Influence of Difference in Occupational Category on the Results of Health Examinations for Cardiovascular Diseases and on Lifestyle

This study performed in a manufacturing plant in Toyama prefecture, consisted of two parts. First, results of health examinations for cardiovascular diseases of 1980 and 1989 among industrial workers were compared between occupational categories. Second, the renults from a questionnaire surveying li...

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Published inJournal of the Japanese Association for Cerebro-cardiovascular Disease Control Vol. 27; no. 3; pp. 158 - 165
Main Authors Ishizaki, Masao, Nishijo, Muneko, Senma, Masami, Yamada, Yuichi, Kido, Teruhiko, Kawano, Shunich, Tabata, Masaji, Nogawa, Kohji, Morikawa, Yuko, Nakagawa, Hideaki
Format Journal Article
LanguageJapanese
Published The Japanese Association for Cerebro-cardiovascular Disease Control 1993
社団法人 日本循環器管理研究協議会
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ISSN0914-7284
DOI10.11381/jjcdp1974.27.158

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Abstract This study performed in a manufacturing plant in Toyama prefecture, consisted of two parts. First, results of health examinations for cardiovascular diseases of 1980 and 1989 among industrial workers were compared between occupational categories. Second, the renults from a questionnaire surveying life style, such as dietary habit, carried out in 1990 were compared between occupational categories. Subjects were 461 males aged 35-44 years old in 1980 who were examined in both 1980 and 1989. They were classified into four categories by their occupation in 1990- “managerial officer”, “special technician and clerical worker”, “light or medium, physical intensity laborer”, and “heavy physical intensity laborer”. 1. In 1989, significant differences between occupational categories and proportions of borderline blood pressure or hypertension were observed, despite no differences seen in 1980. Among those classified as managerial officers increased from 13.3% in 1980 to 33.4% in 1989, a prevalence that was significantly higher than the other groups. In 1989, levels of serum cholesterol, β-lipoprotein and triglyceride were highest in the managerial officer group and lowest in the high physical intensity laborer group levels being almost identical between the groups in 1980. 2. Comparing dietary habits between occupational categories, the intake frequencies of main protein-rich food such as egg, meat and fish were lower in the managerial officer group and specialized technician and clerical worker group than the two laborer groups.The intake of cereals was lower in the managerial officer group also. Other items of life style such as alcohol intake, smoking, sleep and exercise showed no difference between occupational categories. These results suggest that occupation influenced the results of health examinations for cardiovascular diseases through unknown factors. Though the difference of life style such as dietary habit was suspected as one of those factors, the analysis of the results from the questionnaire of dietary habit and other lifestyle did not support the hypothesis.
AbstractList This study performed in a manufacturing plant in Toyama prefecture, consisted of two parts. First, results of health examinations for cardiovascular diseases of 1980 and 1989 among industrial workers were compared between occupational categories. Second, the renults from a questionnaire surveying life style, such as dietary habit, carried out in 1990 were compared between occupational categories. Subjects were 461 males aged 35-44 years old in 1980 who were examined in both 1980 and 1989. They were classified into four categories by their occupation in 1990- “managerial officer”, “special technician and clerical worker”, “light or medium, physical intensity laborer”, and “heavy physical intensity laborer”. 1. In 1989, significant differences between occupational categories and proportions of borderline blood pressure or hypertension were observed, despite no differences seen in 1980. Among those classified as managerial officers increased from 13.3% in 1980 to 33.4% in 1989, a prevalence that was significantly higher than the other groups. In 1989, levels of serum cholesterol, β-lipoprotein and triglyceride were highest in the managerial officer group and lowest in the high physical intensity laborer group levels being almost identical between the groups in 1980. 2. Comparing dietary habits between occupational categories, the intake frequencies of main protein-rich food such as egg, meat and fish were lower in the managerial officer group and specialized technician and clerical worker group than the two laborer groups.The intake of cereals was lower in the managerial officer group also. Other items of life style such as alcohol intake, smoking, sleep and exercise showed no difference between occupational categories. These results suggest that occupation influenced the results of health examinations for cardiovascular diseases through unknown factors. Though the difference of life style such as dietary habit was suspected as one of those factors, the analysis of the results from the questionnaire of dietary habit and other lifestyle did not support the hypothesis.
