Risk Factors of Arterial Hypertension in Organized Cohort of Male Employees of the Machine Building Plant

Britov, A. N.; Tjupaeva, S. A.; Елисеева, Н. А.; Мешков, А. Н.; Деев, А. Д.

doi:10.20996/1819-6446-2017-13-6-800-805

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Установлено, что основными производственными факторами в производстве подшипников были производственный шум и физические перегрузки, присутствие в воздухе рабочей зоны вредных химических веществ, а на горячих участках работ, кроме того, нагревающий микроклимат, определяющие степень вредности условий труда (классы 3.1-3.4) и формирующие профессиональный риск в категориях от малого до очень высокого. Сочетанное прогипертензивное воздействие выявленных производственных факторов может явиться причиной развития БСК, занимающих третье ранговое место среди первичной и общей ХНИЗ работников [6][7][8].…”

Section: Discussionunclassified

“…Среди основных детерминант развития БСК выделяют неуправляемые (генетические, биологические) и управляемые (высокое артериальное давление, избыточная масса тела, абдоминальное ожирение, дислипидемия, поведенческие и стрессогенные факторы окружающей, в том числе вредные факторы производственной, среды) [2][3][4][5]. Имеется достаточно большое количество исследований, показывающих, что вредные производственные факторы (шум, загрязненность воздуха рабочей зоны химическими веществами и пылью, неблагоприятный микроклимат, физические и нервно-эмоциональное перегрузки) вносят значительный вклад в заболеваемость БСК работников различных отраслей экономики [6][7][8]. В этой связи для разработки мер профилактики БСК у трудоспособного населения на индивидуальном и популяционном уровнях большое значение имеют выявление и оценка факторов риска на рабочем месте, а также установление причинно-следственных связей между нозологиями и производственными факторами [9].…”

Section: Introductionunclassified

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Occupational risk factors for the development of circulatory system diseases in bearing production workers

Migacheva,

Novikova

2024

Sibirskij nauchnyj medicinskij zhurnal

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Prevention of circulatory system diseases (CSDs), preservation of the health of the working population is a priority task of the Russian Federation healthcare, in the solution of which it is of interest to study the causal relationships of the influence of production factors on the development of CSDs in workers of various professional groups. The purpose of this study was to assess the prevalence and occupational causality of diseases of the circulatory system in the main professional groups of bearing production workers. Material and methods. The occupational risk of developing CSDs in workers of the main professional groups in the bearing production was assessed based on the hygienic classification of production factors and chronic non-infectious morbidity according to medical examinations using the methodology for assessing occupational health risk. Results and discussion. It has been established that bearing production workers in the course of labor activity are exposed to the complex effects of harmful (class 3.1–3.4) factors of the working environment of various nature, which determine the a priori occupational health risk in categories from low to very high. The level of CSD prevalence was 446.4‰, while arterial hypertension was the most frequently established nosologic form (80.66 %). A high degree of causal relationships of arterial hypertension with the work was established for adjusters and machine operators (RR = 2.44; etiologic fraction (EF) 58.98 %; CI = 1.335–4.450), turners (RR = 2.32; EF = 56.93 %; CI = 1.184–4.451), grinders (RR = 2.31; EF = 56.63 %; CI = 1.189–4.469), hot-spot workers (RR = 2.16; EF = 53.64 %; CI = 1.193–3.901), which indicates professional conditioning. Conclusions. The complex impact of production factors contributes to the development of CSDs among workers in the production of bearings, which is confirmed by a high degree of causal relationship between arterial hypertension and work.

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Section: Discussionunclassified

Section: Introductionunclassified

Occupational risk factors for the development of circulatory system diseases in bearing production workers

Migacheva,

Novikova

2024

Sibirskij nauchnyj medicinskij zhurnal

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Clinical and phenotypical features of stroke and forecast in workers under exposure industrial noise

Yashnikova

Poteriyaeva

Доронин

et al. 2021

Med. tr. prom. èkol.

