arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2024-2468YYJSXXarthyper-2468Research ArticleСтатьиArticlesСвязь физической активности и параметров инфраструктуры района проживания с модифицируемыми факторами сердечно-сосудистого рискаAssociations between physical activity, infrastructure parameters of the area of residence, and modifiable cardiovascular risk factorshttps://orcid.org/0000-0003-3840-744XГазиевТ. Ф.GazievT. F.

Газиев Тимур Фларитович — младший научный сотрудник лаборатории  эпидемиологии сердечно-сосудистых заболеваний

Бульвар имени академика Л. С. Барбараша, д.6, Кемерово, 650002

 

Gaziev Timur Flaritovich, MD, Junior Research Fellow, Laboratory of Cardiovascular Disease Epidemiology

6 Academician L.S.Barbarash str., Kemerovo, 650002 

gaziev.tim@gmail.comhttps://orcid.org/0000-0002-0657-4668МулероваТ. А.MulerovaT. A.

Мулерова Татьяна Александровна — доктор медицинских наук, доцент, ведущий научный сотрудник лаборатории эпидемиологии сердечно-сосудистых заболеваний; профессор кафедры кардиологии

Бульвар имени академика Л. С. Барбараша, д.6, Кемерово, 650002

Mulerova Tatiana Alexandrovna, MD, PhD, DSc, Leading Researcher at the laboratory of cardiovascular disease epidemiology; Professor of Cardiology Department

6 Academician L.S.Barbarash str., Kemerovo, 650002 

mulerova-77@mail.ruhttps://orcid.org/0000-0002-3023-6239БаздыревЕ. Д.BazdyrevE. D.

Баздырев Евгений Дмитриевич — доктор медицинских наук, заведующий лабораторией эпидемиологии сердечно-сосудистых заболеваний

Бульвар имени академика Л. С. Барбараша, д.6, Кемерово, 650002

Bazdyrev Evgeny Dmitrievich, MD, PhD, DSc, Head, Cardiovascular Disease Epidemiology Laboratory

6 Academician L.S.Barbarash str., Kemerovo, 650002

edb624@mail.ruФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»РоссияResearch Institute for Complex Issues of Cardiovascular DiseasesRussian FederationФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»; Новокузнецкий государственный институт усовершенствования врачей – филиал федерального государственного бюджетного образовательного учреждения дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования»РоссияResearch Institute for Complex Issues of Cardiovascular Diseases; State Budgetary Educational Institution of Additional Professional Education «Novokuznetsk state Institute of Postgraduate Medicine» of health Ministry of RussianRussian Federation202421012025305497508Copyright © Газиев Т.Ф., Мулерова Т.А., Баздырев Е.Д., 20252025Газиев Т.Ф., Мулерова Т.А., Баздырев Е.Д.Gaziev T.F., Mulerova T.A., Bazdyrev E.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/2468

Цель исследования — изучить связь физической активности и параметров инфраструктуры района проживания с модифицируемыми факторами сердечно-сосудистого риска у населения Кемеровской области. Материалы и методы. В исследование, стартовавшее в 2015 году и продолжающееся до настоящего времени, на базе НИИ КПССЗ (Кемерово) включены 1598 жителей 35–70 лет в рамках эпидемиологической работы «Изучение влияния социальных факторов на хронические неинфекционные заболевания». Физическая активность участников оценивалась с помощью русскоязычной версии международной анкеты IPAQ, субъективное отношение граждан к параметрам инфраструктуры — анкеты NEWS. Устанавливались ассоциации физической активности населения, опосредованной их субъективным отношением к параметрам инфраструктуры, с модифицируемыми факторами сердечно-сосудистого риска, такими как артериальная гипертензия, ожирение, абдоминальное ожирение, нарушения липидного и углеводного обменов. Результаты. Настоящее исследование продемонстрировало прямое влияние на снижение физической активности населения параметров инфраструктуры из шкал анкеты NEWS: В (доступность объектов инфраструктуры) [ОШ = 1,51]; D (пешеходная доступность) [ОШ = 1,52]; Е (окружающая среда в окрестностях) [ОШ = 1,55]; H (удовлетворенность условиями проживания) [ОШ = 1,37]. В группе лиц с низкой физической активностью с АГ были ассоциированы характеристики района проживания, объединенные в шкалы В [ОШ = 1,44], D [ОШ = 1,43] и F [ОШ = 1,30]; с ожирением и его абдоминальным типом — B [ОШ = 1,42] и [ОШ = 1,53], C [ОШ = 1,39] и [ОШ = 1,37], D [ОШ = 1,43] и [ОШ = 1,32] соответственно; с дислипидемией — В [ОШ = 1,65] и D [ОШ = 1,41]. Заключение. В сформированной выборке Кемеровской области увеличение факторов сердечно-сосудистого риска связано с низкой физической активностью населения и субъективным его отношением к социальным характеристикам (параметрам инфраструктуры) района проживания.

The purpose of the research is to study the relationship among physical activity, infrastructure parameters of the area of residence, and modifiable cardiovascular risk factors in the population of the Kemerovo Region. Design and methods. The study started at the Research Institute for Complex Issues of Cardiovascular Diseases (Kemerovo) in 2015 and continues to this day. It includes 1,598 residents aged 35–70 as part of the epidemiological work “Study of the influence of social factors on chronic non-communicable diseases.” The researchers measure the participants’ physical activity using the Russian-language version of the international IPAQ questionnaire and assess the subjective attitude of citizens to the infrastructure parameters using the NEWS questionnaire. The study establishes associations between the participants’ physical activity, mediated by their subjective attitude towards the infrastructure parameters, and modifiable cardiovascular risk factors such as hypertension, obesity, abdominal obesity, and lipid and carbohydrate metabolism disorders. Results. The present study demonstrates a direct impact of the infrastructure parameters from the NEWS scales on the reduction in the participants’ physical activity: B (accessibility of infrastructure facilities) [OR = 1,51]; D (pedestrian accessibility) [OR = 1,52]; E (environment in the vicinity) [OR = 1,55]; H (satisfaction with living conditions) [OR = 1,37]. In the group of individuals with low physical activity, characteristics of the area of residence combined into scales B [OR = 1,44], D [OR = 1,43], and F [OR = 1,30] were associated with hypertension; B [OR = 1,42] and [OR = 1,53], C [OR = 1,39] and [OR = 1,37], D [OR = 1,43] and [OR = 1,32] respectively — with obesity and its abdominal type; B [OR = 1,65] and D [OR = 1,41] — with dyslipidemia. Conclusions. The formed sample of the Kemerovo Region associates an increase in cardiovascular risk factors with the low physical activity of the population and its subjective attitude to the social characteristics (infrastructure parameters) of the area of residence.

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The authors declare that there are no conflicts of interest present.