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Interventions to Reduce the Risk of Cardiovascular Disease among Workers: A Systematic Review and Meta-Analysis

Author

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  • Won Ju Hwang

    (College of Nursing Science, Kyung Hee University, 26 Kyunghee-daero, Dongaemun-gu, Seoul 02247, Korea)

  • Soo Jin Kang

    (Department of Nursing, Daegu University, 33 Seongdang-ro 50-gil, Nam-gu, Daegu 42400, Korea)

Abstract

This study examined the effect of lifestyle interventions on cardiovascular disease risk factors among workers. The study comprised a systematic review and meta-analysis of controlled trials. Relevant controlled trials were searched, with selections based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Risk of bias was assessed using the Scottish Intercollegiate Guidelines Network (SIGN). Of 1174 identified publications, one low-quality study was excluded. Finally, 10 were analyzed. The effect sizes were analyzed for heterogeneity, and random effect models (Hedge’s g) were used. A subgroup analysis was performed on the follow-up point of intervention (≤ 12 months vs. > 12 months). Publication bias was also analyzed. Interventions were effective for systolic (g = 0.66, 95% CI: 0.27-1.60) and diastolic blood pressure (g = 0.63, 95% CI: 0.21–1.06), and BMI (g = 0.71, 95% CI: 0.15-1.11). Interventions were ineffective for weight (g = 0.18, 95% CI: −0.04, 0.40) and LDL-cholesterol (g = 0.46, 95% CI: −0.02, 0.93). There was high heterogeneity between studies (I2 =78.45 to I2 = 94.61). There was no statistically significant publication bias, except for systolic blood pressure. Interventions to reduce risk of cardiovascular disease risk might be effective in improving physical outcomes, but additional high-quality trials are needed in the future.

Suggested Citation

  • Won Ju Hwang & Soo Jin Kang, 2020. "Interventions to Reduce the Risk of Cardiovascular Disease among Workers: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(7), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2267-:d:337965
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Carlos Brotons & Irene Moral & Diana Fernández & Mireia Puig & M. Teresa Vilella & Teresa Puig & LLuís Cuixart & Gemma Férriz & Anna M. Pedro & Roger Codinachs & Mónica Rodríguez & Rubén Fuentes & on , 2021. "Effectiveness of an Intervention Aimed at Improving Information for Patients with High Cardiovascular Risk: INFORISK Clinical Trial," IJERPH, MDPI, vol. 18(7), pages 1-10, March.

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