This study performed in a manufacturing plant in Toyama prefecture, consisted of two parts. First, results of health examinations for cardiovascular diseases of 1980 and 1989 among industrial workers were compared between occupational categories. Second, the renults from a questionnaire surveying life style, such as dietary habit, carried out in 1990 were compared between occupational categories.Subjects were 461 males aged 35-44 years old in 1980 who were examined in both 1980 and 1989. They were classified into four categories by their occupation in 1990- “managerial officer”, “special technician and clerical worker”, “light or medium, physical intensity laborer”, and “heavy physical intensity laborer”.1. In 1989, significant differences between occupational categories and proportions of borderline blood pressure or hypertension were observed, despite no differences seen in 1980. Among those classified as managerial officers increased from 13.3% in 1980 to 33.4% in 1989, a prevalence that was significantly higher than the other groups.In 1989, levels of serum cholesterol, β-lipoprotein and triglyceride were highest in the managerial officer group and lowest in the high physical intensity laborer group levels being almost identical between the groups in 1980.2. Comparing dietary habits between occupational categories, the intake frequencies of main protein-rich food such as egg, meat and fish were lower in the managerial officer group and specialized technician and clerical worker group than the two laborer groups.The intake of cereals was lower in the managerial officer group also.Other items of life style such as alcohol intake, smoking, sleep and exercise showed no difference between occupational categories.These results suggest that occupation influenced the results of health examinations for cardiovascular diseases through unknown factors. Though the difference of life style such as dietary habit was suspected as one of those factors, the analysis of the results from the questionnaire of dietary habit and other lifestyle did not support the hypothesis. 富山県東部の農村地域にあるファスナー・アルミ製造工場の従業員を対象に, 1980年と1989年の循環器検診成績の職種間比較を行った。対象者は両年度とも循環器検診を受診し, 1980年時点の年齢が35-44歳の男性である。比較に用いた職種は1990年のもので, 管理職, 専門技術職および事務職, 生産技能職で肉体的強度が軽労働および中労働に属する者, 生産技能職で重労働に属する者の4群に分けて検討した。対象者数は461名であった。また, 1990年には, 食習慣等の生活習慣について自己記入式のアンケートを行い, 職種間で比較した。その結果, (1) 管理職は9年間で境界域高血圧以上の者が13.3%から33.4%に増加していた。職種間で比較すると, 1980年には分布に差はなかったが, 1989年には管理職が他職種に比べて有意に境界域高血圧, 高血圧の者の割合が多くなっていた。総コレステロール, β-リポ蛋白, 中性脂肪は, 1980年には職種間で差がなかったが, 1989年には差がみられ, 管理職, 専門技術・事務職群, 生産技能職 (軽・中労働), 生産技能職 (重労働) の順に高かった。統計的には, β-リポ蛋白, 中性脂肪で有意であった。 (2) 食習慣についてみると, 主要な蛋白源と考えられる食品である卵, 肉料理, 魚は, 管理職や専門技術職・事務職は生産技能職の2群に比べて摂取が少ない傾向が認められた。また, 主食も管理職が最も摂取が少なく, 生産技能職 (重労働) が最も多かった。その他の生活習慣には職種間で差は認められなかった。以上より, 職種の違いが何らかの要因を介して, 循環器検診成績の差を導いたと考えられた。介在する要因として食習慣を始めとした生活習慣の差を考え検討したが, それを説明するような結果は得られなかった。
Author Ishizaki, Masao
Yamada, Yuichi
Kido, Teruhiko
Morikawa, Yuko
Senma, Masami
Nogawa, Kohji
Nishijo, Muneko
Tabata, Masaji
Nakagawa, Hideaki
Kawano, Shunich
Author_FL 田畑 正司
千間 正美
中川 秀昭
石崎 昌夫
能川 浩二
森河 裕子
西条 旨子
河野 俊一
山田 裕一
城戸 照彦
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References 6) 中村治雄, 秋山実.大都市・特に管理職を中心とする循環器疾患とその問題点.日循協誌, 1976; 10 : 141-144.
18) Karasek R. et al. Job Demands, and Cardiovascular Disease : A Prospective Study of Swedish Men. Am J Public Health, 1981 ; 71 : 694-705.
4) 福田安平.脳卒中・心発作発生の疫学一管理と生活の影響.東京 : 労働医学研究会, 1978; 158-165,255-275.
9) 森河裕子, 他.職種ならびに労働強度の違いが循環器検診成績に及ぼす影響.日循協誌, 1991; 26 : 81-85.
25) 児玉和紀, 他.長期間固定集団における虚血性心疾患の疫学的研究 : 虚血性心疾患発生率の年次推移および危険因子との関連性.協栄生命研究助成論文集, 1986 ; II : 41-54.
1) Report of a WHO Expert Comittee, Identification and control of work-related diseases (WHO Tech. Repo. Ser. No. 714). Geneve : WHO, 1985 ; 21-25.
