cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLCcardiovascular-1065Research ArticleЭПИДЕМИОЛОГИЯ И ПРОФИЛАКТИКАEPIDEMIOLOGY AND PREVENTIONРаспространенность факторов риска сердечно-сосудистых заболеваний среди работников газовой промышленности: сравнение с результатами проекта MONICA и распределение уровней 10-летнего риска тяжелых коронарных осложнений у лиц без ишемической болезни сердцаPrevalence of cardiovascular risk factors in gas industry workers: comparison with MONICA Study results; 10-year risk distribution for severe coronary complications in coronary heart disease-free patientsАксеновВ. А.AksenovV. A.V.Aksenov@ogp.ruТиньковА. Н.Tin’kovA. N.Медицинская служба ООО «Оренбурггазпром». Оренбург, РоссияMedical Service, “Orenburggazprom Ltd.’. Orenburg20062002200651513Copyright © Аксенов В.А., Тиньков А.Н., 20062006Аксенов В.А., Тиньков А.Н.Aksenov V.A., Tin’kov A.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/1065

Цель. Сравнить показатели, характеризующие факторы риска (ФР) сердечно-сосудистых заболеваний (ССЗ), среди работников газовой промышленности и других популяций РФ. Анализ распределения уровней 10-летнего риска тяжелых коронарных осложнений (ТКО) у лиц без ишемической болезни сердца. Материал и методы. Обследованы 1807 мужчин, работников газовой промышленности, средний возраст 47,05±6,12 лет. Регистрировались информация о курении, рост, вес, артериальное давление (АД), содержание общего холестерина (ОХС) и холестерина липопротеидов высокой плотности (ХС ЛВП). В качестве сравнения были использованы данные контрольных групп проекта MONICA в Москве и Новосибирске. Проведен анализ распределения 10-летнего риска ТКО. Результаты. Различия АД в группах проекта MONICA и у участников исследования были статистически незначимы. Средние значения ОХС у работников газовой промышленности во всех возрастных подгруппах были статистически значимо выше, чем у всех участников проекта MONICA в Москве и Новосибирске, а ХС ЛВП – ниже. Доля ХС ЛВП в ОХС была статистически значимо ниже во всех оренбургских возрастных подгруппах, чем у участников проекта MONICA в Москве и Новосибирске. Средние значения индекса массы тела и распространенность табакокурения среди работников ООО «Оренбурггазпром» были статистически значимо выше, чем у всех участников проекта MONICA в Москве. При сравнении с участниками проекта MONICA из Новосибирска статистически значимой разности в распространенности этого ФР не обнаружено. Анализ распределения уровней 10-летнего риска ТКО продемонстрировал повышение риска с увеличением возраста обследованных, а также негативные различия в распределении риска по сравнению с их распределением среди взрослого населения США по данным исследования NHANES III. Заключение. Высокая распространенность ФР ССЗ и повышенных уровней 10-летнего риска ТКО среди работников газовой промышленности указывает на необходимость интенсификации первичной профилактики ССЗ в отрасли с использованием дифференцированного подхода на основе 10-летнего риска ТКО.

Aim

Aim. To compare characteristics of cardiovascular disease (CVD) risk factors (RF) in gas industry workers and other Russian populations. To analyze 10-year risk distribution for severe coronary complications (SCC) in individuals without coronary heart disease (CHD) at baseline. Material and methods. In total, 1807 men were examined; mean age 47.05±6.12 years. Information on smoking status, height/weight, blood pressure (BP), total cholesterol (TCH), and high-density lipoprotein (HDL) CH was registered. For comparison aims, control groups from MONICA Project in Moscow and Novosibirsk were used. Ten-year SCC risk was analyzed. Results. BP difference between MONICA Project populations and present group were statistically non-significant. Mean TCH levels in gas industry workers of all age groups were significantly higher, and HDL-CH levels – lower than in Moscow and Novosibirsk MONICA Project participants. HDL-CH percentage in TCH was substantially higher in all Orenburg age sub-groups, comparing to Moscow and Novosibirsk MONICA Project participants. Mean body mass index and smoking prevalence in «Orenburggazprom Ltd.» employees were significantly higher than in all Moscow, but not Novosibirsk, MONICA Project participants. Ten-year SCC risk was increasing with age, demonstrating inverse correlation with similar distribution in American adults (NHANES III data). Conclusion. High prevalence of CVD RF and increased 10-year SCC risk levels in gas industry workers explain a need for more aggressive primary CVD prevention, differentiated by 10-year SCC risk.

 

 

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The authors declare that there are no conflicts of interest present.