Delphi consensus on the monitoring tools of main individual risk factors for chronic diseases by the company doctor

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Marco Cremaschini
Roberto Moretti
Marinella Valoti
Giorgio Barbaglio
Mariangela Arnoldi
Flavia Bigoni
Elena Guaschi
Federico Merisi
Pierluigi Passera
Angelo Rebba
Marino Signori
Maurizio Tomio
Alberto Baldasseroni
Paolo Carrer
Giovanni Costa
Luigi Dal Cason
Azelio De Santa
Umberto Gelatti
Claudio Gili
Andrea Magrini
Giuseppe Masanotti
Giampietro Mosconi
Giantommaso Pagliaro
Ernesto Ramistella
Maurizio Ronchin
Luciano Riboldi
Pietro Sartorelli
Emanuele Scafato
Antonello Serra
Biagio Tinghino
Pasquale Valente
Maria Rosa Valetto
Luisella Vigna


Health promotion, company doctor, individual risk factors, chronic diseases, monitoring


Background: Data on individual risk factors for chronic diseases (smoking, physical activity, body mass) are collected by company physicians in heterogeneous ways. This makes comparisons, researches and evaluations difficult. Objectives: The aim of the study was to find a consensus on evaluation tools for chronic diseases risk factors and for health promotion programs in workplaces that could be performed by company physicians during their clinical activity. Methods: A first set of tools, proposed by a working group of occupational physicians in Bergamo, was submitted through the Delphi technique to a national expert panel of 22 persons including recognized national experts in specific fields and occupational physicians skilled in health promotion. Results: In three Delphi rounds, the panel selected a set of tools to monitor the main individual risk factors for chronic diseases (smoking, alcohol, physical activity, nutrition, stress and mental health) as well as general data related to the worker and his job. Conclusions: The use of these specific tools, collected in a homogeneous format, should be recommended to all Italian company physicians, in particular those who work in WHP-programs, in order to allow analysis, comparison and evaluation of health promotion programs effectiveness at a national level.


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