arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2016-22-1-73-85arthyper-267Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESВзаимосвязь типа личности Д и метаболического синдрома по данным исследования ЭССЕ-РФ в Кемеровской областиRelationship between type D personality and metabolic syndrome in general population of the Kemerovo region (results of the ESSE-RF epidemiological study)СуминА. Н.SuminA. N.

доктор медицинских наук, заведующий отделом мультифокального атеросклероза,

Сосновый бульвар, д. 6, Кемерово, 650002,

sumian@kemcardio.ru

MD, PhD, DSc, Head, Department of Multifocal Atherosclerosis,

6 Sosnoviy boulevard, Kemerovo, 650002,

sumian@kemcardio.ru

an_sumin@mail.ruРайхО. И.RajhO. I.

кандидат медицинских наук, научный сотрудник лаборатории патологии кровообращения отдела мультифокального атеросклероза

MD, PhD, Researcher, Laboratory of Circulation Pathology

raihoi@inbox.ruИндукаеваЕ. В.IndukaevaE. V.

кандидат медицинских наук, научный сотрудник лаборатории эпидемиологии сердечно-сосудистых заболеваний

MD, PhD, Researcher, Laboratory of the Epidemiology of Cardiovascular Diseases

indev@kemcardio.ruАртамоноваГ. В.ArtamonovaG. V.

доктор медицинских наук, профессор, заместитель директора по научной работе

MD, PhD, DSc, Professor, Deputy Director

artamonova@kemcardio.ruФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»РоссияResearch Institute of Complex Problems of Cardiovascular DiseaseRussian Federation2016040520162217385Copyright © Сумин А.Н., Райх О.И., Индукаева Е.В., Артамонова Г.В., 20162016Сумин А.Н., Райх О.И., Индукаева Е.В., Артамонова Г.В.Sumin A.N., Rajh O.I., Indukaeva E.V., Artamonova G.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/267

Целью исследования явилось изучение клинико-анамнестических показателей у лиц с наличием метаболического синдрома (МС) в зависимости от наличия у них типа личности Д.

Материалы и методы

Материалы и методы. Исследование проведено в рамках многоцентрового эпидемиологического исследования «Эпидемиология сердечно-сосудистых заболеваний и их факторов риска в Российской Федерации» (ЭССЕ-РФ). Объем выборки — 1 610 человек (мужчин и женщин в возрасте 25–64 лет). Тип личности Д оценивался с помощью опросника DS‑14. Сформировано 2 группы больных: 1 группа — с наличием типа личности Д (n = 231), и 2 группа — без типа личности Д (n = 1379). МС определялся согласно Рекомендациям экспертов Всероссийского научного общества кардиологов (2009).

Результаты

Результаты. При обследовании неорганизованной популяции распространенность типа личности Д составила 14,3%. Общее количество лиц с диагностированным МС составило 25,2%. Наличие типа личности Д было ассоциировано с более чем двукратным возрастанием риска выявления МС (47% случаев против 21%), а также таких его компонентов, как ожирение и артериальная гипертензия. В наибольшей степени влияли на выявление типа личности Д, по данным логистической регрессии, наличие МС (отношение шансов (OШ) 3,88; 95% доверительный интервал (ДИ) 2,53–4,93; p = 0,002), индекс массы тела (OШ 3,03; 95% ДИ 1,35–5,78; p=0,003), наличие сахарного диабета (OШ 2,75; 95% ДИ 1,07–6,04; p = 0,004), наличие ожирения (OШ 2,33; 95% ДИ 0,80–5,34; p = 0,012), показатель окружности талии (OШ 2,13; 95% ДИ 0,75–6,02; p = 0,044), уровень глюкозы (OШ 2,13; 95% ДИ 0,77–5,12; p = 0,011).

Заключение

Заключение. Предрасположенность к наличию МС может быть одним из факторов неблагоприятного влияния типа личности Д на прогноз при заболеваниях сердечно-сосудистой системы.

Objective

Objective. To study prevalence of type D personality and examine the relationship with metabolic syndrome (MS) in general population of the Kemerovo region.

Design and methods

Design and methods. A randomized sample was selected from general population in Kemerovo region within the multicentre observational trial «Epidemiology of Cardiovascular Diseases in the Regions of Russian Federation — ESSE-RF», including 1 610 subjects (response was more than 80%). The mean age was 45,8 ± 11,9 years, gender distribution was the following: women — 918 (57%), men — 692 (43%). They were divided into two groups: patients with type D personality (n = 231) and patients without type D (n = 1379). Psychological status was assessed by the questionnaire DS‑14. MS was defined according to the recommendations of the experts of the Russian Scientific Society of Cardiology (2009).

Results

Results. MS was detected in 406 (25,2%) patients. The presence of type D personality was associated with the more than twofold increase in the risk of MS and its components, such as obesity and hypertension.

Conclusions

Conclusions. Predisposition to the MS may be one of the factors explaining the association between type D personality and poorer cardiovascular prognosis.

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