Hypertension In Workers Research Articles

The role of physical factors of the working environment in the formation of arterial hypertension

The influence of noise and vibration on the development of arterial hypertension in workers employed in adverse working conditions was studied. It is shown that these physical factors of the working environment make a significant contribution to the formation of an increased risk of cardiovascular complications

The role of adverse occupational factors in the formation of hypertension in workers

Studied 147 male workers exposed to a complex of unfavorable production factors (noise, local vibration, fibrogenic aerosols, static and dynamic loads) were evaluated occupational hazards categorical. Among the studied professional factors, the significance of noise in the Genesis of hypertension was established

Polymorphism of genes of renin-angiotensin-aldosterone system in the development of hypertension in workers exposed to physical factors

Introduction. The problem of reducing the risk of cardiovascular disease among the working population today remains the most urgent. One risk factor for arterial hypertension (AH) is exposure to high levels of noise and vibration in the workplace. Along with occupational risk factors, hereditary predisposition makes a significant contribution to the development of AH. In the pathogenesis of AH, a special role is played by genes that determine the synthesis of angiotensinogen (AGT), angiotensin converting enzyme (ACE), angiotensin receptor type 1 (AGTR1), etc.The aim of the study was to study the polymorphism of genes of the renin-angiotensin-aldosterone system in the development of hypertension in workers exposed to physical factors (noise and vibration) in the workplace.Materials and methods. A survey of 123 men working in «Kolomna plant» (KP), 84 of them-workers who were exposed to physical factors, and 39 people who are not in contact with harmful industrial factors. Th e presence/absence of GD, the age of its beginning, blood pressure, heart rate, the total experience of work on the KP in harmful conditions were assessed on outpatient cards. Molecular genetic studies of polymorphic genes of renin-angiotensin-aldosterone system (ALU Ins/Del of ACE gene, M235T of AGT gene, a1166c of AGTR1 gene) were carried out for all examined patients.Results. The results of correlation analysis showed the presence of a significant (р<0,05) relationship between AH and noise γ=0.42 p=0.0004, total vibration γ=0.57 p=0.002, heating microclimate γ=0.57 p=0.01. The correlation between the presence of polymorphic variant M235T AGT gene and GB γ=0.35 p=0.001, as well as levels of SAD γ=0.28 p=0.00054 and dad γ=0.29 p=0.00053 in the group of workers exposed to noise was revealed. A significantly higher prevalence of the SS genotype of the AGT gene was also found in the group of workers with AH compared to carriers of the TT variant χ2=6.18 p=0.013 and all carriers (SS+ST) of the C allele compared to carriers of the allele T χ2=6.0 p=0.014. An Association between increased SAD and the presence of the ACE gene allele D (Alu Ins/Del) and the AGTR1 gene allele C (A1166C) in individuals exposed to noise and vibration in the workplace was revealed.Conclusions. The obtained results indicate the multifactorial nature of hypertension, the importance of occupational factors in the formation of AH, primarily noise and vibration, and genetic factors: homozygous variant of the CC gene AGT (Met235Th r), the presence of the d allele of the ACE gene (Alu Ins/Del) and the C allele of the AGTR1 gene (A1166C).

Risks Associated to Blood Hypertension in Workers of Maintenance of a Mining Complex of Carbon of La Guajira Colombiana

Risks Associated to Blood Hypertension in Workers of Maintenance of a Mining Complex of Carbon of La Guajira Colombiana

Impact of driving on blood pressure: Example of drivers of a large company of hydraulic works

The aim of our study was to: – etablish the prevalence of High blood pressure in a group of professional drivers from a large company of hydraulic works; – determine the epidemiological profile of hypertensives. A descriptive study was carried out during 06 months (2016), The study population included 128 male drivers working for more than 5 years. All subjects answered medical questionnaire and responded a clinical examination (cardiovascular examination, taking blood pressure, MAPA) and additional tests (capillary blood glucose, lipids and kidney checkup. The work situations were analyzed according to a professional grid. We opted for the XL STAT 2016 software. Results The prevalence of HTA among drivers 8%. Mean age of hypertensive workers was 49 ± 5.4 with a predominance of the truck driver category (44%). Prevalence of Hypertension increased with longer duration of employment as driver. Obesity and sedentary lifestyle are the most important cardiovascular risk factors 40% of hypertensives are obese with a body mass index greater than 30. Hypertension is associated to diabetes in 80% of hypertensive drivers. Occupational risk factors were stress, atypical working hours, noise and workload. HTA prevalence among drivers is higher than the national health survey and its association with risk factors, necessary education programme to raise the awareness has to be conducted.

