Characteristics of the level of somatic health and biological age of persons with neuro-stressful professional activity

Introduction. Unfavorable tendencies in the health of the working population, especially those with high neuro-emotional stress in professional activities, the scarcity of information about the impact of professional factors on the health and performance of police officers, which is characterized by nervous and hard work, determine the relevance of this study.

The aim of the study is to study the biological age with an assessment of the rate of aging of individual body systems and the level of somatic health of police officers.

Materials and methods. We examined 110 men — police officers. Biological age was determined by an automated expert system of diagnostics of aging by the method of A.A. Podkolzin, V.N. Crutko. To quantify the level of somatic health the method of G.L. Apanasenko was used. We used clinical, physiological and computational methods to study the state of the cardiovascular and respiratory systems, static balancing, interviewing methods and mathematical statistics.

Results. The accelerated rate of aging was revealed in 65.4% of the examined patients. Accelerated aging of the neuropsychic, respiratory and cardiovascular systems was the most common (97.3%, 94.6% and 75.5%, respectively). A decrease in functional activity of blood circulation was revealed in 70.9%. The coefficients of endurance of cardiac activity and efficiency of blood circulation exceeded the norm, which indicates a possible weakening of the activity and the state of fatigue of the cardiovascular system, myocardial weakness. The ratio of pulse wave velocity in the vessels of muscular and elastic types below the norm was determined in 40.9% of the surveyed, which may indicate the presence of transitional and late-stage hypertension, 62.2% of such persons have an accelerated type of aging of the cardiovascular system. The proportion of persons with accelerated type of aging of the respiratory system significantly (p<0.05) exceeded the proportion of persons with normal and delayed type of aging. The proportion of persons with an accelerated rate of aging was significantly higher in persons with a duration of static balancing below the standard (79.1% [71.5–86.7] versus 20.9% [13.3–28.5], p=0.009).

Conclusions. Accelerated rates of aging of cardiovascular, respiratory and neuropsychic systems, low functionality of the body can be regarded as a manifestation of occupational stress. The discrepancy between the subjective assessment of their health and objective indicators of the rate of aging, the level of somatic health can be caused by the socio-psychological characteristics of the service and the tightening of medical requirements for police officers.

1. Izmerov N.F. Aktualizacija voprosov professional’noj zabolevaemosti. Zdravoohranenie RF. 2013; 2: 14–17 (in Russian).

2. Tsutsumi A., Shimazu A., Eguchi H. et al. A Japanese Stress Check Program screening tool predicts employee long-term sickness absence: a prospective study. J Occup Health. 2018; 60 (1): 55–63.

3. Buhtijarov I. V., Matjuhin V.V., Rubcov M.Ju. Professional’nyj stress v svete realizacii global’nogo plana dejstvij po zdorov’ju rabotajushhih. Available at:https://research-journal.org/medical/professionalnyj-stress-v-svete-realizacii-globalnogo-plana-dejstvijpo-zdorovyu-rabotayushhix (in Russian).

4. Muhitova Je.I., Frolova Je.B. Sostojanie zdorov’ja sotrudnikov MVD v period provedenija Universiady. Vestnik sovr. klinich. mediciny. 2014; 7(1):127–129 (in Russian).

5. Murtazov A.M. Professional’nyj stress i psihosomaticheskie zabolevanija u policejskih. Med. truda i prom. ekol. 2014; 5: 41–44 (in Russian).

6. Shogenov A.G., Murtazov A.M., Jel’garov A.A. Medicinskij i psihologicheskij monitoring dlja sotrudnikov policii: vozniknovenie i vtorichnaja profi laktika psihosomaticheskih sostojanij. Med. truda i prom. ekol. 2010; 9: 7–14 (in Russian).

7. Nikolaeva N.V., Konopleva I.N. Vyrazhennost’ stressovogo naprjazhenija i rabotosposobnost’ sotrudnikov pravoohranitel’nyh organov. Psihologija i pravo. 2014; 2: 87–100 (in Russian).

8. Zimmerman F.H. Cardiovascular disease and risk factors in law enforcement personnel: a comprehensive review. Cardiol Rev. 2012; 20 (4): 159–66.

9. Hartley TA, Burchfiel CM, Fekedulegn D, Andrew ME, Violanti JM. Health Disparities in Police Offi cers: Comparisons to the U.S. General Population. International journal of emergency mental health. 2011; 13(4): 211–20.

10. Meena J.K., Kumar R., Meena G.S. Protect the Protector: Morbidity and Health Behavior among Police Personnel in National Capital Region of India. Indian J Occup Environ Med. 2018; 22(2): 86–91.

11. Arial M., Gonik V., Wild P., Danuser B. Association of work-related chronic stressors and psychiatric symptoms in a Swiss sample of police offi cers; a cross sectional questionnaire study. Int Arch Occup Environ Health. 2010; 83: 323–31.