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Introduction. The problem of preventing the development of stroke in workers under the influence of harmful production factors is urgent. The aim of the study was to study the characteristics of stroke in men under conditions of industrial noise exposure, to establish the prognostic value in the formation and course of the disease. Material and methods. The study involved 71 men with stroke from 30 to 65 years old, who worked in conditions of industrial noise in the professions of "pilot of civil aviation aircraft" and "adjuster of railway construction machines" for 5 years or more. In order to develop a mathematical model for predicting the development of stroke and to establish an individual risk, a group of 81 men from 30 to 65 years old, working under conditions of exposure to occupational noise for 5 years or more, who had no history of stroke data, were also examined. Using the method of sequential inclusion of the studied risk factors (Forward Stepwise), we selected those that made an independent significant contribution to the development of stroke. Based on the results obtained, a logistic regression formula was created, which determines the likelihood of stroke in men working under conditions of occupational noise. Results. In the group of patients with stroke, persons of middle age were found significantly more often - 53.5%. Ischemic stroke prevailed among clinical forms - 90.1%. Among the risk factors prevailed: arterial hypertension (AH) in 100.0% of cases, dyslipidemia factor in 78.9%, smoking factor in 59.1%. A direct moderate correlation was found between the level of systolic blood pressure, diastolic blood pressure and the index of the NIHSS 1 and NIHSS 2 scales. The influence of the following factors on the development of stroke was established: the level of total cholesterol (β-coefficient=1.0, p=0.001), the presence of atrial fibrillation factor (β-coefficient=2.9, p=0.004), the presence of a factor of alcohol abuse (β-coefficient=1.1, p=0.049), the patient has a diagnosis of grade 2 AH (β-coefficient=13, p=0.041) or a diagnosis of grade 3 hypertension (β-coefficient=1.8, p=0.008). A p(X) value exceeding 0.5 indicates a high risk of developing a stroke. The sensitivity of the proposed method was 76.1%, specificity - 74.1%. Conclusion. The proposed multivariate model is informative for the individual prediction of the development of stroke in men working in conditions of exposure to occupational noise, because reflects the degree of influence of one factor or another on the development of the disease.

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Assessment of the functional state of the cardiovascular system in workers of metallurgical enterprises

Akhmetzyanova¹,

Bakirov²,

Abdrakhmanova³

et al. 2022

Sanitary Doctor

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In the structure of factors that form the health of the working-age population, the conditions of its production activity occupy an important place. Today, the products of metallurgical industries are used in almost all industries. The study of the state of the cardiovascular systems of workers of a steel wire shop at a large metallurgical enterprise was carried out. An in-depth examination using modern methods of instrumental diagnostics was carried out by 302 employees of the enterprise. Of these — 275 men and 27 women, aged 23 to 59 years. A feature of the working conditions of workers in metallurgical production is the complex effect of the heating microclimate, the severity of the labor process, dust and complex aerosols of metals, which can be risk factors for the development of arterial hypertension at the earliest stages of exposure. A survey of the nature of nutrition and eating behavior showed that 41.2 % of the surveyed showed a high, excessive frequency of consumption of animal fat in persons with arterial hypertension. Examination of workers, aged from 23 to 59 years, revealed arterial hypertension in 19.4 %, signs of arterial hypotension were observed in 7.4 % of the examined workers of the metallurgical plant. In 46.2 % of workers, an increase in blood pressure was revealed, which can be characterized as mild arterial hypertension, in 45.1 % — moderate, and in 8.7 % of the surveyed, an increase in blood pressure can be characterized as a severe degree of arterial hypertension. Metallurgical workers were found to have such risk factors for the development of arterial hypertension as an imbalance in the consumption of plant and animal food, alcohol consumption and psychosocial factors. The state of the cardiovascular system of the workers of the metallurgical plant is characterized by maladaptive somatic changes.

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Risk Factors of Arterial Hypertension in Organized Cohort of Male Employees of the Machine Building Plant

Cited by 3 publications

References 6 publications

Occupational risk factors for the development of circulatory system diseases in bearing production workers

Occupational risk factors for the development of circulatory system diseases in bearing production workers

Clinical and phenotypical features of stroke and forecast in workers under exposure industrial noise

Assessment of the functional state of the cardiovascular system in workers of metallurgical enterprises

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