EFFECTS OF STRESS ON RISK OF ARTERIAL HYPERTENSION IN GENERAL MALE POPULATION OF 25–64 YEARS OLD: 14 YEARS OF FOLLOW UP (EPIDEMIOLOGICAL STUDY ON THE BASIS OF THE WHO PROGRAM «MONICA — PSYCHOSOCIAL»)
https://doi.org/10.18705/1607-419X-2013-19-1-27-31
Abstract
Objective. To study the effects of stress at home and at work on the 14-year risk of hypertension in men aged 25–64 years.
Design and methods. In the framework of the WHO program «MONICA — PSYCHOSOCIAL» a screening study was performed in 1994, and 657 males aged 25–64 years (mean age — 44,3 ± 0,4 years), the citizens of Novosibirsk were included.
Results. The greatest risk of hypertension was observed during the 10-year period in men experiencing stress at home (5-fold increase) and at work (6,8 times higher). Those most at risk of hypertension were the divorced and widowed men, and those with physical labor.
About the Authors
V. V. GafarovRussian Federation
Corresponding author: 175/1 B. Bogatkov st., Novosibirsk, Russia, 630089. Phone/fax: 8 (383) 264–25–16. E-mail: valery.gafarov@gmail.com (Valeriy V. Gafarov, MD, PhD, Professor, the Head of the Collaborative Laboratory of Cardiovascular Diseases Epidemiology SB RAMS, of the Laboratory of Psychological and Sociological Issues of Internal Medicine at Institute of Internal Medicine SB RAMS).
E. A. Gromova
Russian Federation
I. V. Gagulin
Russian Federation
A. V. Gafarova
Russian Federation
References
1. Boone J.L. Stress and hypertension // Prim. Care. — 1991. — Vol. 18, № 3. — P. 623–649.
2. Kawecta-Jaszcz K. Effect of professional work and environmental factors on arterial blood pressure // Med. Pr. — 1991. — Vol. 42, № 4. — P. 291–296.
3. Peres Olea J. Etiopathogenic factors of arterial hypertension // Rev. Med. Chil. — 1992. — Vol. 120, № 6. — P. 674–679.
4. Amigo I., Herrera J. Hypertension and stress // Med. Clin. —1993. — Vol. 101, № 14. — P. 541–543.
5. Кручинина Н.А., Порошин Е.Е. Особенности регуляции и ауторегуляции вегетативной функции при психоэмоциональном напряжении у лиц с разным уровнем артериального давления // Физиология человека. — 1994. — Vol. 20, № 3. — P. 89–97. / Kruchinina N.A., Poroshin E.E. Features of the regulation and autoregulation of autonomic function in psycho-emotional stress in individuals with different levels of blood pressure // Human Physiology [Fisiologiya Cheloveka]. — 1994. — Vol. 20, № 3. —P. 89–97 [Russian].
6. Campese V.M. Neurogenic factors in hypertension: therapeutic implications // Ann. Ital. Med. Int. — 1994. — Vol. 9. — P. 39–43.
7. Sherwood A., Hinderliter A.L., Light K.C. Physiological determinants of hyperreactivity to stress in borderline hypertension // Hypertension. — 1995. — Vol. 25, № 3. — P. 384.
8. Судаков К.В. Психоэмоциональный стресс: профилактика и реабилитация // Терапевт. арх. — 1997. — Т. 69, № 1. — С. 70-74. / Sudakov K.V. Psycho-emotional stress: prevention and rehabilitation // Therapeutic Archive [Terapevticheskiy Arkhiv]. — 1997. — Vol. 69, № 1. — P. 70–74 [Russian].
9. Шулутко Б.И. Альтернативная концепция артериальной гипертензии // Кардиология. — 1994. — Т. 34, № 11–12. — С. 34–37. / Shulutko B.I. The alternative vision of hypertension // Cardiology [Kardiologiia]. — 1994. — Vol. 34, № 11–12. — P. 34–37 [Russian].
10. Mann Samuel J. Severe paroxysmal hypertension: An automatic syndrome and its relationship to repressed syndrome and its relationship to repressed emotions // Psychosomatics. — 1996. — Vol. 37, № 5. — P. 444–450.
11. WHO MONICA Project prepared by Kuulasmaa K. et al. Baseline population survey data book. MONICA Memo 178 A. — Helsinki, 1990.
12. WHO MONICA Project prepared by Hense H.W., Kuulasmaa K. et al. Quality assessment of blood pressure measurements in epideiological surveys. The impact of last digit preference and the proportions of identical duplicate measurements // Rev. Epidemiol. Santa Publique. — 1990. — Vol. 38. — P. 463–468.
13. WHO MONICA Project prepared by Asplund K. et al. Stroke event registration quality report. MONICA Memo 212 A. — Helsinki, 1999. — 117 p.
