Experience in using the results of periodic medical examinations to assess the risk of developing diseases of the circulatory system

Gazimova V.G.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Shastin A.S.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Dubenko S.E.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Kurbanova N.A.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Mazhaeva T.V.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Tsepilova T.M.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Ruzakov V.O.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Experience in using the results of periodic medical examinations to assess the risk of developing diseases of the circulatory system

Authors:

Gazimova V.G., Shastin A.S., Dubenko S.E., Kurbanova N.A., Mazhaeva T.V., Tsepilova T.M., Ruzakov V.O.

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Journal: Russian Journal of Preventive Medicine. 2022;25(5): 61‑66

DOI: 10.17116/profmed20222505161

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To cite this article:

Gazimova VG, Shastin AS, Dubenko SE, Kurbanova NA, Mazhaeva TV, Tsepilova TM, Ruzakov VO. Experience in using the results of periodic medical examinations to assess the risk of developing diseases of the circulatory system. Russian Journal of Preventive Medicine. 2022;25(5):61‑66. (In Russ.)
https://doi.org/10.17116/profmed20222505161

Подписка 2025-2 (Russian Journal of Preventive Medicine)

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The health of the working population in the Russian Federation has been of concern to specialists in the field of occupational medicine and public health for many years. Particular attention should be paid to the study of health and risk management of chronic non-communicable diseases, primarily diseases of the circulatory system in workers employed in harmful and (or) dangerous working conditions.

PURPOSE OF THE STUDY

Assess the possibility of using the results of periodic medical examinations of workers employed in harmful and (or) dangerous working conditions to assess the risk of developing diseases of the circulatory system.

MATERIAL AND METHODS

A continuous method was used to study the medical records of employees of a large metallurgical enterprise in the Sverdlovsk region. The sample included 1.162 converter shop workers. Questionnaires and objective indicators were used, and metabolic disorders were assessed. The degree of relationship between the indicators was assessed by the odds ratio. SPSS 17 software was used for statistical data processing, and the nonparametric Mann—Whitney method was applied.

RESULTS

83.5% of employees were diagnosed with diseases of the endocrine system, eating disorders and metabolic disorders, 30.2% had diseases of the circulatory system. 67.3% of workers are overweight. A metabolically unhealthy phenotype was detected in 18.6% of cases. Elevated blood pressure is associated with high levels of total cholesterol, an enlarged waist circumference, obesity, alcohol consumption, and an increase in total cholesterol is associated with obesity. The total cardiovascular risk was established in 68.8% of workers from moderate (61.1%) to very high (1.1%).

CONCLUSION

The results of periodic medical examinations can and should be used by business entities to determine priority areas in the development and implementation of corporate health promotion programs for employees in cooperation with bodies and institutions of the Rospotrebnadzor system, regional occupational pathology centers, and other specialists in the field of occupational medicine.

Keywords:

periodic medical examination

the risk of developing diseases of the circulatory system

improving the health of workers

Authors:

Gazimova V.G.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Shastin A.S.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Dubenko S.E.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Kurbanova N.A.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Mazhaeva T.V.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Tsepilova T.M.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Ruzakov V.O.

Yekaterinburg Medical and Scientific Center for Prevention and Health Protection of Industrial Workers

Received:

05.03.2022

Accepted:

24.03.2022

List of references:

