1,721,257 research outputs found
[Workplace health promotion: what evidence of effectiveness?].
No full textWorkplace health promotion is a strategy that takes in consideration the synergic effects of behavioural and professional health risks. The workplace can help to improve workers' lifestyles, based on specific programmes conducted by trained occupational physicians. In this article we report on the conclusions of two recent reviews, assessing the evidences of effectiveness of workplace health promotion (WHP) programs, recently published. Even if most of the studies are influenced by methodological concerns and limitations, above all the lack of control groups and the use of multiple and heterogenic outcome measures, it is possible to conclude that health assessment programmes with feedbacks are capable to reduce the risks of alcohol abuse, to increase smoking cessation and to improve levels of physical activity in voluntarily recruited employs. Finally, preliminary indications of the SIMLII Workplace Health Promotion Guidelines are briefly commented
Aspetti metodologici nella valutazione del rischio stress da lavoro. Dall'esperienza italiana dell'applicazione del JCQ di R Karasek, una proposta di approccio multifase.
No full textJob strain and heart rate variability. New evidence and new perspectives [Job strain e heart rate variability. Nuove evidenze e nuove prospettive]
No full textWork stress has been associated with an increased risk for cardiovascular disease. Two major pathways capable to explain the link between job stress and the cardiovascular diseases have been extensively studied: the hypothalamic-pituitary-adrenal axis and the autonomic nervous system (ANS). The analysis of heart rate variability (HRV) has been proposed to assess the regulation of the ANS. Several studies established that HRV reduction is a strong and independent predictor of mortality in patients with various cardiovascular diseases. However the assessment of HRV can also be used as a non-invasive tool to predict cardiovascular events in healthy subjects. The aim of this paper is to review and report the results of main studies assessing the association between JS and HRV. Up to now a limited number of studies assessing the relationship between working conditions and HRV has been published. In the majority of them, higher levels of JS has been found associated with lower values of HRV. The literature suggests that HRV analysis can be a valid indicator of JS effects on the cardiovascular system. For the future studies are necessary longitudinal cohorts studies appropriately selected, to obtain information about the cardiovascular effects of prolonged JS
Esperienza nel controllo dei soggetti a rischio di alcol-dipendenza in una azienda di pubblico soccorso
No full text[The contribution of occupational medicine in cardiovascular prevention and return to work of cardiac patients].
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