The impact of workplace intervension on controling hypertension

Background: We evaluated the impacts of a workplace intervention project "Stop Hypertension in Mobarakeh Steel Company" (SHIMSCO) on controlling hypertension in industrial workers. Methods: This clinical trial was carried out in workers and employees of Mobarakeh Steel Company in Isfahan A...

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Main Authors: Alireza Khosravi, Mahnaz Jozan, Mojgan Gharipour, Mohsen Rowzati, Elham Khosravi, Nisal Sarrafzadegan
Format: Article
Language:fas
Published: Birjand University of Medical Sciences and Health Services 2013-02-01
Series:مجله دانشگاه علوم پزشکی بیرجند
Subjects:
Online Access:http://journal.bums.ac.ir/browse.php?a_code=A-10-946-1&slc_lang=en&sid=1
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author Alireza Khosravi
Mahnaz Jozan
Mojgan Gharipour
Mohsen Rowzati
Elham Khosravi
Nisal Sarrafzadegan
author_facet Alireza Khosravi
Mahnaz Jozan
Mojgan Gharipour
Mohsen Rowzati
Elham Khosravi
Nisal Sarrafzadegan
author_sort Alireza Khosravi
collection DOAJ
description Background: We evaluated the impacts of a workplace intervention project "Stop Hypertension in Mobarakeh Steel Company" (SHIMSCO) on controlling hypertension in industrial workers. Methods: This clinical trial was carried out in workers and employees of Mobarakeh Steel Company in Isfahan All individuals were evaluated for the presence of hypertension (HTN). According to examinations and after calculating Framingham score for each person, 500 subjects referred to Isfahan Cardiovascular research Institute. HTN considers as having systolic blood pressure (SBP) ≥ 140 mmHg, and/or diastolic blood pressure (DBP) ≥ 90 mmHg, and/or those using antihypertensive medications. They were questioned for socio-demographic 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 were used for statistical analysis in SPSS. Results: 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 analysis 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. Conclusion: interventional project in workplaces could be effective in reducing SBP and DBP among hypertensive employees and workers through improvement in awareness regarding healthy lifestyle
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spelling doaj.art-32468ed6ec824cb68623227d77d584632022-12-22T02:27:06ZfasBirjand University of Medical Sciences and Health Servicesمجله دانشگاه علوم پزشکی بیرجند1607-21972423-61522013-02-011961016The impact of workplace intervension on controling hypertensionAlireza Khosravi0Mahnaz Jozan1Mojgan Gharipour2Mohsen Rowzati3Elham Khosravi4Nisal Sarrafzadegan5 Isfahan Cardiovascular Research Institute, Hypertension Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Researcher, Isfahan Cardiovascular Research Institute, Hypertension Research Center, Isfahan University of Medical Sciences Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences Mobarakeh Steel Company, Isfahan University of Medical Sciences Researcher, Isfahan Cardiovascular Research Institute, Hypertension Research Center, Isfahan University of Medical Sciences Isfahan Cardiovascular Research Institute, Hypertension Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Background: We evaluated the impacts of a workplace intervention project "Stop Hypertension in Mobarakeh Steel Company" (SHIMSCO) on controlling hypertension in industrial workers. Methods: This clinical trial was carried out in workers and employees of Mobarakeh Steel Company in Isfahan All individuals were evaluated for the presence of hypertension (HTN). According to examinations and after calculating Framingham score for each person, 500 subjects referred to Isfahan Cardiovascular research Institute. HTN considers as having systolic blood pressure (SBP) ≥ 140 mmHg, and/or diastolic blood pressure (DBP) ≥ 90 mmHg, and/or those using antihypertensive medications. They were questioned for socio-demographic 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 were used for statistical analysis in SPSS. Results: 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 analysis 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. Conclusion: interventional project in workplaces could be effective in reducing SBP and DBP among hypertensive employees and workers through improvement in awareness regarding healthy lifestylehttp://journal.bums.ac.ir/browse.php?a_code=A-10-946-1&slc_lang=en&sid=1Hypertension Worksite Intervention Control
spellingShingle Alireza Khosravi
Mahnaz Jozan
Mojgan Gharipour
Mohsen Rowzati
Elham Khosravi
Nisal Sarrafzadegan
The impact of workplace intervension on controling hypertension
مجله دانشگاه علوم پزشکی بیرجند
Hypertension
Worksite
Intervention
Control
title The impact of workplace intervension on controling hypertension
title_full The impact of workplace intervension on controling hypertension
title_fullStr The impact of workplace intervension on controling hypertension
title_full_unstemmed The impact of workplace intervension on controling hypertension
title_short The impact of workplace intervension on controling hypertension
title_sort impact of workplace intervension on controling hypertension
topic Hypertension
Worksite
Intervention
Control
url http://journal.bums.ac.ir/browse.php?a_code=A-10-946-1&slc_lang=en&sid=1
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