Negative emotional states and metabolic disorders in arterial hypertension in coal industry workers

Introduction. Arterial hypertension, due to its prevalence and severity of complications, is one of the leading causes of disability of the working population. Psychosocial factors, including negative emotional states, are recognized as independent risk factors for the development of cardiovascular diseases. The relationship between negative emotional states and arterial hypertension in miners of coal enterprises remains poorly understood.

The study aims to consider the relationship of negative emotional states and metabolic disorders with arterial hypertension in coal mining workers.

Materials and methods. The scientists examined 313 employees of coal enterprises with occupational diseases using questionnaires: DS14 to determine psychological distress type D, Spielberger-Khanin to establish the level of personal and situational anxiety and the N.I. Vlakh questionnaire to determine subdepression. The diagnosis of arterial hypertension was established in accordance with the clinical recommendations "Arterial hypertension in adults".

Results. The incidence of arterial hypertension among the surveyed miners was 30.9%. The authors found in patients with stage 1 hypertension an increase in the frequency of overweight to 80% (p<0.01; RR=2.57; CI=1.24–5.35) and an increase in the frequency of overweight to 87.9% (p<0.001; RR=3.99; CI=1.88–8.45), fasting hyperglycemia up to 53.4% (p<0.001; HR=2.67; CI=1.7–4.18), triglyceride levels up to 63.6% (p<0.005; RR=2.16; CI=1.32–3.54) in arterial hypertension of the 2^nd and 3^rd stages.

The frequency of negative emotional states among patients with arterial hypertension of stage 1 had no significant differences compared with those with normal blood pressure figures.

Among the examined patients with arterial hypertension of the 2^nd and 3^rd stages, the authors observed an increase in the frequency of personal anxiety to 40.8%, psychological type D — to 58.9%, subdepression — to 32.4% and situational anxiety — to 23.1%. The reliability of differences in the frequency of negative emotional states in the group with normal blood pressure and hypertension of the 2^nd and 3^rd stages has not been established.

Limitations. The study is limited to a sample of 313 miners with occupational diseases and arterial hypertension who were treated at the Clinic of the Scientific Research Institute of Complex Problems of Hygiene and Occupational Diseases.

Conclusions. The authors revealed a significant increase in the frequency of overweight in stage 1 hypertension in coal industry workers. With arterial hypertension of stages 2 and 3, there is a significant increase in the frequency of overweight, fasting hyperglycemia and hypertriglyceridemia. There are no significant differences in the frequency of negative emotional states in patients with stage 1 arterial hypertension and those with normal blood pressure figures. With arterial hypertension of stages 2 and 3, there is a tendency to increase the frequency of personal anxiety, subdepression, situational anxiety and psychological distress type D.

Ethics. The study was conducted in compliance with the Ethical Principles of conducting medical research with human participation in accordance with the Helsinki Declaration of the World Medical Association "Ethical Principles of conducting medical research with human participation as a subject" as amended in 2013.

Contributions:
Danilov I.P. — research concept and design, data collection and processing, text writing;
Vlakh N.I. — concept and design of research, data collection and processing, text writing;
Paneva N.Ya. — data collection and processing;
Logunova T.D. — the editing.

Funding. The study had no funding.

Conflict of interest. The authors declare no conflict of interests.

Received: 18.10.2024 / Accepted: 26.10.2024 / Published: 07.02.2025

1. Vlasova E.M., Vorobeva A.A. Paradoxes in occupational health. Meditsina truda i ekologiya cheloveka. 2023; 3: 50–60. https://doi.org/10.24412/2411-3794-2023-10304 https://elibrary.ru/ucqmws (in Russian).

2. Kontsevaya A.V., Myrzamatova A.O., Mukaneeva D.K., Sapunova I.D., Balanova Yu.A., Khudyakov M.B., et al. The economic burden of main non-communicable diseases in the Russian Federation in 2016. Profilakticheskaya meditsina. 2019; 22(6): 18–23. https://elibrary.ru/bwcfvw (in Russian).

3. Drapkina O.M., Kontsevaya A.V., Kalinina A.M., Avdeev S.N., Agal'tsov M.V., Aleksandrova L.M., et al. 2022 Prevention of chronic non-communicable diseases in the Russian Federation. National guidelines. Kardiovaskulyarnaya terapiya i profilaktika. 2022; 21(4): 5–232. https://doi.org/10.15829/1728-8800-2022-3235 https://elibrary.ru/dnbvat (in Russian).

4. Evsyukov A.A., Petrova M.M., Kaskaeva D.S. The relationship of cardiovascular and psychosocial risk factors in patients with coronary heart disease. Vrach-aspirant. 2013; 56(1.1): 149–55. https://elibrary.ru/shskgp (in Russian).

5. Pogosova N.V., Sokolova O.Yu., Yufereva Yu.M., Kursakov A.A., Ausheva A.K., Arutyunov A.A., et al. Psychosocial risk factors in patients with most common cardiovascular diseases such as hypertension and coronary artery disease (based on results from the Russian multicenter COMET study). Kardiologiia. 2019; 59(8): 54–63. https://doi.org/10.18087/cardio.2019.8.n469 https://elibrary.ru/zfkjsg (in Russian).