12. Denisova K.S. Lichnostnye osobennosti sotrudnikov vnevedomstvennoj ohrany s narushenijami somaticheskogo zdorov’ja donozologicheskogo urovnja. Vestnik JuUrGU. Serija «Psihologija». 2015; 8 (3): 51–56 (in Russian).

13. Dyakovich M.P., Shevchenko O.I., Bush M.P. Donozologicheskij monitoring kak prioritetnoe napravlenie medicinskogo obespechenija sotrudnikov silovyh vedomstv. Vestnik rossijskoj voenno-medicinskoj akademii. 2013; 1 (41): 107–10 (in Russian).

14. Abramovich S.G., Bush M.P., Korovina E.O. Biologicheskij vozrast u voennosluzhashhih pravoohranitel’nyh organov. Sib. med. zhurn. 2008; 5: 27–30 (in Russian).

15. Sosjukin A.E., Parcernjak A.S., Vasiljuk V.B., Goverdovskij Ju.B., Kornjushko S.V. Izmenenie biologicheskogo vozrasta u voennosluzhashhih s polimorbidnoj serdechno-sosudistoj patologiej, prohodjashhih sluzhbu na ob’ektah hranenija i unichtozhenija himicheskogo oruzhija. Ros. Him. Zh. 2010; LIV(4): 144–7 (in Russian).

16. Krut’ko V.N., Doncov V.I., Mamikonova O.A., Pyrvu V.V., Rozenblit S.I. Diagnostika starenija i biologicheskij vozrast v medicine antistarenija. Medicinskie novosti. 2015; 2: 25–31 (in Russian).

17. Apanasenko G.L. Somaticheskoe zdorov’e i maksimal’naja ajerobnaja sposobnost’ individa.Teorija i praktika fizicheskoj kul’tury. 1988; 4: 29–31 (in Russian).

18. Savickij N.N. Biofizicheskie osnovy krovoobrashhenija i klinicheskie metody izuchenija gemodinamiki. L.: Medicina, 1974: 311 (in Russian).

19. Baevskij R.M. Ocenka adaptacionnyh vozmozhnostej organizma i risk razvitija zabolevanij. M.: Medicina; 1997 (in Russian).

20. Standarty spirometrii dlja raschjota dolzhnyh velichin. Sajt Rossijskoj associacii specialistov funkcional’noj diagnostiki Available at: http://www.rasfd.com/index.php?productID=616. (in Russian).

21. Graevskaya N.D., Dolmatova T.I. Sportivnaya medicina: kurs lekcij i prakticheskie zanyatiya: ucheb. posobie.M.: Sovetskij sport, 2004.

22. Kulikov V.P., Doronina N.L. Klinicheskaja patofi ziologija i funkcional’naja diagnostika. Izd. 3-e. Barnaul; 2004.

23. Zhirnova O.A., Beresten’ N.F., Pestovskaja O.R., Bogdanova E.Ja. Neinvazivnaja diagnostika narushenija jelasticheskih svojstv arterial’nyh sosudov. Available at: http://www.angiologia.ru/specialist/journal_angiologia/001_2011/05/ (in Russian).

24. The Task Forse for the management of arterial hypertension of the European Society of Hypertension and of the European Society of Cardiology. Guidelines for the management of arterial hypertension. J. Hypertens. 2007; 25: 1105–87.

25. Vasjuk Ju.A., Ivanova S.V., Shkol’nik E.L., Kotovskaja Ju.V., Miljagin V.A., Olejnikov V.Je. et al, Soglasovannoe mnenie rossijskih jekspertov po ocenke arterial’noj zhestkosti v klinicheskoj praktike. Kardiovaskuljarnaja terapija i profi laktika. 2016; 15(2): 4–19 (in Russian).

26. Vojtenko V.P., Tokar’ A.V., Poljuhov A.M. Metodika opredelenija biologicheskogo vozrasta cheloveka. Gerontologija i geriatrija: Ezhegodnik. Biologicheskij vozrast. Nasledstvennost’ i starenie. Kiev. 1984; 133–137. (in Russian).

27. Dyakovich M.P., Pavlov A.V. Mediko-psihologicheskie i social’nye aspekty professional’noj adaptacii sotrudnikov ugolovno — ispolnitel’noj sistemy.Voenno-medicinskij zhurnal. 2010; 331 (2): 42–6 (in Russian).

28. Kornilova D.S., Petrova Ju.I., Asrijan O.B., Cheremiskina I.I. Otnoshenie k zdorov’ju u sotrudnikov policii Primorskogo kraja.Available at: http://www.science-education.ru/ru/article/view?id=19585. (in Russian).

29. Zhuravleva I.V., Lakomova N.V. Nacional’nye osobennosti otnoshenija k zdorov’ju. V kn.: Social’naja spravedlivost’ — osnova obshhestvennogo zdorov’ja. Materialy nauchno-prakticheskoj konferencii 13 marta 2018.SPb: Kul’turno-prosvetitel’skoe tovarishhestvo; 2018 (in Russian).