title: Impact of Secondary Prevention in an Occupational High-Risk Group.
abstract: A study of medical outcomes among 6857 elderly construction workers who received an initial and at least one periodic follow-up examination as a result of participating in a medical screening program was undertaken.
  
  
  
  We compared results from the initial examination to follow-up examinations delivered at least 3 years after the initial examination for the following outcomes: body mass index (BMI); total serum cholesterol; nonhigh-density lipoprotein (non-HDL) cholesterol; hemoglobin A1c, hypertension; current cigarette smoking; and 10-year cardiovascular disease (CVD) risk scores.
  
  
  
  Statistically significant improvements (P < 0.05) were observed for all measures except BMI.
  
  
  
  Participation in a periodic medical screening program for elderly construction workers is associated with a favorable impact on common health outcomes. When presented with a program designed for them, blue-collar workers are motivated to seek improvements in their health status.
authors.affiliation: Center for Construction Research and Training Silver Spring, Maryland (Dr Welch, Dr Ringen, Ms Quinn); Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina (Dr Dement); and Zenith American Solutions, Oak Ridge, Tennessee (Ms Cranford).
authors.forename: Laura S
authors.initials: LS
authors.lastname: Welch
authors.forename: John
authors.initials: J
authors.lastname: Dement
authors.forename: Knut
authors.initials: K
authors.lastname: Ringen
authors.forename: Kim
authors.initials: K
authors.lastname: Cranford
authors.forename: Patricia S
authors.initials: PS
authors.lastname: Quinn
mesh_terms: D000368:Aged; D008078:Cholesterol, LDL / Q000097:blood; D000073865:Cigarette Smoking; D060389:Construction Industry; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D006937:Hypercholesterolemia / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D016272:Occupational Health; D018570:Risk Assessment; D055502:Secondary Prevention; D016540:Smoking Cessation
chemical_list: D008078:Cholesterol, LDL; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human