open access

Vol 71, No 3 (2020)
Original article
Submitted: 2020-04-11
Accepted: 2020-09-01
Published online: 2020-09-28
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Cardiovascular risk factors among 3712 Greek seafarers

Marios Papadakis1, Andreas Afendras2, Charalampos Skiadas3, Despoina Renieri3, Morfo Tsaknaki4, Ioannis Filippopoulos5, Chrysoula Liakou2
DOI: 10.5603/IMH.2020.0032
·
Pubmed: 33001429
·
International Maritime Health 2020;71(3):181-183.
Affiliations
  1. University Witten-Herdecke
  2. Fleet Medical Advisor, Angelicoussis Group Shipping Limited
  3. Information Technology Department, Angelicoussis Shipping Group Limited
  4. Vioklini General Hospital, Athens, Greece
  5. Hellenic American University

open access

Vol 71, No 3 (2020)
MARITIME/OCCUPATIONAL MEDICINE Original article
Submitted: 2020-04-11
Accepted: 2020-09-01
Published online: 2020-09-28

Abstract

Background: Global concern on seafarers’ health and its potential cost is widely evident across the shipping industry. Seafarers are at increased cardiovascular risk since it is common to have risk factors associated with that risk such as hyperlipidaemia, obesity and smoking. The aim of this study is to assess the prevalence of the main risk factors for cardiovascular disease (CVD), i.e. hyperlipidaemia, smoking and obesity, in Greek seafarers.
Materials and methods: During pre-embarkation medical examination, seafarers undergo an interview with a physician, physical examination and laboratory tests. The parameters studied included hyperlipidaemia, identified as low density lipoprotein > 150 mg/dL, tobacco use or severe obesity, as defined by body mass index > 35 kg/m2.
Results: A total of 3712 seafarers have been examined. Seafarers had overall rates of 3% hyperlipidaemia, 4% tobacco use and 0.2% severe obesity, with similar distributions in all age groups. Our study shows that Greek seafarers have lower risk for CVD, as low rates of obesity, tobacco use, and hyperlipidaemia are observed. The related literature is discussed. Unhealthy eating patterns are the rule and contribute to CVD. Shipping management could improve diet on board; however, smoking falls rather under individual control. Conclusions: We conclude that, despite the low rates of hyperlipidaemia, smoking and obesity among Greek seafarers compared to other nations, campaigns for promoting awareness of the phenomenon and on the potential health impact of these conditions should be promoted.

Abstract

Background: Global concern on seafarers’ health and its potential cost is widely evident across the shipping industry. Seafarers are at increased cardiovascular risk since it is common to have risk factors associated with that risk such as hyperlipidaemia, obesity and smoking. The aim of this study is to assess the prevalence of the main risk factors for cardiovascular disease (CVD), i.e. hyperlipidaemia, smoking and obesity, in Greek seafarers.
Materials and methods: During pre-embarkation medical examination, seafarers undergo an interview with a physician, physical examination and laboratory tests. The parameters studied included hyperlipidaemia, identified as low density lipoprotein > 150 mg/dL, tobacco use or severe obesity, as defined by body mass index > 35 kg/m2.
Results: A total of 3712 seafarers have been examined. Seafarers had overall rates of 3% hyperlipidaemia, 4% tobacco use and 0.2% severe obesity, with similar distributions in all age groups. Our study shows that Greek seafarers have lower risk for CVD, as low rates of obesity, tobacco use, and hyperlipidaemia are observed. The related literature is discussed. Unhealthy eating patterns are the rule and contribute to CVD. Shipping management could improve diet on board; however, smoking falls rather under individual control. Conclusions: We conclude that, despite the low rates of hyperlipidaemia, smoking and obesity among Greek seafarers compared to other nations, campaigns for promoting awareness of the phenomenon and on the potential health impact of these conditions should be promoted.

Get Citation

Keywords

seafarers, Greek, cardiovascular risk, obesity, hyperlipidaemia, smoking

About this article
Title

Cardiovascular risk factors among 3712 Greek seafarers

Journal

International Maritime Health

Issue

Vol 71, No 3 (2020)

Article type

Original article

Pages

181-183

Published online

2020-09-28

DOI

10.5603/IMH.2020.0032

Pubmed

33001429

Bibliographic record

International Maritime Health 2020;71(3):181-183.

Keywords

seafarers
Greek
cardiovascular risk
obesity
hyperlipidaemia
smoking

Authors

Marios Papadakis
Andreas Afendras
Charalampos Skiadas
Despoina Renieri
Morfo Tsaknaki
Ioannis Filippopoulos
Chrysoula Liakou

References (9)
  1. Romero-Paredes Md, Reinoso-Barbero L, González-Gómez MF, et al. Improving cardiovascular health in Spanish seafarers. Int Marit Health. 2016; 67(1): 3–8.
  2. Oldenburg M, Jensen HJ, Latza U, et al. Coronary risks among seafarers aboard German-flagged ships. Int Arch Occup Environ Health. 2008; 81(6): 735–741.
  3. Pougnet R, Pougnet L, Loddé BL, et al. Cardiovascular risk factors in seamen and fishermen: review of literature. Int Marit Health. 2013; 64(3): 107–113.
  4. Oldenburg M, Jensen HJ, Latza U, et al. The risk of coronary heart disease of seafarers on vessels sailing under a German flag. Int Marit Health. 2010; 62: 123–128.
  5. Slišković A, Penezić Z. Lifestyle factors in Croatian seafarers as relating to health and stress on board. Work. 2017; 56(3): 371–380.
  6. Baygi F, Jensen OC, Qorbani M, et al. Prevalence and associated factors of cardio-metabolic risk factors in Iranian seafarers. Int Marit Health. 2016; 67(2): 59–65.
  7. Hjarnoe L, Leppin A. A risky occupation? (Un)healthy lifestyle behaviors among Danish seafarers. Health Promot Int. 2014; 29(4): 720–729.
  8. Nas S, Fışkın R. A research on obesity among Turkish seafarers. Int Marit Health. 2014; 65(4): 187–191.
  9. Nittari G, Tomassoni D, Di Canio M, et al. Overweight among seafarers working on board merchant ships. BMC Public Health. 2019; 19(1): 45.

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