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dAssociation between Work Departments and Carotid Intima-media Thickness in a Metal Manufacturing Plant  

Choi, Sook-Jung (Department of Occupational and Environmental Medicine, Dongsan Medical Center of Keimyung University)
Noh, Sei-Kyun (Department of Occupational and Environmental Medicine, Dongsan Medical Center of Keimyung University)
Shin, Dong-Hoon (Department of Occupational and Environmental Medicine, Dongsan Medical Center of Keimyung University)
Chung, In-Sung (Department of Occupational and Environmental Medicine, Dongsan Medical Center of Keimyung University)
Bae, Hyun-Sook (Department of Preventive and Occupational Medicine, School of Medicine, Pusan National University)
Lee, Mi-Young (Department of Occupational and Environmental Medicine, Dongsan Medical Center of Keimyung University)
Publication Information
Annals of Occupational and Environmental Medicine / v.22, no.4, 2010 , pp. 345-355 More about this Journal
Abstract
Objective: To evaluate the relationship of work departments, carotid IMT, and plaque formation as predictors of cardiovascular disease in white-collar and blue-collar workers Method: A total of 201 workers from a metal agricultural equipment manufacturing plant near Daegu were administered questionnaires to obtain information on their general characteristics, their work-related factors. In addition, the workers were given a clinical examination, which included a carotid artery ultrasonography. In total, 193 (96.0%) of questionnaires were completed and analyzed for this study. Multiple regression analysis and multiple logistic regression analysis were performed on the data for analysis. Result: Blue-collar workers had thicker carotid artery IMT when compared to white-collar workers. After adjustment, the carotid IMT was affected by age, working department, hypertension, and diabetes; plaque formation was affected by age, hypertension, total cholesterol, and excessive drinking. Conclusion: This study suggests that carotid IMT is associated with working department. Therefore, we need to examine the effect that occupational health services has on cardiovascular disease, focusing on the characteristics of each department.
Keywords
Atherosclerosis; Carotid arteries; Ultrasonography; Work;
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1 Blair SN, Cheng Y, Holder JS. Is physical activity or physical fitness more important in defining health benefits? Med Sci Sports Exerc 2001;33:379-99.   DOI   ScienceOn
2 Fujii K, Abe I, Ohya Y, Ohta Y, Arima H, Akasaki T, Yoshinari M, Iida M. Risk factors for the progression of early carotid atherosclerosis in a male working population. Hypertens Res 2003;26(6):465-538.   DOI   ScienceOn
3 Corrao G, Rubbiati L, Bagnardi V, Zambon A, Poikolainen K. Alcohol and coronary heart disease: a meta-analysis. Addiction 2000;95:1505-23.   DOI   ScienceOn
4 Schminke U, Luedemann J, Berger K, Alte D, Mitusch R, Wood WG, Jaschinski A, Barnow S, John U, Kessler C. Association between alcohol consumption and subclinical carotid atherosclerosis: the study of health in Pomerania. Stroke 2005;36:1746-52.   DOI   ScienceOn
5 Poli A, Tremoli E, Colombo A, Sirtori M, Pignoli P, Paoletti R. Ultrasonographic measurement of the common carotid artery wall thickness in hypercholesterolemic patients. A new model for the quantization and follow-up of preclinical atherosclerosis in living human subject. Atherosclerosis 1988;70(3):253-61.   DOI   ScienceOn
6 Grobbee DE, Bots ML. Carotid artery intima-media thickness as an indicator of generalized atherosclerosis. J Intern Med 1994;236:567-73.   DOI   ScienceOn
7 Lee IM, Skerrett P. Physical activity and all-cause mortality: what is the dose-response relationship? Med Sci Sports Exerc 2001;33(6):459-75.
