Occupational health care identifies risk for type 2 diabetes and cardiovascular disease

Primary Care Diabetes, 06/08/2012

Viitasalo K et al. – The renewed health check–up process effectively identified those employees with increased type 2 diabetes (T2D) and cardiovascular disease (CVD) risk who would benefit from lifestyle intervention. The use of FINDRISC questionnaire was a feasible first–step screening method in occupational health care setting.

Methods

  • Altogether 4169 employees were invited for a health check-up and 2312 participated in this study.
  • The check-up included physical examinations, questionnaires on working hours, sleep, and lifestyle, diabetes risk score FINDRISC, and blood tests.
  • Lifestyle counselling was offered for those with increased T2D risk.

Results

  • Altogether 15% of participants had a high T2D risk (FINDRISC ≥15 and/or elevated, but non-diabetic blood glucose), and a further 15% had a moderate T2D risk (FINDRISC 10–14 and normal blood glucose).
  • Of those 60% agreed to attend lifestyle counselling.
  • Metabolic syndrome was more common, lipid profile more unfavorable and hsCRP higher by increasing FINDRISC score category.
  • Risk factor profiles linked to shift work status were not self-evident.

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