INTEGRAL ASSESSMENT OF WORK-RELATED ARTERIAL HYPERTENSION RISK FACTORS
https://doi.org/10.15829/1560-4071-2015-4-38-42
Abstract
Aim. To analyze professional predisposition of an integral parameters of arterial hypertension risk factors (AHRF) in economically active citizens. Material and methods. According to the working conditions we grouped 4800 workers of Kemerovo region into 11 professional groups. For integral assessment of AHRF we invented the calculation method of AHRF load as a summation of relative risks multiplications of 17 risk factors of cardiovascular riskwith the significance of these factors for chances of arterial hypertension (AH) development. Also we calculated relative AH risk in professional groups; as a referent group we used the whole selection (all professions). Results. In comparison with the whole selection 3 groups have the highest loads of AHRF, in one profession there are moderate AHRF loads and the other groups show significantly less load of AHRF. Ranges of the risks of AH development relate to the ranges of AHRF ranges in professional groups, the decrease of AHRF is followed by the decrease of relative risk of AH. Correlation analysis of AH development risks and AHRF load in professional groups showed positive strong relationship with coefficient 0,83withp=0,0018.
Conclusion. The results of the study witness the one directional relationship of AHRF load and AH development risks from working conditions. Maximum values of AH RF load and AH risks are mostly shown in professional groups with no significant labor levels and levels of working environment influence, that is, it seems, reflects a selection influence on workers health. Usage of the integral AHRF method is possible for other professional groups and with another conditions of general selection forming (geographic, social and economic, ecological) as another selections of the cardiovascular risk factors selections.
About the Authors
S. A. MaksimovRussian Federation
A. E. Skripchenko
Russian Federation
G. V. Artamonova
Russian Federation
References
1. Cardiovascular system at action of professional factors. Editor Konchalovskoj NM. M.:Medicina; 1976. Russian (Сердечно-сосудистая система при действии профессиональных факторов. Под ред. Н. М. Кончаловской. М.:Медицина; 1976).
2. Esquirol Y, Perret B, Ruidavets JB, et al. Shift work and cardiovascular risk factors: new knowledge from the past decade. Arch Cardiovasc Dis 2011; 104: 636-68.
3. Shogenova AB., Jel’garov AA, Murtazov AM, et al. Metabolic syndrome and risk of cardiovascular diseases at law enforcement officers. Occup Med Ind Ecology 2010; 11:7-12. Russian (Шогенова А. Б., Эльгаров А. А., Муртазов А. М., и др. Метаболический синдром и риск сердечно-сосудистых заболеваний у сотрудников правоохранительных органов. Медицина труда и промышленная экология 2010; 11: 7-12).
4. Zinenko GM, Petrichenko SI, Miroshnikov MP, et al. Features of prevalence of cardiological pathology among specialists of geological branch. Occup Med Ind Ecology 2005; 1: 8-14. Russian (Зиненко Г. М., Петриченко С. И., Мирошников М. П. и др. Особенности распространенности кардиологической патологии среди специалистов геологической отрасли. Медицина труда и промышленная патология. 2005; 1: 8-14).
5. Poteshkina NG. Salt consumption, arterial hypertension and risk of development of cardiovascular diseases. Part I. Russ J Cardiol 2011; 3: 87-95. Russian (Потешкина Н. Г. Потребление соли, артериальная гипертензия и риск развития сердечно-сосудистых заболеваний. Часть I. Российский кардиологический журнал 2011; 3: 87-95).
6. Volkov VS, Tofilo AP. Etiological and pathogenetic factors of primary arterial hypertension. Cardiovascular Therapy and Prevention 2010; 7: 105-11. Russian (Волков В. С., Тофило А. П. Этиологические и патогенетические факторы первичной артериальной гипертонии. Кардиоваскулярная терапия и профилактика 2010; 7: 105-11).
7. Osipova IV, Antropova ON, Vorob’eva EN, et al. The assessment of total coronary risk at persons, whose profession is connected with a stress. Cardiovascular Therapy and Prevention 2008; 6: 33-7. Russian (Осипова И. В., Антропова О. Н., Воробьева Е. Н. и др. Оценка суммарного коронарного риска у лиц, чья профессия связана со стрессом. Кардиоваскулярная терапия и профилактика 2008; 6: 33-7).
8. Karamnova NS, Kalinina AM, Grigorjan CA, et al. Prevalence of the factors forming total cardiovascular risk among medical workers of primary link of health care. Cardiovascular Therapy and Prevention 2009; 6: 54-8. Russian (Карамнова H.C., Калинина A.M., Григорян Ц.А. и др. Распространенность факторов, формирующих суммарный кардиоваскулярный риск среди медицинских работников первичного звена здравоохранения. Кардиоваскулярная терапия и профилактика 2009; 6: 54-8).
9. Shal'nova SA, Oganov RG, Deev AD, et al. Health of the Russian doctors. Kliniko-epidemiologichesky analysis. Cardiovascular Therapy and Prevention 2008; 6: 28-32. Russian (ШальноваС.А., Оганов Р.Г., Деев А.Д. и др. Здоровье российских врачей. Клинико-эпидемиологический анализ. Кардиоваскулярная терапия и профилактика 2008; 6: 28-32).
10. Ereniev SI, Zahar'eva SV. Risk factors of development of cardiovascular diseases at workers of the main professions of machine-building enterprise. Klinicheskaya Meditsina 2006; 8: 31-4. Russian (ЕрениевС.И., ЗахарьеваС.В. Факторы риска развития сердечно-сосудистых заболеваний у работников основных профессий машиностроительного предприятия. Клиническая медицина 2006; 8: 31 -4).
11. Skrobonja A, Kontosicl. Arterial hypertension in correlation with age and body mass index in some occupational groups in the harbour of Rijeka, Croatia. Ind Health 1998; 36:312-7.
12. Maksimov SA, Artamonova GV. Role of professional selection in prevalence of arterial hypertension: "effect of the healthy / unhealthy worker". Vestnik RAMN 2013; 9: 37-41. Russian (Максимов С. А., Артамонова Г. В. Роль профессионального отбора в распространенности артериальной гипертензии: "эффект здорового/нездорового рабочего". ВестникРАМН 2013; 9: 37-41).
13. Arrighi HM, Hertz-Picciotto I. The evolving concept of the healthy worker survivor effect. Epidemiology 1994; 5:189-96.
14. Pearce N, Checkoway H, Kriebel D. Bias in occupational epidemiology studies. Occup Environ Med 2007; 64: 562-8.
Review
For citations:
Maksimov S.A., Skripchenko A.E., Artamonova G.V. INTEGRAL ASSESSMENT OF WORK-RELATED ARTERIAL HYPERTENSION RISK FACTORS. Russian Journal of Cardiology. 2015;(4):38-42. (In Russ.) https://doi.org/10.15829/1560-4071-2015-4-38-42