title: Work economic sectors and cardiovascular risk factors: cross-sectional analysis based on the RECORD Study.
abstract: BACKGROUND
  Little is known on the comparative effect of work economic sectors on multiple cardiovascular risk factors. Such information may be useful to target Public health interventions, e.g., through the occupational medicine. We investigated whether and how a large panel of cardiovascular risk factors varied between 11 work economic sectors.
  
  
  METHODS
  Data on 4360 participants from the French RECORD Study geolocated at their residence were analyzed. Ten outcomes were assessed: body mass index (BMI), waist circumference, systolic and diastolic blood pressure (BP), pulse pressure, total cholesterol, glycaemia, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, and resting heart rate. Multilevel linear regression models stratified by sex and adjusted for individual and neighborhood sociodemographic characteristics were estimated.
  
  
  RESULTS
  Among men, the Health and social work sector was found to be the most protective sector for BMI, waist circumference, and glycaemia (while the Construction sector and the Transport and communications sector tended to be unfavorable for these outcomes). The Health and social work sector was also associated with higher HDL cholesterol among men. However, men working in the Health and social work sector showed the highest systolic BP and pulse pressure. Women working in the Health and social work sector had the highest BMI, the largest waist circumference, and the most elevated systolic and diastolic BP. The Commercial and repair of vehicles sector, the Transport and communication sector, and the Collective, social, and personal services sector were associated with a more favorable profile for these risk factors among women.
  
  
  CONCLUSIONS
  Work economic sectors contribute to shape metabolic and cardiovascular parameters after adjustment for individual/neighborhood sociodemographic characteristics. However, patterns of associations varied strikingly according to the risk factor examined and between men and women. Such findings may be useful to target interventions for reducing cardiovascular risk, e.g., through the occupational medicine.
authors: Sorbonne Universités, UPMC Univ Paris 06, UMR_S 113, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris 75012, France. lewin@u707.jussieu.fr.
authors: Antoine
authors: A
authors: Lewin
authors: Frédérique
authors: F
authors: Thomas
authors: Bruno
authors: B
authors: Pannier
authors: Basile
authors: B
authors: Chaix
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000097:blood / Q000453:epidemiology*; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009790:Occupations / Q000191:economics* / Q000706:statistics & numerical data*; D010297:Paris / Q000453:epidemiology; D012307:Risk Factors; D012923:Social Class; D012959:Socioeconomic Factors; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose; D002784:Cholesterol