Typical models of clinical data among penitentiary system employers in the Saratov region: a view through the primary prevention guidelines
Purpose - To study typical models of clinical data among penitentiary system employers in the Saratov region on the basis of health metrics proposed by American Heart Association (AHA). Material and Methods - Clinical data from 666 penitentiary employers underwent preventive examination in 2012-2013 years were studied. The data allowed evaluation all the seven health metrics proposed by AHA. With the help of cluster analysis typical (frequency >1%) risk factor combinations were separated. Risk factors (blood pressure (BP) ≥140/90 mmHg, body mass index (BMI) ≥25 kg/m2, blood glucose ≥6 mmol/l, total cholesterol ≥5 mmol/l, smoking, sedentary lifestyle, unhealthy eating) were opposite to AHA health metrics. Results - The majority of penitentiary employers were characterized by combinations from two to four risk factors. There was no typical clinical portrait in the study group. The prevalence of the most frequent cluster (subjects who overweight, practice unhealthy eating habits, refrain from smoking, physically active, with normal BP, blood glucose and cholesterol levels) was 13.1%. The other clusters were even rarer. The “ideal” health was identified in only 4.5% of study group. Conclusion - Primary prevention among penitentiary employers should take into consideration high variability in prevalence of different risk factors combinations in this cohort.