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

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 MagriniGiuseppe 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

Research output: Contribution to journalArticle


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.

Original languageItalian
Pages (from-to)24-32
Number of pages9
JournalMedicina del Lavoro
Issue number1
Publication statusPublished - Feb 15 2017


  • Chronic diseases
  • Risk factors

Cite this

Cremaschini, M., Moretti, R., Valoti, M., Barbaglio, G., Arnoldi, M., Bigoni, F., Guaschi, E., Merisi, F., Passera, P., Rebba, A., Signori, M., Tomio, M., Baldasseroni, A., Carrer, P., Costa, G., Dal Cason, L., De Santa, A., Gelatti, U., Gili, C., ... Vigna, L. (2017). Delphi consensus on the monitoring tools of main individual risk factors for chronic diseases by the company doctor. Medicina del Lavoro, 108(1), 24-32.