8 Rosvall M, Ostergren PO, Hedblad B, Isacsson SO, Janzon L, Berglund G. Occupational status, educational level, and the prevalence of carotid atherosclerosis in a general population sample of middle-aged Swedish men and women: results from the Malmo diet and cancer study. Am J Epidemiol 2000;152:334-46.   DOI   ScienceOn
9 Andersen LB, Schnohr P, Schroll M, Hein HO. Allcause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Arch Intern Med 2000;160:1621-8.   DOI   ScienceOn
10 Menotti A and Seccareccia F. Physical activity at work and job responsibility as risk factors for fatal coronary heart disease and other causes of death. J Epidemiol Community Health 1985;39:325-9.   DOI   ScienceOn
11 Greendale GA, Bodin DL, Ingles S, Haile R, Barrett CE. Leisure, home, and occupational physical activity and cardiovascular risk factors in postmenopausal women. The postmenopausal estrogens/progestins intervention (PEPI) study. Arch Intern Med 1996;156(4):418-24.   DOI   ScienceOn
12 Stender M, Hense HW, Doring A, Keil U. Physical activity at work and cardiovascular disease risk: results from the MONICA Augsburg study. Int J Epidemiol 1993;22(4):644-50.   DOI   ScienceOn
13 Son BC, Chun JH, Lee CH, Kim DH, Lee CH, Park SK. Stress level of blue and white collar workers in a company assessed with psychosoical well-being index. Inje Med J 1999;20(1):433-46. (Korean)
14 Steele R, Mummery K. Occupational physical activity across occupational categories. J Sci Med Sport 2003;6(4):398-407.   DOI   ScienceOn
15 Lee YH, Shin MH, Kweon SS, Choi SW, Kim HY, Ryu SY, Kim BH, Rhee JA, Choi JS. Alcohol consumption and carotid artery structure in Korean adults aged 50 years and older. BMC Public Health 2009;9:358-68.   DOI   ScienceOn
16 Nocon M, Hiemann T, Mu¨ller RF, Thalau F, Roll S, Willich SN. Association of physical activity with allcause and cardiovascular mortality: a systematic review and meta-analysis. Eur J Cardiovasc Prev Rehabil 2008;15:239-46.   DOI   ScienceOn
17 Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, Chung JJ, Cho JJ, Son M, Chae CH, Kim JW, Kim JI, Kim HS, Roh SC, Park JB, Woo JM, Kim SY, Kim JY, Ha M, Park J, Rhee KY, Kim HR, Kong JO, Kim IA, Kim JS, Park JH, Huyun SJ, Son DK. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med 2005;17(4):297-317. (Korean)
18 Hur SO, Chang SS, Koo JW, Park CY. The assessment of stress between white and blue collar workers by using psychosocial well-being index. Korean J Prev Med 1996;29(3):609-16. (Korean)
19 Djousse L, Myers RH, Province MA, Hunt SC, Eckfeldt JH, Evans G, Peacock JM, Ellison RC. Influence of apolipoprotein E, smoking, and alcohol intake on carotid atherosclerosis: national heart, lung, and blood institute family heart study. Stroke 2002;33:1357-61.   DOI   ScienceOn
20 Zureik M, Gariepy J, Courbon D, Dartigues JF, Ritchie K, Tzourio C, Alperovitch A, Simon A, Ducimetiere P. Alcohol consumption and carotid artery structure in older French adults: the three-city Study. Stroke 2004;35:2770-5.   DOI   ScienceOn
21 Park MH, Choi YS, Choi BS. Influence of food behavior and life-style behavior on health status in male industrial workers. Korean J Community Nutr 2001;6(3) :297-305. (Korean)
22 Oh HM, Yoon JS. Health and nutritional status of industrial workers. Korean J Community Nutr 2000;5(1):13-22. (Korean)
23 Bonithon KC, Touboul PJ, Berr C, Leroux C, Mainard F, Courbon D, Ducimetiere P. Relation of intima-media thickness to atherosclerotic plaques in carotid arteries. The vascular aging (EVA) study. Arterioscler Thromb Vasc Biol 1996;16(2):310-6.   DOI   ScienceOn
24 Fagrell B, De Faire U, Bondy S, Criqui M, Gaziano M, Gronbaek M, Jackson R, Klatsky A, Salonen J, Shaper AG. The effects of light to moderate drinking on cardiovascular diseases. J Intern Med 1999;246:331-40.   DOI   ScienceOn
25 Kiechl S, Willeit J, Rungger G, Egger G, Oberhollenzer F, Bonora E. Alcohol consumption and atherosclerosis: what is the relation? Prospective results from he Bruneck study. Stroke 1998;29:900-7.   DOI   ScienceOn