THE EVALUATION OF NOISE EFFECT ON BIOCHEMICAL INDICES OF ENDOTHELIAL DYSFUNCTION IN WORKERS OF SELWYNITE ORE-DRESSING AND PROCESSING ENTERPRISE

The labor conditions of workers of key professions of selwynite concentrating manufacture (drying machine operative, granulation machine operative, dosing of drying-granulating room machine operative, centrifuge operative, filtration operative, transporter of drying granulating room, engineer of mill machine) are characterized by effect of physical factors of industrial environment. The noise is the most significant of them. It is established that level of noise at working places of workers of analyzed specialties attains 83-98 dBA that on 18 dBA is higher of maximum permissible level of 80 dBA. In examined workers a reliable increasing of level of homocysteine and lipoprotein (a) up to 3.8 times is established against the background of decreasing of production of nitric oxide in blood serum up to 1.2 times and increasing of level of malonic di-aldehyde up to1.3 times relatively to similar indices in workers of comparison group. The consequence of these processes can be a disorder of structure and endothelial function of vessels, increasing of permeability of endothelium, loss of its elasticity and as a consequence disorder of functional activity of vessel wall. The substantiation is given to indicator indexes (level of lipoprotein (a), homocysteine in blood serum and content of malonic di-aldehyde in blood plasma), having higher and average degree of occupational conditionality and forming biochemical profile of endothelial dysfunction as a predictor of arterial hypertension in workers of selwynite ore-dressing and processing enterprise undergoing effect of noise. The given biochemical indices are appropriate to be applied in early diagnostic and prevention of endothelial dysfunction in workers of the mentioned enterprises.

Combined effect of work stress and impaired sleep on coronary and cardiovascular mortality in hypertensive workers: The MONICA/KORA cohort study.

Although work stress and impaired sleep are established risk factors for cardiovascular disease (CVD) among healthy individuals, their impact on hypertensive workers is largely unknown. Prospective cohort study design. Hypertensive workers (N = 1959), derived from the population-based MONICA/KORA study in Southern Germany, who were free of any cardiovascular disease and diabetes were interviewed at baseline for work stress (high demand plus low control) and impaired sleep (difficulties falling asleep and/or maintaining sleep). Hazard ratios and 95% confidence intervals (CIs) were estimated by multivariate Cox proportional hazards models with adjustment for relevant covariates. During a mean follow-up of 17.8 years covering 34,900 person-years, 134 fatal CVD and 73 coronary heart disease (CHD) events were observed. In comparison to participants with low work stress and non-impaired sleep, participants with work stress (hazard ratio (HR) 1.56, 95% CI 0.81-2.98), or impaired sleep (HR 1.76, 95% CI 0.96-3.22) had an increased risk of CVD, while participants with both work stress and impaired sleep had the highest risk of CVD mortality (HR 2.94, 95% CI 1.18-7.33). Participants with both risk conditions had an absolute CVD mortality risk of 7.13 cases per 1000 person-years in comparison to 3.05 cases per 1000-person years in the reference group. Similar risk patterns were found for CHD mortality. Our findings add a new piece of evidence that work stress together with impaired sleep increase risk of coronary and cardiovascular mortality in hypertensive workers.

Features of hypertension in workers of titanium and magnesium production and preventive measures

Features of hypertension in workers of titanium and magnesium production and preventive measures

Th e risk of developing arterial hypertension in workers exposed to fi brogenic dust in asbestosconcentrating industry

Relevance. Occupational factor nowadays is considered an important condition of cardiovascular risk increase, including arterial hypertension growth. With this, study of work conditions infl uence on probable arterial hypertension development and other cardiovascular risk factors appears topical.Objective. To construct prognostic model of probable arterial hypertension development in workers of asbestos-concentrating plant, who are exposed to higher concentration of fi brogenic dust containing chrysotile.Materials and methods. Main group (161 individuals) comprised patients with diagnosed occupational disease (asbestosis), reference group included workers (222 individuals) with long length of service, without occupational diseases. Th e groups matched in age, sex, length of exposure to hazards, smoking index.Results. Findings are high occupational conditionality of left ventricle hypertrophy (relative risk 3.217, att ributable fraction 54.32%). Revealed factors that promote occupationally conditioned arterial hypertension (asbestosis, obesity, increased serum glucose, coronary heart disease, increased heart rate, lower saturation) served as a basis for prognostic model design by logic regression.Conclusion. Mathematic modelling helps to define contribution of occupational and non-occupational factors into arterial hypertension development in workers exposed to fi brogenic dust. Dust factor is an additional risk factor in arterial hypertension development am ong workers engaged into asbestos-concentrating production.

