Structural peculiarities of metabolic syndrome in workers employed at oil extracting enterprise

View or download the full article: 
PDF icon health-risk-analysis-2020-2-7.pdf
UDC: 
616.1
DOI: 
10.21668/health.risk/2020.2.07.eng
Authors: 

A.E. Nosov, E.M. Vlasova, A.S. Baidina, O.Yu. Ustinova

Organization: 

Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation

Abstract: 

Our research goal was to establish prevalence and structure of metabolic syndrome in workers employed at an oil-extracting enterprise and peculiarities of a relation between working experience and metabolic syndrome components as well as medical behavior of workers given that there were cardiovascular risk factors.
Data and methods. We examined 292 oil and gas extraction operators (test group) who were exposed to adverse industrial factors (chemical factor, noise, labor hardness, and unfavorable microclimate) and 65 office workers employed at the same enterprise (reference group). We determined whether workers had metabolic syndrome components and if yes, which ones (arterial hypertension, abdominal obesity, dyslipidemia, improper glycemia on an empty stomach); we also examined a relation between working experience and probability of these components being detected in a worker.
Results. Arterial hypertension syndrome was registered in 44.9% oil and gas extraction operators and in 36.9% office workers (RR=1.22 (95% CI 0.86–1.71)); abdominal obesity was detected in 53.8% workers in the test group and 50.8% office workers from the reference group (RR=1.06 (95% CI 0.82–1.38)); dyslipidemia was registered in 59.6% and in 58.5% workers accordingly (RR=1.02 (95% CI 0.81–1.27)). Carbohydrate metabolism disorders were registered in 18.2% oil and gas extraction operators and in 12.3% office workers (RR=1.45 (95% CI 0.72–2.89)).We detected dependence between probable AH occurrence and working experience in oil and gas extraction operators (b0=-2.5; b1=0.09; F=1,224.3; R2=0.83; р=0.0001) with a significant relation between the disease and working experience under exposure to adverse industrial factors; whereas there was no such dependence detected for office workers from the reference group. Dependency of abdominal obesity, dyslipidemia, and hyperglycemia on working experience was also more significant among oil and gas extraction operators (R2=0.43–0.56; р=0.0001) than among office workers (R2=0.11–0.52; р=0.02–0.0001). There was a greater % of smokers among oil and gas extraction operators, they tended to have higher systolic, diastolic, and pulse arterial pressure. Workers didn’t receive hypotensive and hypolipidemic medications in sufficient number of cases but office workers managed to achieve normal blood pressure 2.5 times more frequently.

