakarta: Direktrorat Pengendalian Penyakit Tidak Menular; 2011.
Tim Riskesdas 2018. Laporan Nasional RISKESDAS 2018 . Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Kemenkes RI; 2019.
Uli RE, Satyana RPU, Zomer E, Magliano D, Liew D, Ademi Z. Health and productivity burden of coronary heart disease in the working Indonesian population using life-table modelling. BMJ Open. 2020 Sep;10(9):e039221.
Dias M, Silva L, Folgado D, Nunes ML, Cepeda C, Cheetham M, et al. Cardiovascular load assessment in the workplace: A systematic review. International Journal of Industrial Ergonomics. 2023 Jul;96:103476.
Benson C, Dimopoulos C, Argyropoulos CD, Varianou Mikellidou C, Boustras G. Assessing the common occupational health hazards and their health risks among oil and gas workers. Safety Science. 2021 Aug;140:105284.
Rodgers JL, Jones J, Bolleddu SI, Vanthenapalli S, Rodgers LE, Shah K, et al. Cardiovascular Risks Associated with Gender and Aging. Journal of Cardiovascular Development and Disease. 2019 Apr 27;6(2):19.
Kahtan Fadah, Lisa Aimee Hechanova, Mukherjee D. Epidemiology, Pathophysiology, and Management of Coronary Artery Disease in the Elderly. International Journal of Angiology [Internet]. 2022 Aug 25 [cited 2023 Sep 29];31(04):244–50. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803549/#:~:text=Biological%20CAD%20risk%20factors%20are
Kjeldsen SE. Hypertension and cardiovascular risk: General aspects. Pharmacological Research. 2018 Mar;129:95–9.
Pleasants RA, Rivera MP, Tilley SL, Bhatt SP. Both Duration and Pack-Years of Tobacco Smoking Should Be Used for Clinical Practice and Research. Annals of the American Thoracic Society. 2020 Jul;17(7):804–6.
Allagb I, Zeller M, Thomas D, Airagnes G, Ed F, Limosin E, et al. From the 1 Physiopathology and Epidemiology Cerebro-cardiovascular (PEC2, EA 7460), Faculty of Health Science. Am J Prev Med. 2022;63(5):800–8.
Kurniawidjaja LM, Ramdhan DH. Buku Ajar : Penyakit Akibat Kerja dan Surveilans. Jakarta: UI Publishing; 2019.
Du J, Wu W, Zhu B, Tao W, Liu L, Cheng X, et al. Recent advances in regulating lipid metabolism to prevent coronary heart disease. Chemistry and Physics of Lipids. 2023 Sep;255:105325.
Sekizuka H, Miyake H. Visceral fat accumulation as a risk factor for coronary heart diseases among a Japanese occupational population. Obesity Medicine. 2020 Jun;18:100200.
Tutor AW, Lavie CJ, Kachur S, Milani RV, Ventura HO. Updates on obesity and the obesity paradox in cardiovascular diseases. Progress in Cardiovascular Diseases. 2023 May;78:2–10.
Kaminsky LA, German C, Imboden M, Ozemek C, Peterman JE, Brubaker PH. The importance of healthy lifestyle behaviors in the prevention of cardiovascular disease. Progress in Cardiovascular Diseases. 2022 Jan;70:8–15.
Dal Canto E, Ceriello A, Rydén L, Ferrini M, Hansen TB, Schnell O, et al. Diabetes as a cardiovascular risk factor: An overview of global trends of macro and micro vascular complications. Aboyans V, Cosentino F, editors. European Journal of Preventive Cardiology. 2019 Dec 1;26(2_suppl):25–32.
Bays HE, Taub PR, Epstein E, Michos ED, Ferraro RA, Bailey AL, et al. Ten things to know about ten cardiovascular disease risk factors. American Journal of Preventive Cardiology. 2021 Mar;5:100149
Johnson CY, Tanz LJ, Lawson CC, Schernhammer ES, Vetter C, Rich?Edwards JW. Night shift work and cardiovascular disease biomarkers in female nurses. American Journal of Industrial Medicine. 2019 Dec 11;63(3):240–8.
Wang D, Xiao Y, Feng X, Wang B, Li W, He M, et al. Association of occupational noise exposure, bilateral hearing loss with atherosclerotic cardiovascular disease risk in Chinese adults. International Journal of Hygiene and Environmental Health. 2021 Jun;235:113776.
Kasim S, Ibrahim N, Malek S, Khairul Shafiq Ibrahim, Muhammad Firdaus Aziz, Song C, et al. Validation of the general Framingham Risk Score (FRS), SCORE2, revised PCE and WHO CVD risk scores in an Asian population. The Lancet Regional Health - Western Pacific. 2023 Jun 1;35:100742
Löfström U, Hage C, Savarese G, Donal E, Daubert J, Lund LH, et al. Prognostic impact of Framingham heart failure criteria in heart failure with preserved ejection fraction. ESC Heart Failure. 2019 Jun 17;6(4):830–9.
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