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Repeated Annual Health risk Assessments with Intervention did not Reduce 10-year Cardiovascular Disease risk: A 4-year Longitudinal study in 13737 Financial Sector Employees

J Occup Environ Med. 2021 Jun 1. doi: 10.1097/JOM.0000000000002251. Online ahead of print.

ABSTRACT

OBJECTIVE: To determine if repeat annual health risk assessments (RAHRAs) with intervention reduce 10-year cardiovascular disease (CVD) risk in financial sector employees.

METHODS: Retrospective analysis from RAHRAs in 13737 employees over 4-years. We report changes in 10-year Framingham risk score (FRS) for CVD (%) and risk factors after 1 (GR1), 2 (GR2) and 3 (GR 3) RAHRAs.

RESULTS: Mean FRS increased with RAHRAs (GR1: +0.4%; GR2: +0.7%; GR3: +0.8%) (p < 0.001) and was higher for GR3 vs. GR1 (p < 0.001) and GR2 (pairwise: p < 0.0355). RAHRAs were associated with increased inadequate fruit/vegetable intake (GR1: +5.4%; GR2: +9.8%; GR3: +15.8%) (all pairwise: p < 0.001) and overweight (GR1: +5.4% vs. GR2: +9.8%) (p < 0.001) and only hypercholesterolaemia decreased (GR1; -4.4% vs. GR3; -9.6%) (p < 0.001).

CONCLUSION: RAHRAs did not reduce 10-year CVD risk in financial sector employees. Role of RAHRAs in chronic disease management requires further study.

PMID:34074955 | DOI:10.1097/JOM.0000000000002251

By Nevin Manimala

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