ArticleInternational archives of occupational and environmental health2008
Coronary risks among seafarers aboard German-flagged ships.
Article in International archives of occupational and environmental health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Global overview of dietary outcomes and dietary intake assessment methods in maritime settings: a systematic review.BMC public health · 2021Pooled it
- Article
- Article
- The Magnitude of Cardiovascular Disease Risk Factors in Seafarers from 1994 to 2021: A Systematic Review and Meta-Analysis.Journal of personalized medicine · 2023Review
- Self-Reported Modifiable Risk Factors of Cardiovascular Disease among Seafarers: A Cross-Sectional Study of Prevalence and Clustering.Journal of personalized medicine · 2021Article
- Lifestyle behaviour and prevalence of cardiovascular risk factors - a pilot study comparing Kiribati and European seafarers.BMC public health · 2019Article
- Food offerings on board and dietary intake of European and Kiribati seafarers - cross-sectional data from the seafarer nutrition study.Journal of occupational medicine and toxicology (London, England) · 2018Article
- Article
- A review of the physiological and psychological health and wellbeing of naval service personnel and the modalities used for monitoring.Military Medical Research · 2017Review
- Comparison of hospitalization among German coastal and deep sea fishermen.International archives of occupational and environmental health · 2015Article
- Health promotion in the Danish maritime setting: challenges and possibilities for changing lifestyle behavior and health among seafarers.BMC public health · 2013Article
- Burnout syndrome in seafarers in the merchant marine service.International archives of occupational and environmental health · 2013Article
- Psychoactive substances consumption in French fishermen and merchant seamen.International archives of occupational and environmental health · 2010Article
- Exploration of Seafarers' Mobile Proficiency as a Prerequisite for Possible Health App-based Health Promotion on Board.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesCardiovascular diseases belong to the major causes of maritime service disablement (approximately 18%). The aim of this study was to investigate the frequency of coronary risk factors in seamen on vessels sailing under the German flag and to assess the risk of coronary heart disease (CHD) dependent on job-related factors.
methodsWithin a medical surveillance program, a cross-sectional study with interview, blood sampling, and blood pressure measurements was conducted among a total of 205 male seafarers sailing under the German flag (response 84.9%). Due to missing blood analysis, 13 seamen were excluded. The predicted 10-year risk of an acute coronary event of a study subgroup of 45 German seafarers was compared to the corresponding risk of a sample of the German working population (PROCAM study).
resultsIn the total sample (n = 161), 55 seamen (34.2%) had at least three CHD risk factors. The most prominent independent CHD risk factors in seafarers were hypertension (49.7%), high triglycerides (41.6%), older age (39.8%), and smoking (37.3%). Compared with non-Europeans, European seafarers were about twice as likely to have more than three risk factors after adjusting for age [OR 2.4 (95% CI 1.01-4.55)]. Particularly engine room officers and galley/operating staff were at a higher coronary risk. After standardizing for age, the German seamen investigated showed a similar predicted 10-year CHD risk as the German population of about the same age working ashore of the PROCAM study.
conclusionsThe CHD risks in seafarers should be reduced by low-fat diets, anti-smoking campaigns and blood pressure control/treatment. In spite of the seafarers' regular medical surveillance examination, their CHD risk was comparable to a reference population working ashore. Our results support the hypothesis that working on vessels may augment the risk of CHD.
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