Izmerov NF, Tikhonova GI. Health problems of the working population in Russia. Problemy prognozirivaniya. 2011;126(3):56-70. (In Russ.).
Starodubov VI, Soboleva NP, Savchenko ED. To the question about the strengthening and preservation of health of employees in the enterprises (on the example of the Central Federal district). Menedzher zdravookhraneniya. 2018;1:35-41. (In Russ.).
Revich BA, Kharkova TL. What do Russians of working age suffer and die from? Demoskop Weekly. 2016;(691-692):1-20. (In Russ.).
Bukhtiyarov IV, Izmerov NF, Tikhonova GI, Churanova AN, Gorchakova TYu, Bryleva MS, KrutkoAA. Work conditions as a risk factor mortality increase in able-bodied population. Meditsina truda i promyshlennaya ekologiya. 2017;8:43-49. (In Russ.).
Bukhtiyarov IV. Current state and main directions of preservation and strengthening of health of the working population of Russia. Meditsina truda i promyshlennaya ekologiya. 2019;59(9):527-532. (In Russ.). https://doi.org/10.31089/1026-9428-2019-59-9-527-532
Brutova AS, Obukhova OV, Bazarova IN. Economic losses of the Russian Federation caused by the morbidity of population in 2012—2014. Meditsinskie tekhnologii. Otsenka i vybor. 2017;28(2):44-48. (In Russ.).
Gurvich VB, Shastin AS, Gazimova VG, Plotko EG, Ustyugova TS. Causes of lost vocational fitness for work in jeopardy and (or) hazardous work conditions. Meditsina truda i promyshlennaya ekologiya. 2019;59(2):107-112. (In Russ.). https://doi.org/10.31089/1026-9428-2019-2-107-112
Izmerov NF, Tikhonova GI, Gorchakova TYu. Mortality of working age population in Russia and industrial countries in Europe: trends of the last two decades. Vestnik Rossiyskoy akademii meditsinskikh nauk. 2014;69(7-8):121-126. (In Russ.). https://doi.org/10.15690/vramn.v69i7-8.1118
Usacheva EV, Nelidova AV, Kulikova OM, Flyanku IP. Mortality of Russian able-bodied population from cardiovascular diseases. Gigiena i sanitariya. 2021;100(2):159-165. (In Russ.). https://doi.org/10.47470/0016-9900-2021-100-2-159-165
Borovaya TV, Zakharenko AG. Mortality from diseases of the circulatory system in working age. Evraziyskiy kardiologicheskiy zhurnal. 2019;(S1):31. (In Russ.).
Zubko AV, Semyonova VG, Sabgayda TP. The reducing cardiovascular mortality in Russia in context of death statistics. European Journal of Public Health. 2017;27(suppl 3):465-466. https://doi.org/10.1093/eurpub/ckx186.185
Oortwijn W, Nelissen E, Adamini S, van den Heuvel S, Geuskens G, Burdorf L. Social determinants state of the art reviews — Health of people of working age — Summary Report. European Commission Directorate General for Health and Consumers. Luxembourg; 2011.
Boytsov SA, Drapkina OM. Modern content and improvement of high cardiovascular risk strategy in reducing mortality from cardiovascular diseases. Terapevticheskij arhiv. 2021;93(1):4-6. (In Russ.). https://doi.org/10.26442/00403660.2021.01.200543
Starodubov VI, Soboleva NP, Savchenko ED, Salagay OO, Kutumova OYu. To the problem of strengthening and preserving health of enterprise workers (Siberian Federal District). Sibirskoe meditsinskoe obozrenie. 2019;(4-118): 103-112. (In Russ.). https://doi.org/10.20333/2500136-2019-4-103-112
Cherepov VM, Efremov DV, Nechaev VS, Cookushkin IG, Shatohin KA. The modern approaches to development of the system of working population health protection. Problemy social’noy gigieny, zdravookhraneniya i istorii meditsiny. 2018;26(5):312-316. (In Russ.). https://doi.org/10.32687/0869-866X-2018-26-5-312-316
Kontsevaya AV, Antsiferova AA, Ivanova ES, Drapkina OM. Development of the set of tools and implementation of workplace well-being programs. Ekologiya cheloveka. 2021;7:58-64. (In Russ.). https://doi.org/10.33396/1728-0869-2021-7-58-64
Kontsevaya AV, Antsiferova AA, Kalinina AM, Popovich MV, Gambaryan MG, Gorny BE, Karamnova NS, Rybakov IA, Drapkina OM. Review of domestic experience in implementing corporate health promotion programs aimed at correcting behavioral risk factors. Profilakticheskaya meditsina. 2021;24(1):109-117. (In Russ.). https://doi.org/10.17116/profmed202124011109
