Abstract

In recent decades in high industrialised countries the occupational risks and energy costs of labour have decreased while the subjective nutritional and metabolic risk of workers has increased because they often follow an incorrect lifestyle. This article addresses the multidisciplinary assessment and management of these risks in order to define a Nutrient Hazard Analysis and Critical Control Point at Work (NACCPW), specifically dedicated to proper nutrition, which workers must take over before or during the work schedule. It describes the various steps that the professionals concerned will need to develop to define the work-related and subjective metabolic and nutritional critical points and their corrective actions. NACCPW allows to balance work-related metabolic risk with subjective nutritional risk of workers and gives indications to reduce both. The further improvement in working conditions and lifestyle, with a focus on the nutrition of workers, will help to prevent cardio-vascular, metabolic and cancer diseases still very common in Western countries. The effectiveness of NACCPW is ensured by the possibility of including it in periodic health surveillance, which is required by law, for the entire working life.

摘要

近几十年来，在工业化程度较高的国家，劳动的职业风险和能源成本下降了，而工人的主观营养和新陈代谢风险却增加了，因为他们经常遵循错误的生活方式。本文讨论了这些风险的多学科评估和管理，以定义营养危害分析和关键工作控制点（NACCPW），专门致力于适当的营养，工作人员必须在工作日程之前或之中进行接管。它描述了相关专业人员将需要开发的各个步骤，以定义与工作相关的和主观的代谢和营养关键点及其纠正措施。NACCPW可以在工作相关的代谢风险与工人的主观营养风险之间取得平衡，并给出降低两者的指标。以工人的营养为重点的工作条件和生活方式的进一步改善将有助于预防在西方国家仍很普遍的心血管，代谢和癌症疾病。NACCPW的有效性是通过将其纳入整个工作寿命的法律规定的定期健康监测中来确保的。