open access

Vol 63, No 3 (2012)
Original article
Submitted: 2013-02-18
Published online: 2012-11-06
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Cardiovascular risk factors and cardiovascular risk assessment in professional divers

Richard Pougnet, Laurence Di Costanzo, Brice Loddé, Anne Henckes, Laura Dherbecourt, David Lucas, Dominique Jegaden, Jean-Dominique Dewitte
IMH 2012;63(3):164-169.

open access

Vol 63, No 3 (2012)
MARITIME MEDICINE Original article
Submitted: 2013-02-18
Published online: 2012-11-06

Abstract

Background: The professional diver’s activity implies body cardiovascular stress. Little data on cardiovascular risk factors is available. Some studies report a high prevalence of tobacco consumption. The purpose of this study is to investigate the cardiovascular risk factors of professional divers and calculate the predicted 5-year risk and the predicted 10-year risk of an acute coronary event.
Materials and methods: In one medical centre, data on dives and cardiovascular risk factors were analysed on Epidata® software, by Pearson c2 test or by Fisher’s exact test, by analysis of variance test or by Kruskal-Wallis test, and by Spearman correlation coefficient. Cardiovascular risk scores at 5 and 10 years were calculated using SCORE.
Results: A total 200 professional divers were included. Of these, 31% were smokers or had stopped smoking for less than 3 years; 40% had an abnormal body mass index; 50% had raised total cholesterol levels; 11% had an advanced age; 6.5% had high blood pressure; 81% had at least one risk factor; 66% had an alterable risk factor; 25.5% had a 5-year risk greater than that of the general population of the same age; 2.5% had a high cardiovascular risk at 10 years; and 34% were at intermediate risk.
Conclusions: The majority of divers had at least one cardiovascular risk factor. Cardiovascular risk scores were lower than that of the general population. However, some of this population is at high risk. One third of the divers had an intermediate risk, which should lead to the consideration of conducting additional biological examinations to better assess their risk.

Abstract

Background: The professional diver’s activity implies body cardiovascular stress. Little data on cardiovascular risk factors is available. Some studies report a high prevalence of tobacco consumption. The purpose of this study is to investigate the cardiovascular risk factors of professional divers and calculate the predicted 5-year risk and the predicted 10-year risk of an acute coronary event.
Materials and methods: In one medical centre, data on dives and cardiovascular risk factors were analysed on Epidata® software, by Pearson c2 test or by Fisher’s exact test, by analysis of variance test or by Kruskal-Wallis test, and by Spearman correlation coefficient. Cardiovascular risk scores at 5 and 10 years were calculated using SCORE.
Results: A total 200 professional divers were included. Of these, 31% were smokers or had stopped smoking for less than 3 years; 40% had an abnormal body mass index; 50% had raised total cholesterol levels; 11% had an advanced age; 6.5% had high blood pressure; 81% had at least one risk factor; 66% had an alterable risk factor; 25.5% had a 5-year risk greater than that of the general population of the same age; 2.5% had a high cardiovascular risk at 10 years; and 34% were at intermediate risk.
Conclusions: The majority of divers had at least one cardiovascular risk factor. Cardiovascular risk scores were lower than that of the general population. However, some of this population is at high risk. One third of the divers had an intermediate risk, which should lead to the consideration of conducting additional biological examinations to better assess their risk.
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Keywords

risk factors; coronary disease/epidemiology; occupational diseases/ /epidemiology; diving; prevalence

About this article
Title

Cardiovascular risk factors and cardiovascular risk assessment in professional divers

Journal

International Maritime Health

Issue

Vol 63, No 3 (2012)

Article type

Original article

Pages

164-169

Published online

2012-11-06

Page views

849

Article views/downloads

1717

Bibliographic record

IMH 2012;63(3):164-169.

Keywords

risk factors
coronary disease/epidemiology
occupational diseases/ /epidemiology
diving
prevalence

Authors

Richard Pougnet
Laurence Di Costanzo
Brice Loddé
Anne Henckes
Laura Dherbecourt
David Lucas
Dominique Jegaden
Jean-Dominique Dewitte

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