2) Tenth Report of the Joint ILO/WHO Comittee on Occupational Health, Epidemiology of workrelated diseases and accidents (WHO, Tech. Rep. Ser. No. 777). Geneve : WHO, 1989 ; 23-31.
24) Konishi, M. et al. The trend of coronary heart disease and its risk factors based on epidemiological investigations. Jpn Circ J, 1987 ; 51 : 3190-324.
19) 上畑鉄之丞, 他.タクシー・ハイヤー運転手の在職死亡とその原因, 日災医誌, 1986; 33 : 33-38.
12) The Intersalt Cooperative Research Group. Intersalt : An international study of electrolyte excretion and blood pressure, Results for 24 hour urinary sudium and potassium excretion. BMJ, 1988; 297 : 319-328.
17) Johnson J. V. and Hall E. NI.. Job Strain, Work Place Social Support, and Cardiovascular Diseases : A Cross-Sectinonal Study of a Random Sample of the Swedish Working Population. Am J Public Health, 1988 ; 78 : 1336-1342.
11) 伊藤宣則, 他.某事業所従業員の血清脂質値に及ぼす喫煙, 飲酒および摂取栄養素の影響.労働科学, 1983 ; 59 : 401-417.
23) 上田一雄.久山町住民にみられた虚血性心疾患とその危険因子の時代的動向.日循協誌, 1992 ; 26 : 155-160.
10) 上島弘嗣.循環器疾患の発生率の異なる集団の血清総コレステロール値と食物摂取状況およびその関連性.日本公衛誌, 1981 ; 28 : 264-278.
15) Sims, E. A. H. et al. Obesity and hypertention : mechanisms and implications for management. JAMA, 1982 ; 247 : 49-52.
13) Ueshima, H. etal. Alcohol intake and hypertention among urban and rural Japanese population.J Chron Dis, 1984; 35 : 585-592.
16) Karasek, R. A. et al. Job Characteristics in Relation to the Prevalence of Myocardial Infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES). Am J Public Health, 1988 ; 78 : 910-918.
5) 小西正光, 他.都市勤務者における成人循環器疾患のリスクファクターの変遷-20年間の検診所見の推移.日本公衛誌, 1987; 34 : 11-22.
7) 奥村義治, 他.職種別検診成績の比較.北陸公衛誌, 1984 ; 11 : 62-69.
21) Cobb S. et al. Hypertention, Peptic ulcer and diabetes in air traffic controllers. JAMA, 1973 ; 224 : 489-492.
8) 上畑鉄之丞, 他.日本の産業労働者の職業ストレスと循環器疾患のリスクファクターに関する研究.協栄生命研究助成論文集, 1991 ; VII : 49-57.
22) 上畑鉄之丞.過労死-職業ストレスが関連する循環器疾患, 医学のあゆみ, 1990 ; 153 : 238-242.
3) Komachi, Y et al. Geographic and Occupational Comparisons of Risk Factors in Cardiovascular Diseases in Japan. Jpn Circ J, 1971 ; 35 : 189-207.
20) 服部 真.タクシー運転手の虚血性心疾患発症に関する長期予測と運転勤務の循環機能・自律神経系機能への影響, 1.運転負荷心電図虚血性変化に関する職業要因対照研究と虚血性心疾患発症の長期予測に関するコホート研究, 労働科学, 1989 ; 65 : 580-589.
14) 山田裕一, 他.ある産業労働者集団における飲酒の実態とその健康影響.労働科学, 1988 ; 64 : 163-173.
References_xml – reference: 4) 福田安平.脳卒中・心発作発生の疫学一管理と生活の影響.東京 : 労働医学研究会, 1978; 158-165,255-275.
– reference: 8) 上畑鉄之丞, 他.日本の産業労働者の職業ストレスと循環器疾患のリスクファクターに関する研究.協栄生命研究助成論文集, 1991 ; VII : 49-57.
– reference: 11) 伊藤宣則, 他.某事業所従業員の血清脂質値に及ぼす喫煙, 飲酒および摂取栄養素の影響.労働科学, 1983 ; 59 : 401-417.
– reference: 2) Tenth Report of the Joint ILO/WHO Comittee on Occupational Health, Epidemiology of workrelated diseases and accidents (WHO, Tech. Rep. Ser. No. 777). Geneve : WHO, 1989 ; 23-31.
– reference: 14) 山田裕一, 他.ある産業労働者集団における飲酒の実態とその健康影響.労働科学, 1988 ; 64 : 163-173.
