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.

• 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.

• 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.