Arterial hypertension prevention among workers of oil refining industry

Abstract

The aim of this work was to evaluate the effectiveness of arterial hypertension (AH) prevention by controlling risk factors in the conditions of a large oil refinery sanatorium. 871 employees of «Naftan» with normal blood pressure were examined, 62 of them with preventive measures and without unfavorable working conditions, 191 persons with preventive measures and adverse production factors, 198 people without preventive measures and without adverse production factors, 420 persons without preventive measures and adverse production factors. In people working without unfavorable production factors in the presence of preventive measures, AH developed only in 17.7% of cases and was significantly lower than 35.9% of cases in their absence (р<0.01). Among persons working with unfavorable production factors, in the presence of preventive measures, AH developed in 31.6% of cases and was significantly lower than 43.9% of cases in their absence. A significant positive relationship was revealed, expressed as a 1.85-fold decrease (р<0.001) in the relative risk of AH development in the presence of preventive measures in a sanatorium, regardless of age, gender and professional activity factor. Based on the 10-year follow-up data in the high-risk group for developing AH, a positive effect of preventive measures on behavioral and metabolic risk factors, as well as kidney function, was established.

Keywords

• prevention
• arterial hypertension
• risk factors