– reference: 1) Report of a WHO Expert Comittee, Identification and control of work-related diseases (WHO Tech. Repo. Ser. No. 714). Geneve : WHO, 1985 ; 21-25.
– reference: 21) Cobb S. et al. Hypertention, Peptic ulcer and diabetes in air traffic controllers. JAMA, 1973 ; 224 : 489-492.
– reference: 6) 中村治雄, 秋山実.大都市・特に管理職を中心とする循環器疾患とその問題点.日循協誌, 1976; 10 : 141-144.
– reference: 7) 奥村義治, 他.職種別検診成績の比較.北陸公衛誌, 1984 ; 11 : 62-69.
– reference: 19) 上畑鉄之丞, 他.タクシー・ハイヤー運転手の在職死亡とその原因, 日災医誌, 1986; 33 : 33-38.
– reference: 16) Karasek, R. A. et al. Job Characteristics in Relation to the Prevalence of Myocardial Infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES). Am J Public Health, 1988 ; 78 : 910-918.
– reference: 12) The Intersalt Cooperative Research Group. Intersalt : An international study of electrolyte excretion and blood pressure, Results for 24 hour urinary sudium and potassium excretion. BMJ, 1988; 297 : 319-328.
– reference: 23) 上田一雄.久山町住民にみられた虚血性心疾患とその危険因子の時代的動向.日循協誌, 1992 ; 26 : 155-160.
– reference: 5) 小西正光, 他.都市勤務者における成人循環器疾患のリスクファクターの変遷-20年間の検診所見の推移.日本公衛誌, 1987; 34 : 11-22.
– reference: 3) Komachi, Y et al. Geographic and Occupational Comparisons of Risk Factors in Cardiovascular Diseases in Japan. Jpn Circ J, 1971 ; 35 : 189-207.
– reference: 17) Johnson J. V. and Hall E. NI.. Job Strain, Work Place Social Support, and Cardiovascular Diseases : A Cross-Sectinonal Study of a Random Sample of the Swedish Working Population. Am J Public Health, 1988 ; 78 : 1336-1342.
– reference: 13) Ueshima, H. etal. Alcohol intake and hypertention among urban and rural Japanese population.J Chron Dis, 1984; 35 : 585-592.
– reference: 20) 服部 真.タクシー運転手の虚血性心疾患発症に関する長期予測と運転勤務の循環機能・自律神経系機能への影響, 1.運転負荷心電図虚血性変化に関する職業要因対照研究と虚血性心疾患発症の長期予測に関するコホート研究, 労働科学, 1989 ; 65 : 580-589.
– reference: 24) Konishi, M. et al. The trend of coronary heart disease and its risk factors based on epidemiological investigations. Jpn Circ J, 1987 ; 51 : 3190-324.
– reference: 15) Sims, E. A. H. et al. Obesity and hypertention : mechanisms and implications for management. JAMA, 1982 ; 247 : 49-52.
– reference: 25) 児玉和紀, 他.長期間固定集団における虚血性心疾患の疫学的研究 : 虚血性心疾患発生率の年次推移および危険因子との関連性.協栄生命研究助成論文集, 1986 ; II : 41-54.
– reference: 22) 上畑鉄之丞.過労死-職業ストレスが関連する循環器疾患, 医学のあゆみ, 1990 ; 153 : 238-242.
– reference: 9) 森河裕子, 他.職種ならびに労働強度の違いが循環器検診成績に及ぼす影響.日循協誌, 1991; 26 : 81-85.
– reference: 10) 上島弘嗣.循環器疾患の発生率の異なる集団の血清総コレステロール値と食物摂取状況およびその関連性.日本公衛誌, 1981 ; 28 : 264-278.
– reference: 18) Karasek R. et al. Job Demands, and Cardiovascular Disease : A Prospective Study of Swedish Men. Am J Public Health, 1981 ; 71 : 694-705.
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Snippet This study performed in a manufacturing plant in Toyama prefecture, consisted of two parts. First, results of health examinations for cardiovascular diseases...
SourceID nii
jstage
SourceType Publisher
StartPage 158
SubjectTerms cardiovascular diseases
follow-up study
industrial workers
occupational category
risk factor
リスクファクター
工場労働者
循環器疾患
職種
追跡調査
Title Influence of Difference in Occupational Category on the Results of Health Examinations for Cardiovascular Diseases and on Lifestyle
URI https://www.jstage.jst.go.jp/article/jjcdp1974/27/3/27_3_158/_article/-char/en
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ispartofPNX Journal of the Japanese Association for Cerebro-cardiovascular Disease Control, 1993/01/30, Vol.27(3), pp.158-165
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