26 Cho YL, Kim DJ, Kim HD, Choi SH, Kim SK, Kim HJ, Ahn CW, Cha BS, Lim SK, Kim KR, Lee HC, Huh KB. Reference values of carotid artery intima-media thickness and association with atherosclerotic risk factors in healthy subjects in Korea. Korean J Med 2003;64(3):275-83. (Korean)
27 Mukamal KJ, Kronmal RA, Mittleman MA, O'Leary DH, Polak JF, Cushman M, Siscovick DS. Alcohol consumption and carotid atherosclerosis in older adults: the cardiovascular health study. Arterioscler Thromb Vasc Biol 2003;23:2252-9.   DOI   ScienceOn
28 Damiani IT, Gagliardi RJ, Scaff M. The influence of ethanol in alcoholic beverages in extracranial carotid arteries atherosclerosis. Arq Neuropsiquiatr 2004;62:1022-6.   DOI   ScienceOn
29 Hegele RA. The pathogenesis of atherosclerosis. Clinica Chimica Acta 1996;246:21-38.   DOI   ScienceOn
30 Ebrahim S, Papacosta O, Whincup P, Wannamethee G, Walker M, Nicolaides AN, Dhanjil S, Griffin M, Belcaro G, Rumley A, Lowe GD. Carotid plaque, intima media thickness, cardiovascular risk factors, and prevalent cardiovascular disease in men and women. The British regional heart study. Stroke 1999;30(4):841-5.   DOI   ScienceOn
31 O'Leary DH, Polak JF, Kronmal RA, Kittner SJ, Bond MG, Wolfson SK, Bommer W, Price TR, Gardin JM, Savage PJ. Distribution and correlates of sonographically detected carotid artery disease in the Cardiovascular Health study. The CHS collaborative research group. Stroke 1992;23(12):1752-60.   DOI   ScienceOn
32 Golledge J, Greenhalgh RM, Davies AH. The symptomatic carotid plaque. Stroke 2000;31(3):774-81.   DOI   ScienceOn
33 Androulakis AE, Andrikopoulos GK, Richter DJ, Tentolouris CA, Avgeropoulou CC, Adamopoulos DA, Toutouzas PK, Trikas AG, Stefanadis CI, Gialafos JE. The role of carotid atherosclerosis in the distinction between ischemic and non-ischemic cardiomyopathy. Eur Heart J 2000;21(11):919-26.   DOI   ScienceOn
34 O'Leary DH, Polak JF, Kronmal RA, Manolio TA, Burke GL, Wolfson SK. Carotid artery intima and media thickness as a risk factor for myocardial infarction and stroke in older adults. N Engl J Med 1999;340(22):14-22.
35 Touboul PJ, Labreuche J, Vicaut E, Amarenco P. Carotid intima-media thickness, plaques, and Framingham risk score as independent determinants of stroke risk. Stroke 2005;36(8):1741-5.   DOI   ScienceOn
36 Blankenhorn DH, Hodis HN. Arterial imaging and atherosclerosis reversal. Arterioscler Thromb Vasc Biol 1994;14(2):177-92.   DOI
37 Berenson GS. Childhood risk factors predict adult risk associated with subclinical cardiovascular disease: the Bogalusa heart study. Am J Cardiol 2002;90(10 Suppl 2):3-7.
38 Salonen JT, Salonen R. Ultrasound B-mode imaging in observational studies of atheroscleroric progression. Circulation 1993;87(3 Suppl 2):55-65.
39 Bots ML, Hoes A, Koudstaal PJ, Hofman A, Grobbee DE. Common carotid intima-media thickness and risk of stroke and myocardial infarction: The Rotterdam study. Circulation 1997;96:1432-7.   DOI   ScienceOn
40 Wofford JL, Kahl FR, Howard GR, McKinney WM, Toole JF, Crouse III JR. Relation of extent of extracranial carotid artery atherosclerosis as measured by B-mode ultrasound to the extent of coronary atherosclerosis. Arterioscler Thromb Vasc Biol 1991;11(6):1786-94.   DOI
41 Martinez MC, Latorre MR. Risk factors for hypertension and diabetes mellitus in metallurgic and siderurgic company' workers. Arq Bras Cardiol 2006;87(4):471-9.   DOI   ScienceOn
42 Kawamori R, Yamasaki Y, Matsushima H, Nishizawa H, Nao K, Hougaku H, Maeda H, Handa N, Matsumoto M, Kamada T. Prevalence of carotid atherosclerosis in diabetic patients. Ultrasound high-resolution B-mode imaging on carotid arteries. Diabetes Care 1992;5(10):1290-4.
43 Bigert C, Gustavsson P, Hallqvist J, Hogstedt C, Lewne M, Plato N, Reuterwall C, Scheele P. Myocardial infarction among professional drivers. Epidemiology 2003;14(3):333-9.
