Assessment of the prognostic value of summarized cardiovascular risk for developing diabetes mellitus in individuals of dangerous professions
The researchers haveanalyzed the relationship between cardiovascular risk and risk of diabetes mellitus (DM) in a cohort of working-age men employed in intense psycho-emotional labor relating to dangerous occupations. 300 males aged 40- 59 with one or more risk factors were included into the study. All participants were surveyed and had standard clinical, instrumental and laboratory investigations. The cardiovascular risk (SSR) was assessed by theEuropean SCORE scale and the risk of developing diabetes (DM) was assessed by FINDRISC questionnaire. In the group of patients with low DMrisk, patients with low-moderate SSR prevailed. High SSR had every fourth patient, while very high SSR had every tenth one. It was found out that in the group of patients with moderately increased DM risk every second has high SSR. Every third patientwas foundto have a very high SSR by SCOREscale; in the group with high and very high DM risk every second participant had a very high SSR.Every third patient in this cohort at the time of the survey had high SSR. DM risk has the greatest correlation with metabolic risk factors. There was found less pronounced but statistically significant relationship between DM risk and SSR risk by SCORE scale as well as between blood pressure, lipid profile, age and a sedentary lifestyle. There was no statistically significant association between DM riskand left ventricular hypertrophy, smoking and tachycardia. The highest incidence of very high SSR by SCORE scale was found to be in persons with high and very high DM risk, whereas the incidence of high SSR in groups of moderately high and very high DM risk was comparable.