Keywords: 
oil-extracting enterprise, adverse industrial factors, metabolic syndrome, obesity, arterial hypertension, working experience, work-related pathology
Nosov A.E., Vlasova E.M., Baidina A.S., Ustinova O. Yu. Structural peculiarities of metabolic syndrome in workers employed at oil extracting enterprise. Health Risk Analysis, 2020, no. 2, pp. 63–71. DOI: 10.21668/health.risk/2020.2.07.eng
References: 
  1. Boitsov S.A., Pogosova N.V., Bubnova M.G., Drapkina O.M., Gavrilova N.E., Eganyan R.A., Kalinina A.M., Karamnova N.S. [et al.]. Cardiovascular prevention 2017. National guidelines. Rossiiskii kardiologicheskii zhurnal, 2018, no. 23 (6), pp. 7–122 (in Russian). DOI: 10.15829/1560-4071-2018-6-7-122
  2. Braunwald’s heart disease: a textbook of cardiovascular medicine. 10-th edition. In: R.O. Bonow, D.L. Mann, D.P. Zipes, P. Libby eds. 2015, 2240 p.
  3. Oganov R.G., Denisov I.N., Simanenkov V.I., Bakulin I.G., Bakulina N.V., Boldueva S.A., Barbarash O.N., Garganeeva N.P. Comorbidities in practice. Clinical guidelines. Kardiovaskulyarnaya terapiya i profilaktika, 2017, no. 16 (6), pp. 5–56 (in Russian). DOI: 10.15829/1728-8800-2017-6-5-56
  4. Zaitseva N.V., Ustinova O.Yu., Alekseev V.B., Ulanova T.S., Vlasova E.M., Nosov A.E. Peculiarities of production-related diseases in miners employed at deep mining of chromic ores. Meditsina truda i promyshlennaya ekologiya, 2018, no. 10, pp. 6–12 (in Russian). DOI: 10.31089/1026-9428-2018-10-6-12
  5. Dommermuth R., Ewing K. Metabolic Syndrome: Systems Thinking in Heart Disease. Prim Care, 2018, vol. 45, no. 1, pp. 109–129. DOI: 10.1016/j.pop.2017.10.003
  6. Arnett D.K., Blumenthal R.S., Albert M.A., Buroker A.B., Goldberger Z.D., Hahn E.J., Himmelfarb C.D., Khera A. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology. Circulation, 2019, vol. 140, no. 11, pp. е596–е646. DOI: 10.1161/CIR.0000000000000678
  7. Bakirov A.B., Gimranova G.G. Priority areas of science in extraction of oil, petroleum refining, petrochemical industry. Meditsina truda i ekologiya cheloveka, 2016, no. 3, pp. 5–10 (in Russian).
  8. Gimranova G.G, Bakirov A.B., Urazaeva E.R., Gallyamova S.A. Cardio-vascular diseases in workers of oil-extracting basic occupations. Byulleten' VSNTs SO RAMN, 2009, no. 1, pp. 68–72 (in Russian).
  9. Gimranova G.G., Bakirov A.B., Karimova L.K., Beigul N.A., Shaikhlislamova E.R. Factors and Indicators of Oil Extraction Occupational Risks. Vestnik RGMU, 2014, no. 1, pp. 72–75 (in Russian).
  10. Oganov R.G., Simanenkov V.I., Bakulin I.G., Bakulina N.V., Barbarash O.L., Boitsov S.A., Boldueva S.A., Garganeeva N.P. [et al.]. Comorbidities in clinical practice. Algorithms for diagnostics and treatment. Kardiovaskulyarnaya terapiya i profilaktika, 2019, no. 18 (1), pp. 5–66 (in Russian). DOI: 10.15829/1728-8800-2019-1-5-66
  11. Belenkov Yu.N., Privalova E.V., Kaplunova V.Yu., Zektser V.Yu., Vinogradova N.N., Il'gisonis I.S., Shakar'yants G.A., Kozhevnikova M.V., Lishuta A.S. Metabolic Syndrome: Development of the Issue, Main Diagnostic Criteria. Ratsional'naya farmakoterapiya v kardiologii, 2018, no. 14 (5), pp. 757–764 (in Russian). DOI: 10.20996/1819-6446-2018-14-5-757-764
  12. Chumakova G.A., Veselovskaya N.G., Grishchenko O.V., Ott A.V. Metabolic syndrome: challenging and unresolved issues. Rossiiskii kardiologicheskii zhurnal, 2014, no. 3 (107), pp. 63–71 (in Russian).
  13. Rotar' O.P., Libis R.A., Isaeva E.N., Erina A.M., Shavshin D.A., Moguchaya E.V., Kolesova E.P., Boyarinova M.A. [et al.]. Metabolic syndrome: challenging and unresolved issues. Rossiiskii kardiologicheskii zhurnal, 2012, no. 2 (94), pp. 55–62 (in Russian).
  14. Jeong H.S. The relationship between workplace environment and metabolic syndrome. Int. J. Occup. Environ. Med, 2018, no. 9, pp. 176–183. DOI: 10.15171/ijoem.2018.1346
  15. Van Greevenbroek M.J., Schalkwijk C.G., Stehouwer C.D. Dysfunctional adipose tissue and low-grade inflammation in the management of the metabolic syndrome: current practices and future advances. F1000Res, 2016, no. 5, pp. 1–10. DOI: 10.12688/f1000research.8971.1
  16. Mehrdad R., Pouryaghoub G., Moradi M. Association between Metabolic Syndrome and Job Rank. The international journal of occupational and environmental medicine, 2018, vol. 9, no. 1, pp. 45–51. DOI: 10.15171/ijoem.2018.1197
  17. Hajian-Tilaki К. Metabolic syndrome and its associated risk factors in Iranian adults: A systematic review. Caspian J. Intern. Med, 2015, vol. 6, no. 2, pp. 51–61.
  18. Strauß M., Foshag P., Przybylek B., Horlitz M., Lucia A., Sanchis-Gomar F., Leischik R. [et al.]. Occupation and metabolic syndrome: is there correlation? A cross sectional study in different work activity occupations of German firefighters and office workers. Diabetology & metabolic syndrome, 2016, vol. 8, no. 1, pp. 57. DOI: 10.1186/s13098-016-0174-0
  19. Baur D.M., Christophi C.A., Kales S.N. Metabolic Syndrome Is Inversely Related to Cardiorespiratory Fitness in Male Career Firefighters. Journal of Strength and Conditioning Research, 2012, vol. 26, no. 9, pp. 2331–2337. DOI: 10.1519/JSC.0b013e31823e9b19
  20. Baidina A.S., Nosov A.E., Alekseev V.B. Metabolic syndrome risk factors among oil production enterprise employees. Ekologiya cheloveka, 2013, no. 12, pp. 44–47 (in Russian). DOI: 10.33396/1728-0869-2013-12-44-47
  21. Logvinenko I.I., Koleda Ya.S., Ragino Yu.I., Voevoda M.I. Interrelation of leptin levels in blood and the main components of metabolic syndrome among oilmen working in the oil industry in Western Siberia. Ateroskleroz, 2015, vol. 11, no. 4, pp. 69–73 (in Russian).
  22. Logvinenko I.I., Koleda Ya.S., Ragino Yu.I., Kashtanova E.V. Association of blood resistin levels and the main components of metabolic syndrome among oilmen in Western Siberia. Ateroskleroz, 2015, vol. 11, no. 2, pp. 31–36 (in Russian).
Received: 
18.05.2020
Accepted: 
04.06.2020
Published: 
30.06.2020

You are here

Home