DOI: 10.21045/2071-5021-2018-61-3-8

¹Chigisova A.N., ¹٫²Ogarkov M.Y., ¹Maksimov S.A. 
¹Research Institute for Complex Issues of Cardiovascular Diseases, Russian Federation, Kemerovo
²Novokuznetsk State Institute for Further Training of Physicians – Branch of the «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation, Novokuznetsk

Contacts: Chigisova Antonina Nikolaevna, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Chigisova A.N., http://orcid.org/0000-0001-8147-925X
Ogarkov M.Y. http://orcid.org/0000-0002-7252-4845
Maksimov S.A. http://orcid.org/0000-0003-0545-2586
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.

Abstract

Significance. Negative working conditions result in health deterioration in workers; onset of arterial hypertension becomes an obstacle to continuation of work.

Purpose. Comprehensive assessment of risk factors of arterial hypertension in coal miners in the Kemerovo Region.

Methods. Total load of risk factors and additional risk of arterial hypertension in coal miners have been calculated (n=1915). Results were compared with the sample of the male population of the Kemerovo region within the framework of the ESSE-RF study (n=700).

Results. The studied population is characterized by better health status compared to the reference group. Workers had a low incidence of additional intake of salt, apnea, obesity in young age, and living alone without family in older ages. Workers are also characterized by high prevalence of smoking and, in older ages – by alcohol abuse. In workers aged 18-35 maintenance technicians of mining equipment and electrical equipment aged, underground miners and drifters had the least load of risk factors of arterial hypertension (1.6%).

Additional risks of arterial hypertension change with age across all occupational groups. In workers aged 36-45, the risk of arterial hypertension among maintenance technicians of mining and electrical equipment equaled to 0.5%, and among underground miners and drifters – to 0.4%. In the group of managers, there was a gradual increase in the additional risk of arterial hypertension (0.9%). In people aged 46-69, the additional risk increased to 0.2% among underground miners, sinkers and managers.

The additional risk remained unchanged among maintenance technicians of mining equipment and electrical equipment (0.5%).

Conclusions. Miners are characterized by a low prevalence of risk factors compared to the general population, as well as the total additional risk of arterial hypertension. However, with age, the difference between workers and the general population is narrowing due to negative impact of the working conditions. The results indicate a need for a differentiated approach to standard activities aimed at preventing arterial hypertension depending upon intensity of the negative occupational factors.

Keywords: arterial hypertension; risk factors; population risk; miners; negative working conditions.

