Hypertension control in industrial employees: findings from SHIMSCO study
<p><strong>Background:</strong> Hypertension prevention and control are among the most important public health priorities. We evaluated the impacts of a workplace intervention project "Stop Hypertension in Mobarakeh Steel Company" (SHIMSCO) on controlling hypertension in...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Vesnu Publications
2012-03-01
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| Series: | ARYA Atherosclerosis |
| Online Access: | http://arya.mui.ac.ir/index.php/arya/article/view/372 |
| _version_ | 1818983976367292416 |
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| author | Alireza Khosravi Mohsen Rowzati Mojgan Gharipour Mohammad Gholami Fesharaki Shahin Shirani Shahnaz Shahrokhi Mahnaz Jozan Elham Khosravi Zahra Khosravi Nizal Sarrafzadegan |
| author_facet | Alireza Khosravi Mohsen Rowzati Mojgan Gharipour Mohammad Gholami Fesharaki Shahin Shirani Shahnaz Shahrokhi Mahnaz Jozan Elham Khosravi Zahra Khosravi Nizal Sarrafzadegan |
| author_sort | Alireza Khosravi |
| collection | DOAJ |
| description | <p><strong>Background:</strong> Hypertension prevention and control are among the most important public health priorities. We evaluated the impacts of a workplace intervention project "Stop Hypertension in Mobarakeh Steel Company" (SHIMSCO) on controlling hypertension in industrial workers.</p> <p><strong>Methods: </strong>The study was carried out in Mobarakeh Steel Company in Isfahan among 7286 male workers and employees. All individuals were evaluated for the presence of hypertension (HTN). According to examinations, 500 subjects with systolic blood pressure (SBP) ≥ 140 mmHg, and/or diastolic blood pressure (DBP) ≥ 90 mmHg, and/or those using antihypertensive medications were confirmed to have HTN and thus included in this study. They were questioned for sociodemographic characteristics, past medical history and medication use. They received an educational program including healthy lifestyle and self-care recommendations of HTN management and control as well as training for accurate blood pressure measurement and home monitoring for two years. SBP, DBP, weight, height and routine lab tests were measured for all hypertensive subjects before and after the interventions. Paired t-test, generalized estimation equation (GEE) and ordinary linear regression (OLR) were used for statistical analysis in SPSS.</p> <p><strong>Results:</strong> The comparison of SBP and DBP before and after the educational program showed significant reductions in both parameters (-7.97 ± 14.72 and -2.66 ± 9.96 mmHg, respectively). However, a greater decrease was detected in case of DBP. GEE showed SBP and DBP to decrease about -0.115 and -0.054 mmHg/month. OLR also revealed reductions of 4.88 and 2.57 mmHg respectively in SBP and DBP upon adding each antihypertensive drug.</p> <p><strong>Conclusion: </strong>SHIMSCO, a 3-year interventional project in workplaces, was effective in reducing SBP and DBP among hypertensive employees and workers. We conclude that implementing simple educational programs in worksites can improve the management and control of hypertension and perhaps other chronic diseases.</p> <p><strong>Keywords: </strong>Hypertension, Worksite, Industrial, Blood Pressure, Control</p> <p> </p> |
| first_indexed | 2024-12-20T18:11:40Z |
| format | Article |
| id | doaj.art-0a079131523f454cb3fae2ebbd52f1a4 |
| institution | Directory Open Access Journal |
| issn | 1735-3955 2251-6638 |
| language | English |
| last_indexed | 2024-12-20T18:11:40Z |
| publishDate | 2012-03-01 |
| publisher | Vesnu Publications |
| record_format | Article |
| series | ARYA Atherosclerosis |
| spelling | doaj.art-0a079131523f454cb3fae2ebbd52f1a42022-12-21T19:30:27ZengVesnu PublicationsARYA Atherosclerosis1735-39552251-66382012-03-0174191196260Hypertension control in industrial employees: findings from SHIMSCO studyAlireza Khosravi0Mohsen Rowzati1Mojgan Gharipour2Mohammad Gholami Fesharaki3Shahin Shirani4Shahnaz Shahrokhi5Mahnaz Jozan6Elham Khosravi7Zahra Khosravi8Nizal Sarrafzadegan9Associate Professor, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranGeneral Practitioner, Worksite Follow-up Center, Occupational Health Center, Mobarakeh Steel Company, Isfahan, IranPhD Student, Cardiac Rehabilition Research Center, Isfahan Cardiovascular Research Institue, IranPhD Student, Department of Biostatistics, School of Medical Sciences, Tarbiat Modares University, Tehran, IranAssociate Professor, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranCommunity Medicine Specialist, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranHypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranBSc, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranMedical Student, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranProfessor, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran<p><strong>Background:</strong> Hypertension prevention and control are among the most important public health priorities. We evaluated the impacts of a workplace intervention project "Stop Hypertension in Mobarakeh Steel Company" (SHIMSCO) on controlling hypertension in industrial workers.</p> <p><strong>Methods: </strong>The study was carried out in Mobarakeh Steel Company in Isfahan among 7286 male workers and employees. All individuals were evaluated for the presence of hypertension (HTN). According to examinations, 500 subjects with systolic blood pressure (SBP) ≥ 140 mmHg, and/or diastolic blood pressure (DBP) ≥ 90 mmHg, and/or those using antihypertensive medications were confirmed to have HTN and thus included in this study. They were questioned for sociodemographic characteristics, past medical history and medication use. They received an educational program including healthy lifestyle and self-care recommendations of HTN management and control as well as training for accurate blood pressure measurement and home monitoring for two years. SBP, DBP, weight, height and routine lab tests were measured for all hypertensive subjects before and after the interventions. Paired t-test, generalized estimation equation (GEE) and ordinary linear regression (OLR) were used for statistical analysis in SPSS.</p> <p><strong>Results:</strong> The comparison of SBP and DBP before and after the educational program showed significant reductions in both parameters (-7.97 ± 14.72 and -2.66 ± 9.96 mmHg, respectively). However, a greater decrease was detected in case of DBP. GEE showed SBP and DBP to decrease about -0.115 and -0.054 mmHg/month. OLR also revealed reductions of 4.88 and 2.57 mmHg respectively in SBP and DBP upon adding each antihypertensive drug.</p> <p><strong>Conclusion: </strong>SHIMSCO, a 3-year interventional project in workplaces, was effective in reducing SBP and DBP among hypertensive employees and workers. We conclude that implementing simple educational programs in worksites can improve the management and control of hypertension and perhaps other chronic diseases.</p> <p><strong>Keywords: </strong>Hypertension, Worksite, Industrial, Blood Pressure, Control</p> <p> </p>http://arya.mui.ac.ir/index.php/arya/article/view/372 |
| spellingShingle | Alireza Khosravi Mohsen Rowzati Mojgan Gharipour Mohammad Gholami Fesharaki Shahin Shirani Shahnaz Shahrokhi Mahnaz Jozan Elham Khosravi Zahra Khosravi Nizal Sarrafzadegan Hypertension control in industrial employees: findings from SHIMSCO study ARYA Atherosclerosis |
| title | Hypertension control in industrial employees: findings from SHIMSCO study |
| title_full | Hypertension control in industrial employees: findings from SHIMSCO study |
| title_fullStr | Hypertension control in industrial employees: findings from SHIMSCO study |
| title_full_unstemmed | Hypertension control in industrial employees: findings from SHIMSCO study |
| title_short | Hypertension control in industrial employees: findings from SHIMSCO study |
| title_sort | hypertension control in industrial employees findings from shimsco study |
| url | http://arya.mui.ac.ir/index.php/arya/article/view/372 |
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