Prevalence of elevated blood pressure among locomotive workers according to the long-term assessment of pre-trip health screening
E. A. Zhidkova,
S. V. Shlipakov,
E. M. Gutor,
M. V. Gurevich,
V. B. Pankova,
M. F. Vilk,
K. G. Gurevich,
O. M. Drapkina https://doi.org/10.15829/1728-8800-2022-3189
Abstract
Hypertension is considered as one of the leading cardiovascular diseases in transport workers.
Aim. In the context of epidemiological prospective study, to assess the prevalence of elevated blood pressure (BP) detected at pre-trip health screening (PTHS).
Material and methods. We analyzed records of the database of PTHS automatic system for 15 years (2006-2020) to reveal elevated systolic (140 mm Hg) and/or diastolic (90 mm Hg) BP.
Results. For 15 years, the detection rate of systolic BP >140 mm Hg has decreased by 4 times. For diastolic BP, the detection rate of values >90 mm Hg decreased by 8 times. The detection rate of non-normal systolic BP among railway staff correlates with the detection rate of non-normal diastolic BP (r=0,92; p<0,05) on different railways. Over the 15-year period, the number of suspensions from the trip due to PTHS has decreased by 2 times, while the number of suspensions due to hypertension decreased by 2,5 times.
Conclusion. The conducted study may indicate the effectiveness of primary and secondary prevention of hypertension among Russian Railways staff.
About the Authors
E. A. Zhidkova
Central Healthcare Directorate — branch of the Russian Railways; A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Moscow
S. V. Shlipakov
JSC NPP System Technologies
Russian Federation
Russian Federation
St. Petersburg
E. M. Gutor
Central Healthcare Directorate — branch of the Russian Railways
Russian Federation
Russian Federation
Moscow
M. V. Gurevich
Ambulatory clinic Central Clinical Hospital RZD-Medicine
Russian Federation
Russian Federation
Moscow
V. B. Pankova
All-Russian Research Institute of Railway Hygiene
Russian Federation
Russian Federation
Moscow
M. F. Vilk
All-Russian Research Institute of Railway Hygiene
Russian Federation
Russian Federation
Moscow
K. G. Gurevich
A.I. Evdokimov Moscow State University of Medicine and Dentistry; Research Institute for Healthcare and Medical Management
Russian Federation
Russian Federation
Moscow
O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
References
1. Cheung CKY, Tsang SSL, Ho O, et al. Cardiovascular risk in bus drivers. Hong Kong Med J. 2020;26(5):451-6. doi:10.12809/hkmj198087.
2. Guest AJ, Clemes SA, King JA, et al. Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers. Psychophysiology. 2021;58(9):e13872. doi:10.1111/psyp.13872.
3. Sokolov VA, Guseva NK, Doyutova MV, Sokolova IA. Organization of pre-trip examinations of vehicle drivers in a medical organization. Zamestitel’ glavnogo vracha. 2013;4(83):2733. (In Russ.)
4. Burtsev AA. Pre-trip medical examinations of drivers: “oldnew” problems. Nezavisimost’ lichnosti. 2017;2:34-7. (In Russ.)
5. Jayakumar D. Occupational Stress and Hypertension among Railway Loco Pilots and Section Controllers. Indian J Occup Environ Med. 2017;21(1):23-8. doi:10.4103/ijoem.IJOEM_45_17.
6. Tsfasman AZ, Alpaev DV, Shabalina EG. To the assessment of the daily blood pressure profile and the frequency of its possible variants. Occupational medicine and industrial ecology. 2015;1:13-7. (In Russ.)
7. Lazutkina AYu, Gorbunov VV. Predictive significance of cardiovascular risk, target organ damage for sudden cardiac death, acute coronary syndrome and coronary heart disease in workers of locomotive crews on the Trans-Baikal Railway. Serdtse: zhurnal dlya praktikuyushchikh vrachey. 2014;13:5(79):294-7. (In Russ.)
8. Lucas Garcia EL, Debensason D, Capron L et al. Predictors of elevated capillary blood glucose in overweight railway French employees: a cross-sectional analysis. BMC Public Health. 2018;18(1):507. doi:10.1186/s12889-018-5384-y.
9. Osipova IV, Pyrikova NV, Antropova ON et al. Efficiency of the school of health in the workplace and individual counselling in employees of locomotive creew. Profilakticheskaja medicina. 2013;16(1):13-8.(In Russ.)
10. Zhidkova EA, Gurevich KG, Kontsevaya AV, Drapkina OM. Specifics of corporate health programs for railway workers. Cardiovascular Therapy and Prevention. 2021;20(4):2900. (In Russ.) doi:10.15829/1728-88002021-2900.
11. Zhidkova EA, Gutor EM, Kalinin MR, Gurevich KG. Protection of the health of employees of locomotive crew. Sistemnyj analiz i upravlenie v biomedicinskih sistemah 2018;(3):752-62. (In Russ.)
12. Mukaneeva DK, Kontsevaya AV, Antsiferova AA, et al. Association of COVID-19 lockdown measures with changes in physical activity of the adult population of Russia. Cardiovascular Therapy and Prevention. 2021;20(7):2938. (In Russ.) doi:10.15829/1728-8800-2021-2938.
13. Tsai TY, Cheng HM, Chuang SY, et al. Isolated systolic hypertension in Asia. J Clin Hypertens (Greenwich). 2021;23(3):467-74. doi:10.1111/jch.14111.
14. Angeli F, Verdecchia P, Masnaghetti S, et al. Treatment strategies for isolated systolic hypertension in elderly patients. Expert Opin Pharmacother. 2020;21(14):1713-23. doi:10.1080/14656566.2020.1781092.
15. D’Elia L, Strazzullo P. Isolated systolic hypertension of the young and sodium intake. Minerva Med. 2021. doi:10.23736/S00264806.21.07740-5.
16. Piros S, Karlehagen S, Lappas G, Wilhelmsen L. Risk factors for myocardial infarction among Swedish railway engine drivers during 10 years follow-up. J Cardiovasc Risk. 2000;7(5):395-400. doi:10.1177/204748730000700513.
17. Syurin SA, Shilov VV. Occupational health risks in transport workers of mining chemical enterprise in Kolsk Transpolar area. Russian Journal of Occupational Health and Industrial Ecology. 2016;(6):6-10. (In Russ.)
18. Rivera AS, Akanbi M, O’Dwyer LC, McHugh M. Shift work and long work hours and their association with chronic health conditions: A systematic review of systematic reviews with metaanalyses. PLoS One. 2020;15(4):e0231037. doi:10.1371/journal.pone.0231037.
19. Descatha A, Sembajwe G, Baer M, et al. WHO/ILO work-related burden of disease and injury: Protocol for systematic reviews of exposure to long working hours and of the effect of exposure to long working hours on stroke. Environ Int. 2018;119:366-78. doi:10.1016/j.envint.2018.06.016.
20. Zhidkova EA, Pankova VB, Vilk MF, et al. Association of railway industry occupations with hypertension. Cardiovascular Therapy and Prevention. 2021;20(7):3063. (In Russ.) doi:10.15829/1728-8800-2021-3063.
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For citations:
Zhidkova E.A., Shlipakov S.V., Gutor E.M., Gurevich M.V., Pankova V.B., Vilk M.F., Gurevich K.G., Drapkina O.M. Prevalence of elevated blood pressure among locomotive workers according to the long-term assessment of pre-trip health screening. Cardiovascular Therapy and Prevention. 2022;21(5):3189. (In Russ.) https://doi.org/10.15829/1728-8800-2022-3189
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