14. WHO Proposal for the Multinational Monitoring of trends in cardiovascular disease. — Geneva, 1985.
15. Гафаров В.В., Пак В.А., Гагулин И.В., Гафарова А.В. Эпидемиология и профилактика хронических неинфекционных заболеваний в течение двух десятилетий и в период социально-экономического кризиса в России. — Новосибирск, 2000. —284 с. / Gafarov V.V., Pak V.A., Gagulin I.V., Gafarova A.V.
16. Epidemiology and prevention of chronic noninfectious diseases during 20 years and during the period of social-economical crisis in Russia. — Novosibirsk, 2000. — 284 p. [Russian].
17. Гафаров В.В., Пак В.А., Гагулин И.В., Гафарова А.В. Психология здоровья населения в России. — Новосибирск: СО РАМН, 2002. — 360 с. / Gafarov V.V., Pak V.A., Gagulin I.V., Gafarova A.V. Psychology of health of the Russian population. — Novosibirsk: SB RAMS, 2002. — 360 p. [Russian].
18. McCrae R.R., Costa P.T., Dahlstrom W.G., Barefoot J.C., Siegel I.C., & Williams R.B. A caution on the use of the MMPI K-correction in research of psychosomatic medicine. Psychosomatic Medicine. — 1989. — Р. 51, 58–65.
19. Бююль А., Цёфель П. SPSS: искусство обработки информации. Анализ статистических данных и восстановление скрытых закономерностей: Пер. с нем. — СПб.: ООО «ДиаСофтЮП», 2002. — 608 с. / Bühl A., Zöfel P. SPSS Version 10: Einführung in die moderne Datenanalyse unter Windows: Moscow, 2002. — 608 p. [Russian].
20. Гланц С. Медико-биологическая статистика. Пер. с англ. — М.: Практика, 1998. — 459 с. / Glantz S. Primer of Biostatistics. — Moscow: «Praktika», 1998. — 459 p. [Russian].
21. Daniels A., Hoffman M., Lombard C. et al. Blood pressure and social support, observations from Mamre, South Africa, during social and political transition // J. Hum. Hypertens. — 1999. — Vol. 13, № 10. — P. 689–693.
22. Landsbergis P.A., Hatch M.C. Psychosocial work stress and pregnancy-induced hypertension // Epidemiology. — 1996. — Vol. 7, № 4. — P. 346–351.
23. Wilhelmsen L., Berglund G., Elmfeldt D. et al. The multifactor primary prevention trial in Goteborg, Sweden // Eur. Heart J. — 1986. — Vol. 7, № 4. — P. 279–288.
24. Matthews K.A., Woodall K.L., Allen M.T. Cardiovascular reactivity to stress predicts future blood pressure status // Hypertension. — 1993. — Vol. 22, № 4. — P. 479–485.
25. Henry J.P., Liu Yue-Ying, Nadra Wissam E. Psychosocial stress can indices chronic hypertension in normotensive strains of rats // Hypertension. — 1993. — Vol. 21, № 5. — P. 714–723.
26. Rostrup M., Westheim A., Kjeldsen S.E. Cardiovascular reactivity, coronary risk factors, and sympathetic activity in young men // Hypertension. — 1993. — Vol. 22, № 6. — P. 87–89.
27. Jern S., Berbrant A., Hedner T. Enhanced pressor responses to experimental and daily-life stress in borderline hypertension // J. Hypertens. — 1995. — Vol. 13, № 1. — P. 69 79.
28. Matsukawa T., Gotoh E., Uneda S. Augmented sympathetic nerve activity in response to stressors in young borderline hypertensive men // Acta Physiol. Scand. — 1991. — Vol. 141, № 2. — P. 157–165.
29. Falkner B. Blood pressure response to mental stress // Am. J. Hypertens. — 1991. — Vol. 4, № 11. — P. 621–623.
30. Короленко С.С., Курята А.В. Влияние физических и психоэмоциональных нагрузок на центральную гемодинамику у больных гипертонической болезнью. Днепропетровский мед. ин-т, Днепропетровск, 1993. — 11 с. / Korolenko S.S., Kurya-ta A.V. Effects of physical and psycho-emotional stress on central hemodynamics in patients with hypertension. — Dnepropetrovsk, 1993. — 11 p. [Russian].
31. Carroll D., Harris M.G., Cross G. Haemodynamic adjustments to mental stress in normotensives and subjects with mildly blood pressure // Psychophysiology. — 1991. — Vol. 28, № 4. — P. 438–446.
Review
For citations:
Gafarov V.V., Gromova E.A., Gagulin I.V., Gafarova A.V. EFFECTS OF STRESS ON RISK OF ARTERIAL HYPERTENSION IN GENERAL MALE POPULATION OF 25–64 YEARS OLD: 14 YEARS OF FOLLOW UP (EPIDEMIOLOGICAL STUDY ON THE BASIS OF THE WHO PROGRAM «MONICA — PSYCHOSOCIAL»). "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2013;19(1):27-31. (In Russ.) https://doi.org/10.18705/1607-419X-2013-19-1-27-31