References

1. Bondarev OI, Taksanov PA, Surkov AM, Kashirin BG, Rykova OV. Sudebno-meditsinskaya ekspertiza porazheniy serdechnoy myshtsy u shakhterov Kuzbassa po rezul'tatam autopsiy [Forensic and medical examination of the heart muscle injuries based on the results of autopsies in the Kuzbass coal miners]. Vestnik sudebnoy meditsiny 2013; 2(1): 17-20. (in Russian).
2. Drapkina OM, Popova IR. Rol' ozhireniya v razvitii arterial'noy gipertenzii i nealkogol'noy zhirovoy bolezni pecheni [The role of obesity in the development of arterial hypertension and non-alcoholic fatty liver disease]. Consilium Medicum 2012; (12): 72-76. (in Russian).
3. Zhuzhlova NY, Krom IL, Sazanova GY. Sotsial'nye determinanty arterial'noy gipertenzii [Social determinants of hypertension]. Psikhosomaticheskie i integrativnye issledovaniya 2015; (1): 0203. (in Russian).
4. Kashanckaya EP, Lopes ÅG. Kompleksnaya otsenka psikhologicheskoy bezopasnosti professional'noy deyatel'nosti shakhterov [Comprehensive assessment of psychological security of coal miners’ professional work]. Lichnost' v ekstremal'nykh usloviyakh i krizisnykh situatsiyakh zhiznedeyatel'nosti 2014; (4): 145-148. (in Russian).
5. Maev I.V., Andreev D.N., Dicheva D.T., Grechko A.V., Penkina T.V. Nealkogol'naya zhirovaya bolezn' pecheni: sovremennoe sostoyanie problemy. [Nonalcoholic fatty liver disease: current status of the problem]. Meditsinskiy vestnik MVD 2012; 6 (61): 35-40. (in Russian).
6. Maksimov SA, Artamonova GV. Gigienicheskaya kharakteristika usloviy truda i rasprostranennost' arterial'noy gipertenzii [Hygienic characteristic of working conditions and prevalence of arterial hypertension]. Kompleksnye problemy serdechno-sosudistykh zabolevaniy 2014; (4): 47-52. (in Russian).
7. Maksimov SA, Skripchenko AE, Artamonova GV. Integral'naya otsenka faktorov riska professional'noy obuslovlennosti arterial'noy gipertenzii [Integral assessment of work-related arterial hypertension risk factors]. Rossiyskiy kardiologicheskiy zhurnal 2015; (4): 38-42. (in Russian).
8. Markin AV, Martynenko TI, Kostyuchenko GI, Tseimakh IY, Shoikhet YN. Faktory riska serdechno-sosudistykh zabolevaniy u bol'nykh s sindromom obstruktivnogo apnoe sna (obzor) [Cardiovascular risk factors in patients with obstructive sleep apnea syndrome (a review)]. Klinitsist 2014; (1): 15-21. (in Russian).
9. Ob utverzhdenii perechney vrednykh i (ili) opasnykh proizvodstvennykh faktorov i rabot, pri vypolnenii kotorykh provodyatsya predvaritel'nye i periodicheskie meditsinskie osmotry (obsledovaniya), i Poryadka provedeniya predvaritel'nykh i periodicheskikh meditsinskikh osmotrov (obsledovaniy) rabotnikov, zanyatykh na tyazhelykh rabotakh i na rabotakh s vrednymi i (ili) opasnymi usloviyami truda [About the approval of the lists of harmful and (or) dangerous production factors and works at which preliminary and periodic medical examinations are conducted, and the Procedure for providing preliminary and periodic medical examinations for workers engaged in heavy works and works with harmful and (or) dangerous working conditions]. Prikaz Minzdravsotsrazvitiya Rossii ot 12 aprelya 2011 goda ¹302n, prilozhenie 2, p. 12. [Online]. 2011 [cited 2017 November 8]. Available from: https://normativ.kontur.ru/document?moduleId=1&documentId=216975. (in Russian).
10. Oks EI, Kurakin VA, Abashkin AO. Otsenka usloviy truda i raschet dopustimogo (bezopasnogo) stazha osnovnykh professiy ugol'nykh shakht Kuzbassa [Assessment of working conditions and calculation of permissible (safe) work experience for major worker groups in Kuzbass mining]. Meditsina truda i ekologiya cheloveka 2015; (3): 147-150. (in Russian).
11. Popova AY. Sostoyanie usloviy truda i professional'naya zabolevaemost' v Rossiyskoy Federatsii [Working conditions and occupational morbidity in the Russian Federation]. Meditsina truda i ekologiya cheloveka 2015; (3): 7-13. (in Russian).
12. Poteshkina NG. Potreblenie soli. Pochki kak organ-mishen'. Chast' IV [Salt consumption. Kidneys as the target organ. Part IV]. Rossiyskiy kardiologicheskiy zhurnal 2013; (6): 68-75. (in Russian).
13. Rukovodstvo po gigienicheskoy otsenke faktorov rabochey sredy i trudovogo protsessa. Kriterii i klassifikatsiya usloviy truda [Guide on hygienic assessing the factors of working environment and working load. Criteria and classification of working conditions]. Rukovodstvo R 2.2.2006–05 ot 29 iyulya 2005 goda. [Online]. 2005 [cited 2017 November 16]. Available from: https://normativ.kontur.ru/document?moduleId=1&documentId=92758. (in Russian).
14. Tsymbal AV, Bocharov VV, Chrustaleva NS, Karpova EB. Psikhologicheskaya rabota s shakhterami, perezhivshimi vital'nuyu ugrozu v avariynoy situatsii [Psychological work with coal miners who experienced the vital threat in an emergency situation]. Lichnost' v ekstremal'nykh usloviyakh i krizisnykh situatsiyakh zhiznedeyatel'nosti 2014; (4): 343-349. (in Russian).
15. Chazova IE, Oshchepkova EV, Zhernakova YV. Diagnostika i lechenie arterial'noy gipertonii. Klinicheskie rekomendatsii [Diagnosis and treatment of hypertension. Clinical guidelines]. Kardiologicheskiy Vestnik 2015; (1): 3-30. (in Russian).
16. Churlyaev YA, Romanov AN, Dantsiger DG, Surzhikova GS, Kan SL, Lukashev KV, et al. Izmenenie eritrona u shakhterov-podzemnikov pri razlichnom stazhe podzemnykh rabot [Erythron changes in underground miners with a different period of underground work]. Obshchaya reanimatologiya 2012; 8(6): 47. (in Russian).
17. Shlyapnikov DM, Shur PZ, Vlasova EM, Alekseev VB, Lebedeva TM. Professional'nyy risk razvitiya bolezney sistemy krovoobrashcheniya u rabotnikov, zanyatykh na vypolnenii podzemnykh gornykh rabot [Occupational risk of cardiovascular diseases in workers engaged in underground mining]. Meditsina truda i promyshlennaya ekologiya 2015; (8): 6-9. (in Russian).
18. Epidemiologiya serdechno-sosudistykh zabolevaniy v razlichnykh regionakh Rossii (ESSE-RF). Obosnovanie i dizayn issledovaniya [Epidemiology of cardiovascular diseases in different regions of Russia (ESSE-RF). The rationale and design of the study]. Profilakticheskaya meditsina 2013; 16(6): 25-34. (in Russian).
19. Azagba S, Sharaf MF. The effect of job stress on smoking and alcohol consumption. Health Economics Review 2011; (1): 15.
20. Choi BK, Schnall PL, Yang H, Dobson M, Landsbergis P, Israel L et al. Sedentary Work, Low Physical Job Demand, and Obesity in US Workers. American Journal of Industrial Medicine 2010; 53(11): 1088-101.
21. Mungan AG, Can M, Kıran S, Acıkgoz S, Guven B. Determinants of plasma homocysteine in coal miners. Acta biochimica polonica 2013; 60(3): 443–449.
22. Qian QZ, Cao XK, Shen FH, Wang Q. Correlations of smoking with cumulative total dust exposure and cumulative abnormal rate of pulmonary function in coal-mine workers. Experimental and therapeutic medicine 2016; (12): 2942-2948.
23. Swami SS, Swami SC, Patil VW, Kanhere AM. Hypertension and diabetes in India: a review. International Journal of Clinical Biochemistry and Research 2015; 2(1): 54-58.

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