DOI: https://doi.org/10.22263/2312-4156.2022.3.46
A.A. Ukla1, A.I. Schastlivenko2, V.P. Podpalov2
Arterial hypertension prevention among workers of oil refining industry
1Gomel State Medical University, Gomel, Republic of Belarus
2Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2022;21(3):46-52.
Abstract.
The aim of this work was to evaluate the effectiveness of arterial hypertension (AH) prevention by controlling risk factors in the conditions of a large oil refinery sanatorium. 871 employees of «Naftan» with normal blood pressure were examined, 62 of them with preventive measures and without unfavorable working conditions, 191 persons with preventive measures and adverse production factors, 198 people without preventive measures and without adverse production factors, 420 persons without preventive measures and adverse production factors. In people working without unfavorable production factors in the presence of preventive measures, AH developed only in 17.7% of cases and was significantly lower than 35.9% of cases in their absence (р<0.01). Among persons working with unfavorable production factors, in the presence of preventive measures, AH developed in 31.6% of cases and was significantly lower than 43.9% of cases in their absence. A significant positive relationship was revealed, expressed as a 1.85-fold decrease (р<0.001) in the relative risk of AH development in the presence of preventive measures in a sanatorium, regardless of age, gender and professional activity factor.
Based on the 10-year follow-up data in the high-risk group for developing AH, a positive effect of preventive measures on behavioral and metabolic risk factors, as well as kidney function, was established.
Keywords: prevention, arterial hypertension, risk factors.
References
1. Mrochek AG, Grakovich AA, Kozlov ID, Gorbachev VV; Nats Akad Belarusi, Resp nauch-prakt tsentr «Kardiologiya». Cardiovascular Diseases in the Republic of Belarus: Situation Analysis and Control Strategies. Minsk, RB: Belarus navuka; 2011. 342 р. (In Russ.)
2. Chazova IE, Zhernakova IuV, Oshchepkova EV, Shalnova SA, Iarovaia EB, Konradi AO, i dr. Prevalence of cardiovascular risk factors in the Russian population of patients with arterial hypertension. Kardiologiya. 2014;(10):4-12. (In Russ.)
3. Iskakov EB. Epidemiology of cardiovascular disease. Meditsina Ekologiya. 2017;(2):19-28. (In Russ.)
4. Oganov RG, Shalnova SA, Kalinina AM. Prevention of cardiovascular diseases. Moscow, RF: GEOTAR-Media; 2009. 216 р. (In Russ.)
5. Ivanov AA, Bovtiushko VG, Chepurnov VA. Combined effect of industrial chemical factors and work stress on the blood lipid spectrum in different categories of oil refinery workers. Available from: https://medinef.ru/dlya-vrachej/nauchnaya-zhizn/sochetannoe-vliyanie-proizvodstvennyx-ximicheskix-faktorov-i-napryazhennosti-truda-na-lipidnyj-spektr-krovi-u-raznyx-kategorij-rabotnikov-neftepererabatyvayushhego-predpriyatiya. [Accessed 30th June 2022]. (In Russ.)
6. Strizhakov LA, Babanov SA, Lebedeva MV, Moiseev SV, Fomin VV. Arterial hypertension in the workplace: risk factors and population significance. Terapevt Arkh. 2018;(9):138-43. (In Russ.). doi: http://doi.org/10.26442/terarkh2018909138-143
7. Chalmers J, MacMahon S, Mancia G, Whitworth J, Beilin L, Hansson L, et al. 1999 World Health Organization-International Society of Hypertension Guidelines for the management of hypertension. Guidelines sub-committee of the World Health Organization. Clin Exp Hypertens. 1999 Jul-Aug;21(5-6):1009-60. doi: http://doi.org/10.3109/10641969909061028
8. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Himmelfarb CD, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/AphA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018 Jun;71(6):1269-1324. doi: http://doi.org/10.1161/HYP.0000000000000066
9. Glazunov IS, Potemkina RA, Popovich MV, Deev AD, Kamardina TV, Oganov RG, i dr; Gos nauch-issled tsentr profilakt meditsiny Minzdrava RF, Otd razrab politiki i strategii profilaktiki zabolevanii i ukrepleniya zdorov'ya. Development of a System for Monitoring Behavioral Risk Factors for Chronic Non-Communicable Diseases in Russia: issled. v Moskve [2000-2001 gg]. Moscow, RF: MAKS Press; 2002. 119 р. (In Russ.)
10. Nekrasova AA, Suvorov IuI, Musaev ZM. Pathophysiological role of taste sensitivity to table salt and its determination in the treatment of hypertensive patients with diuretics. Byul Vsesoyuz Kardiol Nauch Tsentra AMN SSSR. 1984;(1):68-72. (In Russ.)
11. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972 Jun;18(6):499-502.
12. Reiner Z, Catapano AL, De Backer G, Graham I, Taskinen M-R, Wiklund O, et al. ESC/EAS Guidelines for the management of dyslipidaemias:the Task Force for the management of dyslipidaemias of theEuropean Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J. 2011 Jul;32(14):1769-818. doi: http://doi.org/10.1093/eurheartj/ehr158
13. Members TF, Rydén L, Grant PJ, Anker SD, Berne C, Cosentino F, et al. ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: the Task Force on diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and developed in collaboration with the European Association for the Study of Diabetes (EASD). Eur Heart J. 2013 Oct;34(39):3035-87. doi: http://doi.org/10.1093/eurheartj/eht108
14. Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 Practice Guidelines for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Blood Press. 2018 Dec;27(6):314-340. doi: http://doi.org/10.1080/08037051.2018.1527177
15. Podpalov V. P, Ukla AA, Schastlivenko AI, Podpalova OV, Chubrik SM, Ginko IV, i dr; M-vo zdravookhraneniya Respubliki Belarus', i dr. Method for determining the likelihood of developing arterial hypertension in oil refinery workers: instruktsiya po primeneniyu № 039-0419: utv 25.04.2019 g. Vitebsk, RB; 2019. 14 р. (In Russ.)
16. Nasledov AD. SPSS 19: Professional Statistical Data Analysis. St. Petersburg, RF: Piter; 2011. 399 р. (In Russ.)
Information about authors:
A.A. Ukla – lecturer of the Outpatient Therapy and General Medical Practice Chair, Gomel State Medical University,
E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Ali A. Ukla;
A.I. Schastlivenko – Candidate of Medical Sciences, associate professor of the General Medical Practice Chair, Vitebsk State Order of Peoples’ Friendship Medical University;
V.P. Podpalov – Doctor of Medical Sciences, professor, head of the Chair of Hospital Therapy and Cardiology with the course of the Faculty for Advanced Training and Retraining, Vitebsk State Order of Peoples’ Friendship Medical University.