Occupational noise exposure and hypertension: a case-control study

Background: Occupational noise exposure in the workplace is a significant health problem and hypertension is a widespread chronic disease. This study aimed to investigate whether occupational noise exposure is associated with hypertension in a Chinese population. Methods: A total of 286 hypertensive workers and 630 normotensive workers were enrolled and analyzed in a case-control study. Results: We revealed that workers exposed to noise can increase the risk of hypertension (adjusted OR 1.52, 95% CI: 1.11–2.08). This effect was more pronounced in ever smoking group (adjusted OR 2.54, 95% CI: 1.16–5.53). When noise exposure combined with never drinking status, it can reduce the risk of hypertension (adjusted OR 1.48, less than 1.52). Conclusions: Our results provide a clue that occupational noise exposure may increase the risk of hypertension in a Chinese population.

Exposure to Fine Particulate Matter of Vehicular Origin Is Associated with Increases in Blood Pressure among Hypertensive Outdoor Workers

Hypertension and air pollution are two important risk factors for cardiovascular morbidity and mortality. Although several studies suggest that air pollution has a significant impact on blood press...

Arterial hypertension at the workplace: risk factors and the population value.

The article presents data of domestic and foreign authors on the relationship between occupational factors and arterial hypertension. The role of latent arterial hypertension, its frequency in the population, the lesion of the target organs and the prognosis in comparison with normotensive individuals, arterial hypertension of the "white coat" and stable arterial hypertension have been analyzed. Arterial hypertension in the workplace is a form of latent arterial hypertension. The authors review the influence of harmful production factors (physical, chemical), as well as psychosocial stress on the risk of developing arterial hypertension.The risk of developing hypertension in specified groups of workers has been analyzed separately. The place of production-related diseases in modern occupational pathology in the Russian Federation. A wider implementation of measures aimed at early diagnosis and prevention of arterial hypertension in workers is proposed.

The Correlation between Blood Lead Level with Hypertension of Painting Cars Worker in Surabaya

Lead (Pb) is a metal that used as a color pigment in paint material. Lead has an acute effect on blood pressure and caused hypertension in chronic poisoning because it accumulated in blood. The objective of this research was to identify the correlation between aerial lead level and blood lead level with hypertension of workers in car painting workshop Surabaya. This research was an observational with cross-sectional study and to know the correlation analyzed by using phi correlation. Sample of this research were 16 respondents taken from population compatible from defi ned criteria. Blood lead level and blood pressure examined by the health workers then analyzed in the laboratory and using questionnaires to determine the characteristic of respondents. The results of this research is 83.33% respondents were exposed have blood lead concentration exceeds the limit that is > 10 μg/dL and 66.67% respondents were exposed have hypertension. Blood lead concentration have a strong correlation with hypertension (r = 0.618). The workers need to do a routine blood lead concentration check up once every 6 months and use personal protective equipment at work, consume foods and beverages that contain high calcium often nevertheless decrease smoking habit to inhibit absorption of lead in blood.

Влияние кардиоваскулярной и метаболической патологии на сроки развития профессиональной хронической фтористой интоксикации у работников алюминиевого производства

With the aim of studying the effect of disorders of carbohydrate and lipid - tion exchange and associated cardiovascular disease at the time of development of occupational fluorosis assessed the prevalence of this disease among workers in aluminum production. A significant dissociation of carbohydrate and lipid metabolism indices against the background of high prevalence of overweight, obesity, arterial hypertension in workers in contact with elevated concentrations of inorganic fluorine compounds was established in comparison with patients of the comparison group who are not exposed to toxic substances (р=0,003, t=3,159). The increase in fasting glycemia was revealed already with the work experience of up to 10 years, which can testify to the danger of early development of type 2 diabetes in workers of aluminum production and the need for timely preventive measures in this category of workers. At the same time, patients with occupational fluorosis had significantly higher prevalence of carbohydrate metabolism disorders compared to trained workers without occupational fluorosis (р=0,006). It was revealed that professional fluorosis develops significantly earlier in workers with concomitant cardiovascular disease and metabolic changes.