44 Choi MC, Song YH, Rhee SY, Woo JT. Framingham risk scores by occupational group: based on the 3rd Korean national health and nutrition examination survey. Korean J Occup Environ Med 2009;21(1):63-75. (Korean)
45 Kim SG, Yeon BY, Jang JH. Comparative analysis and evaluation of health and nutritional status of male industrial workers in Korea. J Korean Diet Assoc 2003;9(4):326-35. (Korean)
46 Hintsanen M, Kivima¨ki M, Elovainio M, Pulkki RL, Keskivaara P, Juonala M, Raitakari OT, Keltikangas JL. Job strain and early atherosclerosis: the cardiovascular risk in young Finns study. Psychosom Med 2005;67(5):740-7.   DOI   ScienceOn
47 Pignoli P, Tremoli E, Poli A, Oreste P, Paoletti R. Intimal plus medial thickness of the arterial wall: a direct measurement with ultrasound imaging. Circulation 1986;74(6):1399-406.   DOI   ScienceOn
48 Joanna B, Maria WB, Piotr R, Tomasz P, Grazyna AS, Jakub Z, Bozena W, Anna JG. Perceived work-related stress and early atherosclerotic changes in healthy employees. Int Arch Occup Environ Health 2008;81:1037-43.   DOI   ScienceOn
49 Theorell T, Tsutsumi A, Hallquist J, Reuterwall C, Hongstedt C, Fredlund P, Emlund N, Johnson JV. Decision latitude, job strain, and myocardial infarction. A study of working men in Stockholm. Am J Public Health 1998;88(3):382-8.   DOI   ScienceOn
50 Morikawa Y, Nakagawa H, Ishizaki M, Tabata M, Nishijo M, Miura K, Kawano S, Kido T, Nogawa K. Ten-year follow-up study on the relation between the development of non-insulin-dependent diabetes mellitus and occupation. Am J Ind Med 1997;31(1):80-4.   DOI   ScienceOn
51 Cheng KS, Mikhailidis DP, Hamilton G, Seifalian AM. A review of the carotid and femoral intima-media thickness as an indicator of the presence of peripheral vascular disease and cardiovascular risk factors. Cardiovasc Res 2002;54(3):528-38.   DOI   ScienceOn
52 Salonen R, Salonen JT. Progression of carotid atherosclerosis and its determinants: a population-based ultrasonography study. Atherosclerosis 1990;81(1):33-40.   DOI   ScienceOn
53 Chambless LE, Folsom AR, Clegg LX, Sharrett AR, Shahar E, Nieto J, Rosamond WD, Evans G. Carotid wall thickness is predictive of incident clinical stroke. The atherosclerosis risk in communities (ARIC) study. Am J Epidemiol 2000;151(5): 478-87.   DOI   ScienceOn
54 Spence JD. Ultrasound measurement of carotid plaque as a surrogate outcome for coronary artery disease. Am J Cardiol 2002;89(4):10-15.   DOI   ScienceOn
55 Heiss G, Sharrett AR, Barnes R, Chambles LE, Szklo M, Alzola C. Carotid atherosclerosis measured by B-mode ultrasound in populations: association with cardiovascular risk factors in the ARIC study. Am J Epidemiol 1991;134:250-6.
56 Sidhu PS, Naoumova RP, Maher VM, Macsweeney JE, Neuwirth CK, Hollyer JS, Thompson GR. The extracranial carotid artery in familial hypercholesterolemia: relationship of intima-media thickness and plaque morphology with plasma lipids and coronary heart disease. Eur J Cardiovasc Prev Rehab 1996;3:61-7.   DOI
57 Krause N, Brand RJ, Kaplan GA, Kauhanen J, Malla S, Tuomainen TP, Salonen JT. Occupational physical activity, energy expenditure and 11-year progression of carotid atherosclerosis. Scand J Work Environ Health 2007;33(6):405-24.   DOI   ScienceOn
58 Ministry of Employment and Labor. 2008 statistics of industrial accidents. Available: http://www.molab.go.kr/[cited 6 February 2009]. (Korean)
59 Krause N, Lynch JW, Kaplan GA, Cohen RD, Salonen R, Salonen JT. Standing at work and progression of carotid atherosclerosis. Scand J Work Environ Health 2000;26(3):227-36.   DOI   ScienceOn
60 Kristal BE, Harari G, Melamed S, Froom P. Association of physical activity at work with mortality in Israeli industrial employees: the CORDIS study. J Occup Environ Med 2000;42(2):127-35.   DOI   ScienceOn