A Longitudinal Causal Relationship among Cardiovas
cular Risk Factors in the Employees of the Government
Savings Bank
PARADEE TEMCHAROEN, Dr.P.H.*, MANDHANA PRADIPASEN, M.D., Dr.P.H.*,
THAVATCHAI VORAPONGSATHORN,Ph.D.**, PIYAMITR SRITARA, M.D.***
Affiliation : * Department of Nutrition,
** Department of Biostatistics, Faculty of Public Health, Mahidol University,
*** Cardiology Unit, Department of Internal Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University,
Bangkok I 0400, Thailand.
AbstractA longitudinal structural causal model was generated to examine the causal relationship
among determinants which were composed of four personal factors, stress, four health behaviors,
and BMI on five physiological risks for cardiovascular disease: SBP, DBP, FBS, TC and HDL-C in
1,019 bank employees, within a five-year interval. A fourteen-item food frequency questionnaire for
assessing eating habits and the Health Opinion Survey for the stress test were included in the selfadministered questionnaires. Weight, height and blood pressure were measured and blood samples
were collected for blood chemical analysis.
Data analysis by LISREL showed that the determinants in the proposed model explained as
much as 96 per cent variation in physiological risks for CVD (R2 =0.96, relative chi-square =1.92,
RMSEA =0.03, GFI =0.96 and AGFI =0.95). The findings also indicated that current physiological
status was affected by their status of age, education, health behaviors, BMI and physiological status
5 years ago.
Keywords : Cardiovascular Disease, Cardiovascular Risk Factors, LISREL, Bank Employee,
Longitudinal Study
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