Brief intervention for stress management and change in illness perception among hypertensive and normotensive workers: pilot study and protocol

The objective of this study was to describe and evaluate the effects of a pilot intervention on perceived stress, knowledge about hypertension, and illness perception among hypertensive and normotensive workers. The intervention consisted of two group sessions performed in the workplace aiming to reduce stress, increase knowledge about hypertension, and explore the effect on illness perception. The sessions included clinical aspects of systemic arterial hypertension, illness perception and health behavior, and strategies for stress management. Workers from a petrochemical industry (19 hypertensive and 14 normotensive) participated in the study by answering a biosociodemographic questionnaire, the Brief Illness Perception Questionnaire, the Perceived Stress Scale, and a quiz with questions about hypertension. The measurements were collected at an initial meeting to gather the participants and 90 days after the intervention. There was a significant reduction in the perceived stress levels of both groups, in addition to an increase in the perception of personal control and illness coherence. Normotensive workers also increased their knowledge about hypertension, while hypertensive patients increased the perception that treatment could control the illness. In conclusion, the pilot intervention generated positive effects and can be considered a strategy of illness prevention for normotensive workers and control for hypertensive patients.

Pengaruh aktivitas fisik terhadap kejadian hipertensi pada pekerja (Analisis data Riskesdas 2013)

Purpose: This research aimed to know the influence of physical activity and external variables on hypertension in workers. Methods: We used secondary data for our research which is Basic Health Research (Riskesdas) 2013. The total population was 1,027,763. Our inclusion criteria were: have a main job, aged ≥15 years, measured height, measured weight, measured abdominal circumference, measured blood pressure, and not pregnant. We found 371,713 respondents matching our criteria. We analyzed our data using chi square and logistic regression with 5% level of significance. Results: Physical activity affects the incidence of hypertension in workers with OR of 1.25 (95% CI: 1.21-1.28), physical activity involving external variables to 1.16 (95% CI: 1.13-1.19). External variables that became hypertension risk factors include: age, obesity, abdominal obesity, daily smoking habits, 10-20 cigarette/day cigarettes, consumption of fatty foods, vegetables consumption <3 servings/day, stress, history of DM, chronic renal failure and kidney stones. Conclusion: Physical activity affects the incidence of hypertension in workers.

Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment

Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment

Социально-гигиеническая оценка риска артериальной гипертензии у работников угледобывающих предприятий

Социально-гигиеническая оценка риска артериальной гипертензии у работников угледобывающих предприятий

Occupational Risk Factors for Arterial Hypertension in Workers of High Speed Railway Line in Italy

Few studies have examined the professional risk factors for hypertension, especially in relation to aging of work force.

RISK FACTORS OF ARTERIAL HYPERTENSION IN ORGANIZED COHORT OF MALE EMPLOYEES OF THE MACHINE BUILDING PLANT

Aim. To study the incidence of arterial hypertension (HT) and prevalence of risk factors and occupational factors (OF) among people with HT on the base of engineering plant within program of formation of healthy lifestyle and prevention of chronic non-communicable diseases among the contingent, attached for the medical assistance for the period 2012-2016. Material and methods . The study included men (n=586), aged 20-65 years – the workers of the engineering plant directly involved in the works in conditions of industrial occupational exposures. These specified works occupied not less than 50% of the general time, and work experience at the enterprise in examined workers was at least 5 years. Results. All examined people were divided into 2 groups according to the office blood pressure (BP) levels: without HT – 380 people (64.8%) and with HT – 206 patients (35.2%). HT was observed more often among people without higher education (39.2 vs 28.3%; р<0.07). The prevalence of morphological changes on the fundus of eyes was significantly different in hypertensive patients and people without HT (30.6% vs 21.3%, respectively; p<0.04), that appears to be evidence of early organ disorders. OF were found more often in the group of workers with elevated office BP (31.9% vs 23.2%; p<0.04). Metabolic syndrome were detected in 44.8% of hypertensive patients vs 22.4% in people without HT (p<0.001). The people with HT but without other components of metabolic syndrome were taken for particular analysis. In this group the higher education was also much less often (24.0% vs 57.6%; p<0.001), and OF (excluding work at the computer) were revealed more often (87.3% vs 80.2%; p <0.06). Conclusion. The development of HT in workers of engineering plant is influenced, firstly, by traditional risk factors – age and components of metabolic syndrome, and higher education is a kind of HT anti-risk factor. OF were significantly more common in the group of workers with elevated office BP. Periodic checkups should be the routine method to identify chronic non-communicable diseases among people of working age.