Prevalence of arterial hypertension in organized groups of employees and results of multifactorial prevention for many years

Aim. To evaluate trends in arterial hypertension (AH) and other risk factor s and their changes after active prevention program. Material and methods. 1382 male and 1555 female volonteers were included in to the group of active prevention at the workplace vs 1024 male and 776 fem ale controls. 5-year follow-up covered 543 males and 569 females from the p revention group against 97 male and 119 female controls. 10-year follow-up covered 82 males and 191 females, 178 males and 118 females, respectively. Results. Risk factor correction produced a significant decrease in both sys tolic and diastolic BP levels, prevalence of ECG deteriorations, smoking ha bits occurrance, overweight. Overall mortality rate, CHD and stroke mortali ty were significantly less frequent in the prevention group. This group had also less days of temporary disability. Conclusion. The primary and secondary "in office" prevention for 5 to 10 ye ars diminishes prevalence of risk factors. The temporary disability rate de pends on the presence of arterial hypertension. The latter together with th e other main risk facts significantly influences cardiovascular and general mortality rates.