Author/Authors :
Khosravi، Ali Reza نويسنده Mycology Research Center, Faculty of Veterinary Medicine, University of Tehran, Tehran, IR Iran , , Rowzati، Mohsen نويسنده General Practitioner, Worksite Follow-Up Unit, Occupational Health Center, Mobarakeh Steel Company, Isfahan, Iran , , Gharipour، Mojgan نويسنده Hypertension Research Center, Isfahan Cardiovascular Research Institute, IUMS, Isfahan , , Gholami Fesharaki، Mohammad نويسنده Biostatistics Department, Tarbiat Modarres University, Tehran, IR Iran , , Shirani، Shahin نويسنده Associate Professor, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran , , Shahrokhi، Shahnaz نويسنده Community Medicine Specialist, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran , , Jozan، Mahnaz نويسنده Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran , , KHOSRAVI، ELHAM نويسنده , , Khosravi babadi، Zahra نويسنده Department of Microbiology, Faculty of Biological Sciences, Shahid Beheshti University, Tehran, IR Iran , , Sarrafzadegan، Nizal نويسنده MD, Professor of Cardiology, Isfahan Cardiovascular Research Center, IUMS, Isfahan ,
Abstract :
BACKGROUND: Hypertension prevention and control are among the most important public
health priorities. We evaluated the impacts of a workplace intervention project "Stop
Hypertension in Mobarakeh Steel Company" (SHIMSCO) on controlling hypertension in
industrial workers.
METHODS: The study was carried out in Mobarakeh Steel Company in Isfahan among 7286
male workers and employees. All individuals were evaluated for the presence of hypertension
(HTN). According to examinations, 500 subjects with systolic blood pressure (SBP) ? 140
mmHg, and/or diastolic blood pressure (DBP) ? 90 mmHg, and/or those using
antihypertensive medications were confirmed to have HTN and thus included in this study.
They were questioned for sociodemographic characteristics, past medical history and
medication use. They received an educational program including healthy lifestyle and self-care
recommendations of HTN management and control as well as training for accurate blood
pressure measurement and home monitoring for two years. SBP, DBP, weight, height and
routine lab tests were measured for all hypertensive subjects before and after the interventions.
Paired t-test, generalized estimation equation (GEE) and ordinary linear regression (OLR) were
used for statistical analysis in SPSS.
RESULTS: The comparison of SBP and DBP before and after the educational program showed
significant reductions in both parameters (-7.97 ± 14.72 and -2.66 ± 9.96 mmHg, respectively).
However, a greater decrease was detected in case of DBP. GEE showed SBP and DBP to decrease
about -0.115 and -0.054 mmHg/month. OLR also revealed reductions of 4.88 and 2.57 mmHg
respectively in SBP and DBP upon adding each antihypertensive drug.
CONCLUSION: SHIMSCO, a 3-year interventional project in workplaces, was effective in
reducing SBP and DBP among hypertensive employees and workers. We conclude that
implementing simple educational programs in worksites can improve the management and
control of hypertension and perhaps other chronic diseases.
