The purpose of research to study the prevalence of anxiety and depression among workers of metallurgical enterprises and their association with the incidence of hypertension. Material and methods. A total of 1,285 people working in harmful conditions of manufacture. To inspect, survey (age, sex, risk factors), blood pressure measurement, testing was used to identify the level of anxiety and depression. Results and discussion. The population was characterized by a high incidence of metallurgists hypertension, low blood pressure control, as well as high levels of anxiety and depression among men women. The presence of depressive symptoms in the female population was associated with hypertension. Conclusion. Among the workers of the metallurgical enterprise established sex differences in the prevalence of anxiety and depressive disorders: prevalence of anxiety among men, among women depression. The presence of depression was associated with a greater prevalence of hypertension in the female population.

The relationships of risk factors with hypertension in workers of coal enterprises were studied. Based on the identified predictors developed risk prediction scale of this disease in miners. Surveyed 792 employees of the mine “Polosukhinskaya”. Along with a complete clinical, anthropometric and laboratory testing, conducted settlement criterion relative risk of developing hypertension. The most important factors determining the increased risk of disease in workers of coal enterprises were: increased body weight, age, waist circumference, and the index “waist/hip”, elevated levels of total cholesterol, triglycerides, low density lipoprotein cholesterol, atherogenic index. These signs and have the greatest prognostic factors that increase the risk of developing the disease.

Артериальная гипертензия - ведущая причина возникновения инфарктов и инсультов. Достижение целевого уровня артериального давления (АД) при артериальной гипертензии является основным условием оптимизации прогноза в отношении сердечно - сосудистой заболеваемости и смертности. Для решения этой задачи значительная часть больных нуждаются в применении антигипертензивных препаратов, при этом у 70-80% целевой уровень АД может быть достигнут при использовании комбинированной терапии. Фиксированные комбинации антигипертензивных препаратов повышают приверженность пациентов лечению и обеспечивают лучшую органопротекцию. Новая фиксированная комбинация высокоселективного β-адреноблокатора бисопролола и антагониста кальция амлодипина позволяет достичь целевого уровня АД у 82,5% больных при минимальной частоте побочных эффектов.

Summary Objective: to identify the factors influencing compliance with lifestyle modification for the primary and secondary prevention of arterial hypertension (AH) in an organized population. Subjects and methods. The investigation enrolled 435 subjects (339 men and 96 women). The mean age of shop workers was 43 (range 33 to 49) years. The investigation program consisted of filling out a questionnaire containing sociodemographic characteristics, anthropometric data, information on the presence of bad habits and AH. Blood pressure, total blood cholesterol, and cardiovascular risk were determined in all the subjects included in the investigation. After examination, they were all recommended to observe healthy lifestyle and to modify risk factors, if any. The investigators implemented systematic prophylactic measures. Interim assessments of results were made during annual prophylactic examinations. Results. Education and age were factors that influence compliance with lifestyle modification. Compliance was found to increase with age. Assessment of the importance of education level for compliance with medications to prevent AH demonstrated that the subjects with lower (secondary) education were less compliant. At the same time, our investigation revealed no significant impact of an occupational factor on compliance. There was simultaneously a trend suggesting that the women were more compliant with nondrug therapy; however, the differences failed to achieve the level of statistical significance. Conclusion. Education and age were factors that influence compliance with lifestyle modification. At the same time, our investigation did not reveal any gender differences or any significant influence of an occupational factor on compliance.

On the example of 5437 employees of enterprises and institutions of the Kemerovo region, compiled into 14 occupational groups, an analysis of the relationship between age structure and the frequency of arterial hypertension due to the working conditions has been performed. At high levels of hardness of employment and the impact of physical factors, a shift in the age structure toward younger age is seen, which is considered as a demographic consequence of professional ageing. In turn, expressed professional ageing causes the reduction in the prevalence of hypertension, which is, probably is implemented by the effect of healthy worker.

Objective: to identify the factors influencing compliance with lifestyle modification for the primary and secondary prevention of arterial hypertension (AH) in an organized population. Subjects and methods. The investigation enrolled 435 subjects (339 men and 96 women). The mean age of shop workers was 43 (range 33 to 49) years. The investigation program consisted of filling out a questionnaire containing sociodemographic characteristics, anthropometric data, information on the presence of bad habits and AH. Blood pressure, total blood cholesterol, and cardiovascular risk were determined in all the subjects included in the investigation. After examination, they were all recommended to observe healthy lifestyle and to modify risk factors, if any. The investigators implemented systematic prophylactic measures. Interim assessments of results were made during annual prophylactic examinations. Results. Education and age were factors that influence compliance with lifestyle modification. Compliance was found to increase with age. Assessment of the importance of education level for compliance with medications to prevent AH demonstrated that the subjects with lower (secondary) education were less compliant. At the same time, our investigation revealed no significant impact of an occupational factor on compliance. There was simultaneously a trend suggesting that the women were more compliant with nondrug therapy; however, the differences failed to achieve the level of statistical significance. Conclusion. Education and age were factors that influence compliance with lifestyle modification. At the same time, our investigation did not reveal any gender differences or any significant influence of an occupational factor on compliance.

The analysis of characteristic features of occupational selection and its influence on prevalence of arterial hypertension in workers (3842 men) of a definite number of occupational groups in Western Siberia was carried out. The occupational groups characterized by high and low frequency of arterial hypertension incidence were singled out. It was shown that prevalence of arterial hypertension in occupational groups negatively correlates with working conditions (hard character of labor activity, general class of working conditions, belonging to coal mining professions) that testifies existence of occupational selection. Distinctions of prevalence of arterial hypertension can be observed in all age groups, however, occupational selection can be observed mostly in extreme age categories among workers younger than 31 years old and older than 50 years old. Dispersion of frequency of arterial hypertension incidence, mean age, number of persons older than 50 years old and obesity incidence rate in occupational groups are closely connected with each others. Factor analysis allowed to select only 1 factor explaining 73,2 % of dispersion of these indexes. Results of research testify dependence of arterial hypertension incidence rate in occupational groups on selection intensity of the most healthy workers. Alteration of arterial hypertension incidence is accompanied by unidirectional change of age structure and obesity incidence rate in occupational groups that characterize occupational selection as a general change of structure of workers according to functional capabilities and health condition under the influence of an adverse effect of production factors.