[Prevalence of cardiovascular diseases in organized groups of employees and results of long-term multifactorial prevention]. / Dinamika rasprostranennosti serdechno-sosudistykh zabolevanii i rezul'taty mnogofaktornoi profilaktiki pri mnogoletnikh nabliudeniiakh v organizovannykh kollektivakh.

ABSTRACT

AIM: Evaluation of cardiovascular diseases (CVD) prevalence and their dynamics after active prevention program. MATERIALS AND METHODS: 1382 male and 155 female volunteers were included into the group of active prevention in their office. 1024 males and 776 females with natural history were compared as a control group. 5-year follow-up was performed in 543 males and 569 females in comparison with 97 males and 119 females. 10-year follow-up covered 82 males and 191 females from the active prevention group and 178 males and 118 females from the referent group. RESULTS: The risk factor correction has resulted in a significant decrease in both systolic and diastolic BP mean levels, prevalence of ECG abnormalities, smoking habits, overweight and combination of the risk factors, general mortality rate, CHD and stroke mortality, number of days of temporary disability. CONCLUSION: The primary and secondary "in office" prevention for 5 to 10 years diminishes the prevalence of the risk factors. The temporary and primary disability rates were connected with the presence of CVD. CVD, in line with other risk factors, significantly increased cardiovascular and general mortality rates.