- 1Public Health Department, University of Naples Federico II, Naples, Italy
- 2University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Salzburg, Austria
- 3Med-Ex, Medicine & Exercise, Medical Partner Scuderia Ferrari, Maranello, Italy
Editorial on the Research Topic
Cardiovascular disease prevention in the workplace
Introduction
The European Society of Cardiology's current guidelines on cardiovascular (CV) disease prevention emphasize the need for a coordinated set of actions, including interventions in the workplace aimed at reducing or eliminating the impact of CV diseases and related disabilities (1, 2).
Although workplace health programs often target modifiable risk factors like nutrition, physical activity, and smoking cessation (3, 4), they are still rare, offer a narrow spectrum, and receive thus limited attention (2). This represents a big public health issue since company health and wellness interventions may provide an important opportunity to identify and manage CV risk (2). This oversight represents a significant public health concern as workplace health interventions provide critical opportunities to identify and manage CV risks. As employee demographics shift towards older age groups and the retirement age progressively extends, these preventive measures are set to become key components of both employee health maintenance and the strategic economic planning of companies. Also, companies are competing for the most talented and skilled employees, and attractive and comprehensive corporate health programs can serve as a pull-factor.
This Research Topic aimed to highlight the ideal features of a CV prevention program tailored to workplace environments.
Analysis of included paper
Two studies within this topic focus on major CV risk factors in the workplace: stress and smoking habits.
The study by Fruscione et al. explore the profound effects of workplace stress on cardiovascular health, establishing a strong correlation between high-stress environments and elevated CV risk markers, corroborating findings from a recent meta-analysis (5). This study underscores the critical need for integrated stress management programs, suggesting interventions such as workplace yoga to mitigate these risks effectively (5). Costantino et al.’s cross-sectional analysis reveals an alarmingly high prevalence of smoking among employees, directly linking it to increased CV risk. The study advocates for comprehensive smoking cessation initiatives as essential components of corporate wellness strategies to substantially lower CV disease incidence as recommended by contemporary research (1).
Additionally, while not strictly focused on workplace settings, poor sleep and the COVID-19 pandemic are also identified as significant contributors to CV disease.
Hou et al. address the often-overlooked link between poor sleep quality and cardiovascular health, suggesting that disturbed sleep significantly elevates CV disease risk. Their research supports integrating sleep management into CV disease prevention strategies in the workplace, identifying sleep improvement as a crucial factor in risk mitigation (1). Niebauer et al. assess the impact of COVID-19 on CV health, noting both direct effects from the virus and indirect consequences such as increased stress and reduced physical activity during lockdowns (6, 7). The study highlights the need for adaptable physical activity programs to address the ongoing pandemic while supporting cardiovascular health, aligning with findings on the benefits of exercise for long COVID-19 recovery (8).
The concluding studies propose effective solutions for creating an ideal corporate health program centered around physical activity (9).
Amatori et al. provide robust evidence supporting the role of regular physical activity in mitigating CV risk among employees. They advocate for structured exercise programs that are adaptable to employee schedules, demonstrating that even moderate physical activity enhancements can significantly benefit heart health and overall well-being. This aligns with systematic reviews showing that physical activity not only benefits employees but also offers substantial economic returns for companies (10). Cristi Montero et al.’s research introduces “active breaks”—short, structured physical activity sessions during the workday. This innovative approach helps combat the sedentary nature of modern office environments and significantly reduces CV risk factors such as hypertension and obesity among employees.
Conclusion
The collective research presented underscores the effectiveness of comprehensive CV disease prevention programs in the workplace. By addressing both direct risk factors like smoking and indirect factors such as stress, poor sleep and physical inactivity, alongside innovative solutions like active breaks and customized physical activity regimens, companies can significantly enhance employee health and productivity. As workplaces evolve, the integration of these holistic wellness strategies will be crucial in reducing the growing burden of CV disease among an aging workforce.
Author contributions
SP: Writing – original draft, Writing – review & editing. JN: Supervision, Writing – review & editing. AB: Supervision, Writing – review & editing.
Conflict of interest
AB was employed by company Med-Ex.
The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher's note
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References
1. Visseren F, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, et al. 2021 ESC guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. (2021) 42:3227–337. doi: 10.1093/EURHEARTJ/EHAB484
2. Biffi A, Fernando F, Palermi S, Sirico F, Bonatesta L, Cavarretta E, et al. Cardiovascular disease prevention in the worksite: where are we? Int J Cardiol. (2022) 368:104–7. doi: 10.1016/J.IJCARD.2022.08.026
3. Biffi A, Fernando F, Adami PE, Messina M, Sirico F, Di Paolo F, et al. Ferrari corporate wellness program: results of a pilot analysis and the “drag” impact in the workplace. High Blood Press Cardiovasc Prev. (2018) 25:261–6. doi: 10.1007/s40292-018-0266-z
4. Biffi A, Gallo G, Fernando F, Sirico F, Signorello MG, De Martino L, et al. Relationship between cardiorespiratory fitness, baseline blood pressure and hypertensive response to exercise in the Ferrari corporate population. High Blood Press Cardiovasc Prev. (2022) 29:81–8. doi: 10.1007/S40292-021-00491-5
5. Della Valle E, Palermi S, Aloe I, Marcantonio R, Spera R, Montagnani S, et al. Effectiveness of workplace yoga interventions to reduce perceived stress in employees: a systematic review and meta-analysis. J Funct Morphol Kinesiol. (2020) 5:33. doi: 10.3390/JFMK5020033
6. Palermi S, Vecchiato M, Pennella S, Marasca A, Spinelli A, De Luca M, et al. The impact of the COVID-19 pandemic on childhood obesity and lifestyle—a report from Italy. Pediatr Rep. (2022) 14:410–8. doi: 10.3390/pediatric14040049
7. Vecchiato M, Neunhaeuserer D, Fabris M, Aghi A, Quinto G, Battista F, et al. The impact of the COVID-19 pandemic on functional capacity in a population of young athletes: should we expect long-time consequences? J Sports Med Phys Fitness. (2023) 63(7):828–34. doi: 10.23736/S0022-4707.22.14468-3
8. Compagno S, Palermi S, Pescatore V, Brugin E, Sarto M, Marin R, et al. Physical and psychological reconditioning in long COVID syndrome: results of an out-of-hospital exercise and psychological - based rehabilitation program. IJC Heart Vasc. (2022) 41:101080. doi: 10.1016/j.ijcha.2022.101080
9. Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. (2017) 32:541–56. doi: 10.1097/HCO.0000000000000437
Keywords: cardiovascular disease, cardiovascular prevention, corporate well-being programs, corporate wellness programs, corporate health check up
Citation: Palermi S, Niebauer J and Biffi A (2024) Editorial: Cardiovascular disease prevention in the workplace. Front. Cardiovasc. Med. 11:1473014. doi: 10.3389/fcvm.2024.1473014
Received: 30 July 2024; Accepted: 22 August 2024;
Published: 6 September 2024.
Edited and Reviewed by: Elsayed Z. Soliman, Wake Forest University, United States
Copyright: © 2024 Palermi, Niebauer and Biffi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Stefano Palermi, stefanopalermi8@gmail.com