Personal anxiety and 20-year risk of hypertension development in male population 25-64 years (Epidemiological study based on WHO «MONICA-Psychosocial» research program)
https://doi.org/10.18705/1607-419X-2010-16-4-362-366
Abstract
Objective. To evaluate the influence of personal anxiety on risk of hypertension development in men aged 25-64 years during 20 years. Design and methods: Within the framework of program WHO MONICA-MOPSY a representative sample of men 25-64 years old (1984, 1988, 1994 years) was examined. We used Spielberger's scale for estimation of personal anxiety (PA). The period of follow-up was 20 years (1985-2004). All cases of hypertension developed for the first time were considered to be outcome. Cox-proportional regression model was used for estimation of relative risk (RR). Results. In the group of men with high levels of anxiety (HLA) hypertension was detected in 57,4 %, and mainly in the older age group of 55-64 years - 35,7 %; in the group of 45-54 years old - 27,7 %, in the age of 35- 44 years - 22 %, and in 25-34 years - 14,6 %. During the first 5 years, RR of hypertension was 6,8 times (95 % CI; 2,73-11,368, p < 0,05), for 10 years - 5 times (95 % CI 2,06-9,924, p < 0,01), for 15 years - in 3,8 times (95 % CI, 1,039-7,152, p < 0,05), for 20 years - in 1,4 times (p > 0,05) higher in men with HLA. The highest incidence of hypertension was observed in men with HLA related to divorced and widowed men with incomplete secondary/primary education among the workers in heavy manual and secondary physical labor and retirees. Conclusions. These results indicate that in the male population aged 25-64 years the risk of hypertension is associated with HLA.
About the Authors
V. V. Gafarov
Collaborative Laboratory of Epidemiology of Cardiovascular Diseases SB RAMS, Novosibirsk, Russia
Institute of Internal Medicine SB RAMS, Novosibirsk, Russia
Russian Federation
Russian Federation
E. A. Gromova
Collaborative Laboratory of Epidemiology of Cardiovascular Diseases SB RAMS, Novosibirsk, Russia
Institute of Internal Medicine SB RAMS, Novosibirsk, Russia
Russian Federation
Russian Federation
A. V. Gafarova
Collaborative Laboratory of Epidemiology of Cardiovascular Diseases SB RAMS, Novosibirsk, Russia
Institute of Internal Medicine SB RAMS, Novosibirsk, Russia
Russian Federation
Russian Federation
I. V. Gagulin
Collaborative Laboratory of Epidemiology of Cardiovascular Diseases SB RAMS, Novosibirsk, Russia
Institute of Internal Medicine SB RAMS, Novosibirsk, Russia
Russian Federation
Russian Federation
References
1. Алмазов В.А., Арабидзе Г.Г., Белоусов Ю.Б. и др. Профилактика, диагностика и лечение первичной артериальной гипертонии в Российской Федерации // Клин. фарм. и терапия. - 2000. - T. 9, № 3. - С. 5-30.
2.
3. 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.
4.
5. Айвазян Т.А. Психорелаксация в лечении гипертонической болезни // Кардиология. - 1991. - Т. 31, № 2. - С. 95-98.
6.
7. James G.D., Schlussel Y.R. Behavioral factors influencing daily blood pressure levels and variability in men and women //Am. J. Phys. Anthropol. - 1993. - Vol. 6. - P. 116.
8.
9. WHO proposal for the multinational monitoring of trends in cardiovascular disease. - Geneva, 1985. - 237 p.
10.
11. World Health Organization. MONICA Psychosocial Optional Study. Suggested measurement instruments. - Copenhagen: WHO Regional Office for Europe. - 1988. - 33 p.
12.
13. Spielberger C.D. Anxiety as an emotional state // In: Anxiety: Current trends in theory and research / Ed. by C.D. Spielberger. - Vol. 1. - NY: Academic Press, 1972. - P. 24-49.
14.
15. Hense H.W., Kuulasmaa K., Zaborskis A., Kupsc W., Tuomilehto J. Quality assessment of blood pressure measurements in epidemiological surveys. The impact of last digit preference and the proportions of identical duplicate measurements. WHO Monica Project // Rev. Epidemiol. Sante Publique. - 1990. - Vol. 38, № 5-6. - P. 463-468.
16.
17. Cox D.R. Regression models and life tables // J. Royal Statistical Society Series B. - 1972. - Vol. 34. - P. 187-220.
18.
19. Гланц С. Биомедицинская статистика / Пер. с англ. - М: Практика, 1998. - 459 с.
20.
21. Marrkovitz J.H., Matthews K.A., Kannel W.B. Psychological predictors of hypertension in the Framingham study. Is there tension in hypertension in the tension in hypertension? // J. Am. Med. Assoc. − 1993. − Vol. 270, № 20. − Р. 2439−2443.
22.
23. Boone J.L. Stress and hypertension // Prim. Care. − 1991. − Vol. 18, № 3. − Р. 623−649.
24.
25. Kawecta-Jaszcz K. Effect of professional work and environmental factors on arterial blood pressure // Med. Pr. − 1991. − Vol. 42, № 4. − Р. 291−296.
26.
27. Кручинина Н.А., Порошин Е.Е. Стресс и артериальная гипертензия //Физиол. журн. − 1992. − Т. 78, № 11. − С. 104−112.
28.
29. Шестакова С.А., Степанян М.Л., Зубина И.М. Перекисное окисление липидов при экспериментальной артериальной гипертензии // Патол. физиол. и эксперим. терапия. − 1994. − Т. 3. − С. 38−40.
30.
31. Гафаров В.В., Пак В.А., Гагулин И.В., Гафарова А.В. Эпидемиология и профилактика хронических неинфекционных заболеваний в течение 2-х десятилетий и в период социально-экономического кризиса в России. - Новосибирск, 2000. - 360 с.
32.
Review
For citations:
Gafarov V.V., Gromova E.A., Gafarova A.V., Gagulin I.V. Personal anxiety and 20-year risk of hypertension development in male population 25-64 years (Epidemiological study based on WHO «MONICA-Psychosocial» research program). "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2010;16(4):362-366. (In Russ.) https://doi.org/10.18705/1607-419X-2010-16-4-362-366
Views:
861
Email this article 