多哥工作场所血脂异常的概况和流行情况

Wasungu Bassokla Ditorguena, Bana-ewai Essozimna Guy, Agbobli Yawo Apelete, Dadjo Soukouna Francis, A. Borgatia, Pessinaba Souleymane, A. Kodjo, Wognin Sangah, Bonny Jean-Sylvain
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引用次数: 3

摘要

目的:血脂异常是一个世界性的公共卫生问题。很少在工作场所进行这方面的研究。本研究在工作场所完成,旨在确定工作场所血脂异常的患病率,描述工人血脂异常的概况及其相关因素。材料与方法:这是一项描述性横断面研究,于2017年6月至9月(04个月)对多哥一家电话公司员工的医疗档案进行研究。纳入包含所有血脂评估参数(总胆固醇、甘油三酯、LDL和HDL胆固醇)的医学档案。排除不完整的文件。血脂异常的定义是:男性总胆固醇高于或2.4 g/L (6.2 mmol/L)和/或高密度脂蛋白胆固醇低于0.4 g/L (1 mmol/L),女性低于0.5 g/L (1.3 mmol/L)和/或甘油三酯高于2 g/L (2.3 mmol/L)和/或低密度脂蛋白胆固醇低于1.88 g/L。结果:工人平均年龄为46,57岁±7,7岁(极端为28岁和60岁)。行政人员占53.4%。以纯高胆固醇血症最为常见(64%),其次为低HDL胆固醇和混合性血脂异常,分别为16.4%和12.9%。72%的病例分离出血脂异常,合并其他心血管危险因素,如动脉高血压(20.2%)、糖尿病(7.1%)和缺血性心脏病(1.1%)。结论:血脂异常在多哥的职业环境中是一个现实,其高患病率估计为60.3%,并与其他心血管风险因素(如动脉高血压、糖尿病和超重)相关。因此,似乎有必要领导职业健康项目,以控制它们。
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Profile and Prevalence of Dyslipidemia in Workplace in Togo
Objectives: Dyslipidemia constitute a public health problem in the world. Very few studies were carried out on this subject in workplace. This work completed in workplace aimed to determine the prevalence of the dyslipidemia in workplace, to describe dyslipidemic profile in workers and its associated factors. Materials and Methods: It was about a descriptive cross-sectional study led June to September 2017 (04 months) on the medical files of the workers of a company of telephony in Togo. Were included the medical files comprising all the parameters of the lipidic assessment (total cholesterol, of triglycerides, the LDL and HDL cholesterol). The incomplete files were excluded. The dyslipidemia was defined for a total cholesterol higher than or 2, 4 g/L (6, 2 mmol/L) and/or a rate of HDL cholesterol lower than 0, 4 g/L (1 mmol/L) at the man or lower than 0, 50 g/L (1, 3 mmol/L) at the woman and/or a triglyceride higher than 2 g/L (2, 3 mmol/L) and/or a rate of LDLc > 1, 88 g/L. Results: The average age of the workers was 46, 57 years ± 7, 7 (extreme of 28 and 60 years). The administrative staff was prevalent in a proportion of 53, 4%. The pure hypercholesterolemia were most frequent (64%), followed by hypo HDL cholesterol and mixed dyslipidemia respectively 16,4% and 12,9%. The dyslipidemia was isolated in 72% from the cases, was combined with another factor of cardiovascular risk such as arterial hypertension (20, 2%), diabete (7, 1%) and an ischaemic cardiopathy (1, 1%) of the cases. Conclusion: Dyslipidemias are a reality in occupational environment in Togo with high prevalence estimated at 60.3% and are associated to other factor of cardiovascular risk such as arterial hypertension, diabete, and overweight. So it seems necessary to lead occupational health programs in order to control them.
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