Mifflin MD, St Jeor ST, Hill LA, Scott BJ, Daugherty SA, Koh YO. A new predictive equation for resting energy expenditure in healthy individuals. American Journal of Clinical Nutrition. 1990;51(2):241-247. https://doi.org/10.1093/ajcn/51.2.241
Negoda SV, Vyortkin AL, Naumov AV, Barykina IN, Salasyuk AS. Obesity and comorbid pathology in the practice of a polyclinic doctor. Part I: Definition, diagnosis. Ambulatornyy priyom. 2016;2(1-4):21-32. (In Russ.).
Korpachev VV, Prybyla OV, Korpacheva-Zinych OV, Kushnareva NN, Gurina NM, Kovalchuk AV. Anthropometric, hormonal and biochemical markers of metabolic phenotype in patients with type 2 diabetes. Universum: meditsina i farmakologiya. 2016;24(1-2):2. (In Russ.).
Mach F, Baigent C, Catapano AL, Koskinas KC, Casula M, Badimon L, Chapman MJ, De Backer GG, Delgado V, Ference BA, Graham IM, Halliday A, Landmesser U, Mihaylova B, Pedersen TR, Riccardi G, Richter DJ, Sabatine MS, Taskinen M, Tokgozoglu L, Wiklund O. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Rossiyskiy kardiologicheskiy zhurnal. 2020;25(5): 3826. (In Russ.). https://doi.org/10.15829/1560-4071-2020-3826
Experts’ consensus on the interdisciplinary approach towards the management, diagnostics, and treatment of patients with metabolic syndrome. Kardiovaskulyarnaya terapiya i profilaktika. 2013;12(6):41-82. (In Russ.).
Garipova RV, Sabitova MM, Berkheyeva ZM. The role of periodical medical examinations in the study of the prevalence of noncommunicable diseases. Profilakticheskaya meditsina. 2021;24(5-2):105. (In Russ.). https://doi.org/10.17116/profmed20212405242
Tikhonova GI, Churanova AN, Golubev NA. Features of morbidity with temporary disability from diseases of the cardiovascular system. Profilakticheskaya meditsina. 2021;24(5-2):106. (In Russ.). https://doi.org/10.17116/profmed20212405242
Dudchenko IA, Pristupa LN, Ataman AV, Garbuzova VYu. Genetic dependency of blood pressure and heart rate in patients with arterial hypertension and obesity. Vestnik Rossiyskoy akademii meditsinskikh nauk. 2014;69(5-6):40-46. (In Russ.). https://doi.org/10.15690/vramn.v69i5-6.1042
Mulerova TA, Filimonov SN, Onishchenko EG, Kolbasko AV. Clinical relevance of body mass index, waist circumference and waist-to-hip ratio by patients with arterial hypertension in Republic of Altai. Fundamental’nye issledovaniya. 2012;(4-2):335-339. (In Russ.).
Dua S, Bhuker M, Sharma P, Dhall M, Kapoor S. Body mass index relates to blood pressure among adults. North American Journal of Medical Sciences. 2014;6(2):89-95. https://doi.org/10.4103/1947-2714.127751
Schüler R, Osterhoff MA, Frahnow T, Seltmann AC, Busjahn A, Kabisch S, Xu L, Mosig AS, Spranger J, Möhlig M, Hornemann S, Kruse M, Pfeiffer AFH. High‐saturated‐fat diet increases circulating angiotensin‐converting enzyme, which is enhanced by the rs4343 polymorphism defining persons at risk of nutrient‐dependent increases of blood pressure. Journal of the American Heart Association. 2017;6(1):e004465. https://doi.org/10.1161/JAHA.116.004465
Gupta H, Garg S. Obesity and overweight — their impact on individual and corporate health. Journal of Public Health. 2020;28(2):211-218. https://doi.org/10.1007/s10389-019-01053-9
Malikova AI, Gimaeva ZF, Gazizova NR, Sagadieva RF, Shainurova ZD, Shaikhlislamova ER, Galimova RR, Urazaeva ER. Assessment of prevalence and risk factors for the development of circulatory system diseases in petrochemical workers. Meditsina truda i ekologiya cheloveka. 2020;23(3):45-51. (In Russ.). https://doi.org/10.24412/2411-3794-2020-10306
Syurin SA, Gorbanev SA. Prevalence and correlates of obesity in industrial workers in Arctic Russia. Ekologiya cheloveka. 2021;5:28-35. (In Russ.). https://doi.org/10.33396/1728-0869-2021-5-28-35

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