A LIFE-EXHAUSTION: INTERRELATION WITH THE PREVALENCE OF ISCHEMIC HEART DISEASE

Aim. To findout the interrelation of ischemic heart disease prevalence and higher level of life exhaustion in the open population of men 25-64 y.o. in the average- urbanized Siberian city.

Material and methods. Simultaneous epidemiological study was performed on representative group, made up from the lists of citizens in one of Tyumen districts, consisting of 1000 men, 250 by every decade of lifetime (25-34, 35-44, 45-54, 55-64 y.o.). The respond rate reached 85% — 850 participants. The levels of life exhaustion were assessed by the WHO algorithm MONICA — psychosocial, and the prevalence of CHD — by common epidemiological criteria. Results. More than in the half of men 25-64 y.o. in Tyumen the life-exhaustion was revealed (standard value 54,5%). Higher level of LE in population was 15,9%. In open population of 25-64 y.o. men the odds ratio for the absence/presence of CHD was 6,02; definite form of CHD — 14,11; probable type of CHD with higher LE did not show significance.

Conclusion. The data witnesses the possibility of further studying of psychosocial risk factors in men of economic-active age in Siberian populations and the importance of preventive activities to reduce the influence of psychosocial risk factors.

1. Sorensen C, Brandes A, Hendricks O, et al. Psychosocial predictors of depression in patients with acute coronary syndrome. Acta Psychiatrica 2005; 111 (2): 116-24.

2. Gafarov VV, Gromova EA, Kabanov YuN, et al. The interactions between personality and society: a pathless way.— Novosibirsk: SB RAMS, 2008. 280 p. Russian (Гафаров В. В., Громова Е. А., Кабанов Ю. Н. др. Личность и ее взаимодействие с социальной сре-дой: непроторенная дорога.— Новосибирск: СО РАН, 2008. 280 с).

3. Gafarov VV, Gromova EA, Gagulin IV, et al. Study of the influence of vital exhaustion on risk of myocardial infarction in male population aged 25-64 years (epidemiological study based on WHO "Monica" programme). Clinical Medicine 2005; 5: 23-6. Russian (Гафаров В. В., Громова Е. А., Гагулин И.В., и др.Изучение влияния жизненного истощения на риск возникновения инфаркта миокарда в популяции мужчин 25-64 лет (эпидемиологическое исследование на основе программы "Monica"). Клиническая медицина 2005; 5: 23-6).

4. Cole SR, Kawachi I, Sesso H.D, et al. Sense of exhaustion and coronary heart disease among college aiumni. Amer. J. Cardiol. 1999; 84 (12): 1401-5.

5. Vaccarino V, Johnson В, Sheps D, et al. Depression, inflammation, and incident cardiovascular disease in women with suspected coronary ischemia: the National Heart, Lung, and Blood Institute-sponsored WISE study. J. Am. Coll Cardiol. 2007; 20: 2044-50.

6. Akimova EV, Kayumova MM, Smaznova OV, et al. Psychosocial health component in Tyumen male population aged 25-64 years. The world of science, culture and education 2012; 32 (1): 257-60. Russian (Акимова Е.В., Каюмова М. М., Смазнова О. В. и др. Психосоциальная составляющая здоровья в тюменской мужской популяции 25-64 лет. Мир науки, культуры, образования 2012; 32 (1): 257-60).

7. Итоги Всероссийской переписи населения-2010. Росстат; Москва,2011.

8. Gafarov VV, Gromova IV, Gagulin IV. Depression and risk of cardiovascular diseases among male aged 25-64 (WHO MONICA-psychosocial). J. Alaska Med. 2007; 2 (49) suppl.: 242-5.

9. Keil U. The Worldwide WHO MONICA Project: results and perspectives. Gesundheitswesen 2005; 67 suppl. 1: 38-45.

10. Kristenson M, Kucinskienl Z, Bergdahl B, et al. Increased psyhosocial strain in Lithuanian versus Swedish men: the LiVicordia study. Psychosom. Med. 1998; 60 (3): 277-82.

11. Pignalberi C, Patti G. Role of different determinants of psychological distress in acute coronary syndromes. J. Am. Coil. Cardiol. 1998; 32 (3): 613-9.