Scientific Online Resource System

Conference Proceedings

Промоция на здравето сред моряци за управление на професионалните рискове

Tеодора Димитрова, Панайот Николов


Introduction: Work on a ship carries a higher risk than other professions, mainly because of the higher frequency of traumas and chronic non-infectious diseases like cardiovascular or endocrine pathology, which are a result of an unhealthy behavior. This justifies the necessity of active health prophylaxis among this occupational group.

The aim of the study is to track the effect of an interventional program, which includes health discourse and extra medical examination with occupational health consultation among risk groups of seamen.

For the period of February 2016 to February 2017 we tracked the dynamic changes in the body mass and lipid profiles in the blood of 96 working sailors. A reduction of the relative share of people in all risk groups was established. People with obesity before intervention were 25 (25.8%) against 23 (23.7%) after that, these with higher value of common cholesterol in the blood 1 year before the intervention were 58 (59.8%) against 43 (44.3%) and the number of sailors with higher level of triglycerides was reduced from 36 (37.5%) to 26 (37.1%). Reduction is statistically significant for the values of the total cholesterol.

Improvement of the health condition among workers in maritime transport is possible through necessary activity in health promotion. Consultation by a specialist in occupational health during the process of certification for occupational fitness of seafarers in Bulgaria, accompanied by extra medical exams and laboratory checks would lead to better management of health risks caused by this lifestyle


seamen; occupational health; health promotion

Full Text


Наредба Н-11 от 30.04.2014 г. за определяне на изискванията за здравословна годност на морските лица в Република България, обн., ДВ, бр. 41 от 16.05.2014 г.

Петрова, С., et al. "Мониторинг на хранителен статус на населението в България: разпространение и тенденции на затлъстяването и поднорменото тегло." Наука Диететика 2,2012: 18-29.

Христова, Д. Телесен състав и оценка на хранителен статус при младежи и девойки, 2015, Варна

Bull SS, Gillette C, Glasgow RE, Estabrooks P. Work site health promotion research: to what extent can we generalize the results and what is needed to translate research to practice? Health Educ Behav. 2003;13:537–549.

European guidelines on cardiovascular disease prevention in clinical practice: executive summary. The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J 2012;33: 1635–1701.

Geving IH, Jorgensen KU, Thi MS, Sandsund M. Physical activity levels among offshore fleet seafarers. Int Marit Health. 2007;13:103–114.

Hansen HL, Hjarnoe L, Jepsen JR. Obesity continues to be a major health risk for Danish seafarers and fishermen. Int Marit Health, 2011; 62: 98–103.

Hjarnoe L, Leppin A, A risky occupation? (Un)healthy lifestyle behaviors among Danish seafarers. Health Promot Int. 2014 Dec; 29,4:720-9.

Hjarnoe L, Leppin A. Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phys Activ. 2009;13:26

Hjarnoe L, Leppin A. Health promotion in the Danish maritime setting: challenges and possibilities for changing lifestyle behavior and health among seafarers. BMC Public Health. 2013;13:1165.

Hutchinson AD, Wilson C. Improving nutrition and physical activity in the workplace: a meta-analysis of intervention studies. Health Promot Int. 2012;13:238–249.

Johannsen DL, Calabro MA, Stewart J, Franke W, Rood JC, Welk GJ. Accuracy of armband monitors for measuring daily energy expenditure in healthy adults., Med Sci Sports Exerc 2010; 42: 2134–2140

Mhurchu NC, Aston LM, Jebb SA. Effects of worksite health promotion interventions on employee diets: a systematic review. BMC Public Health. 2010;13:62

Nas S, Fışkın R. A research on obesity among Turkish seafarers. Int Marit Health 2014; 65: 187–191.

Oldenburg M, Hogan B, Jensen HJ. Systematic review of maritime field studies about stress and strain in seafaring. Int Arch Occup Environ Health 2012; 86: 1–15.

Romero-Paredes M., Reinoso-Barbero L., González-Gómez M., Bandrés-Moya F., Improving cardiovascular health in Spanish seafarers, Int Marit Health, 2016; 67, 1: 3–8

Rongen A, Robroek SJW, Van Lenthe FJ, Burdorf A. Workplace health promotion a meta-analysis of effectiveness. Am J Prev Med. 2013;13:406–415.

Saarni H, Laine M, Niemi L, Pentti J Health promotion in the Finnish shipping industry, Int Marit Health. 2001; 52:44-58.

Scovill SM, Roberts TK, McCarty DJ. Health characteristics of inland waterway merchant marine captains and pilots. Occup Med, 2012;13:638–641.

World Health Organization, WHO (2013). Health Topics, Obesity


Font Size