Prevention and screening of diabetes through a workplace campaign: an experience in advanced tertiary sector

Main Article Content

Piero Emanuele Cirla
Irene Martinotti

Keywords

Diabetes; prevention; screening; health promotion; office worker; occupational health

Abstract

Introduction: Worldwide, diabetes and its complications are a health priority. In Italy, its social global impact on private life and occupation relationships is not always considered. In adults the physiopathology is not completely understood yet, but it surely involves many relevant risk factors. Corporate social responsibility actions can play a significant role in life style through information and education, but the level of uncertainty about the screening cost-effectiveness ratio is high. Objectives: To evaluate a diabetes screening and educational program, in the workplace. Results: An information campaign about diabetes was addressed to 4,232 office workers. In this group, 425 volunteers without a prior diagnosis of diabetes (average age of 44 years, average Body Mass Index 24.4 kg/m2) participated in individual moments with the company physicians (assisted calculation of “Diabetes risk score”, screening by fasting blood glucose, and specific counseling). The prevalence of elevated capillary blood glucose was 16% (n = 68) and new diagnosis of diabetes was made in 1.6% of workers participating in the screening (n = 6). Discussion: A diabetes prevention campaign was carried out on Italian office workers in order to develop targeted preventive strategies. The campaign was aimed at primary and secondary prevention. Conclusions: The collaboration of the “company system” provided useful and effective support for a successful implementation of preventive diabetes campaign. The company’s occupational physician’s involvement was strategic.

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References

1.Associazione Medici Diabetologi (AMD), Società Italiana di Diabetologia (SID): Standard italiani per la cura del diabete mellito 2018. AMD-SID 2018
2.Bali V, Yermilov I, Koyama A, Legorreta AP: Secondary prevention of diabetes through workplace health screening. Occup Med 2018; 68:610-616
3.Boussageon R, Bejan-Angoulvant T, Saadatian-Elahi M, et al: Effect of intensive glucose lowering treatment on all cause mortality, cardiovascular death, and microvascular events in type 2 diabetes: meta-analysis of randomized controlled trials. Br Med J 2011; 343:d4169
4.Cirla PE, Martinotti I: Criticità e prospettive per il miglioramento della salute e della sicurezza nel terziario avanzato: conoscere per rinnovare la prevenzione. Med Lav 2015; 106: 94-95
5.Lucas Garcia EL, Debensason D, Capron L, et al: Predictors of elevated capillary blood glucose in overweight railway French employees: a cross-sectional analysis. BMC Public Health 2018; 18:507-520
6.Osservatorio ARNO Diabete (CINECA, Società Italiana di Diabetologia, ASL): Il profilo assistenziale della popolazione con diabete. Rapporto ARNO 2017; vol. XXX (ISBBN 978-88-85980-83-9)
7.Tabák AG, Herder C, Rathmann W, et al: Prediabetes: a high-risk state for diabetes development. Lancet 2012; 379:2279–2290
8.Tarride JE, Smosfky A, Nykoliation P, et al: Effectiveness of a Type 2 diabetes screening intervention in the Canadian workplace. Can J Diabetes 2018; 42:493–499
9.Tuomilehto J, Lindstrom J: The diabetes risk score - a practical tool to predict type 2 diabetes risk. Diabetes Care 2003; 26:725-31
10.World Health Organization: Report of the global survey on the progress in national chronic diseases prevention and control. WHO 2007 (ISBBN 978-92-41595-69-8)
11.World Health Organization: Screening for Type 2 Diabetes - Report of a World Health Organization and International Diabetes Federation meeting. WHO 2003 (ISBBN 978-92-41595-69-8)