6. Eremeev A.G. Psychosomatic aspects of essential hypertension. Sibirskiy meditsinskiy zhurnal (Tomsk). 2020; 35(1): 22–7. https://doi.org/10.29001/2073-8552-2020-35-1-22-27 https://elibrary.ru/akobao (in Russian).

7. Pushkarev G.S., Matskeplishvili S.T. Psychosocial risk factors in cardiac practice. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2021; 25(4): 30–40. https://doi.org/10.21688/1681-3472-2021-4-30-40 https://elibrary.ru/trwbar (in Russian).

8. Kinash V.I., Vorobev A.S., Urvantseva I.A., Kovalenko L.V., Kashtalap V.V. Clinical significance of psychological features of personality in patients with ischemic heart disease: Focus on personality type D. Ateroskleroz i dislipidemii. 2021; 4: 24–32. https://doi.org/10.34687/2219-8202.JAD.2021.04.0003 https://elibrary.ru/oywkop (in Russian).

9. Zalesskaya Yu.V., Dzhumagulova A.S. Type D personality in patients with ischemic heart disease: mechanisms of negative influence and interventional programmes. Sibirskiy nauchnyy meditsinskiy zhurnal. 2017; 37(2): 95–101. https://elibrary.ru/yjyfmz (in Russian).

10. Sumin A.N., Korok E.V., Raykh O.I., Gayfulin R.A., Bezdenezhnykh A.V., Barbarash O.L. Psychosomatic and gender features of multifocal atherosclerosis in patients with coronary heart disease. Serdtse. 2014; 13(2): 74–80. https://elibrary.ru/tdxpjo (in Russian).

11. Filimonov S.N., Panev N.I., Korotenko O.Yu., Evseeva N.A., Danilov I.P., Zatsepina O.V. Prevalence of somatic pathology in coal mine workers with occupational respiratory diseases. Med. truda i prom. ekol. 2019; 59(6): 381–4. https://doi.org/10.31089/1026-9428-2019-6-381-384 https://elibrary.ru/nqienj (in Russian).

12. Korotenko O.Yu., Filimonov E.S., Blazhina O.N., Ulanova E.V. Frequency of chronic common somatic pathology in workers of main professions of coal mining enterprises in the South of Kuzbass. Meditsina v Kuzbasse. 2019; 18(4): 16–20. https://elibrary.ru/pislzw (in Russian).

13. Chumakova G.A., Kuznetsova T.Yu., Druzhilov M.A. Diversity of hypertension in obesity. Rossiyskiy kardiologicheskiy zhurnal. 2023; 28(4): 62–8. https://doi.org/10.15829/1560-4071-2023-5360 https://elibrary.ru/kjdgwy (in Russian).

14. Shalnova S.A., Deev A.D., Balanova Yu.A., Kapustina A.V., Imaeva A.E., Muromtseva G.A., et al. Twenty years trends of obesity and arterial hypertension and their association in Russia. Kardiovaskulyarnaya terapiya i profilaktika. 2017; 16(4): 4–10. https://doi.org/10.15829/1728-8800-2017-4-4-10 https://elibrary.ru/zgidql (in Russian).

15. Kobalava Zh.D., Konradi A.O., Nedogoda S.V., Shlyakhto E.V., Arutyunov G.P., Baranova E.I., et al. Arterial hypertension in adults. Clinical guidelines 2020. Rossiyskiy kardiologicheskiy zhurnal. 2020; 25(3): 149–218. https://doi.org/10.15829/1560-4071-2020-3-3786 https://elibrary.ru/tcrbrb (in Russian).

16. Ezhov M.V., Kukharchuk V.V., Sergienko I.V., Alieva A.S., Antsiferov M.B., Ansheles A.A., et al. Disorders of lipid metabolism. Clinical Guidelines 2023. Rossiyskiy kardiologicheskiy zhurnal. 2023; 28(5): 250–297. https://doi.org/10.15829/1560-4071-2023-5471 (in Russian).

17. Pushkarev G.S., Kuznetsov V.A., Yaroslavskaya E.I., Bessonov I.S. Reliability and validity of Russian version of DS14 score for ischemic heart disease patients. Rossiyskiy kardiologicheskiy zhurnal. 2016; 21(6): 50–4. https://doi.org/10.15829/1560-4071-2016-6-50-54 https://elibrary.ru/wckpdh (in Russian).

18. Vlakh N.I. Methods for diagnosis and correction of subdepressive disorders in emotional burnout: organization and research experience. Vestnik Yuzhno-Ural'skogo gosudarstvennogo universiteta. Seriya: Psikhologiya. 2016; 9(2): 39–44. https://doi.org/10.14529/psy160205 https://elibrary.ru/txbtrd (in Russian).

19. Chumakova G.A., Kuznetsova T.Y., Druzhilov M.A., Veselovskaya N.G. Obesity induced hypertension: the main pathophysiological mechanisms. Arterial'naya gipertenziya. 2021; 27(3): 260–8. https://doi.org/10.18705/1607-419X-2021-27-3-260-268 https://elibrary.ru/oeyvxu (in Russian).

20. Evstifeeva S.E., Shalnova S.A., Makarova Yu.K., Yarovaya E.B., Balanova Yu.A., Imaeva A.E. et al. Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study. Kardiovaskulyarnaya terapiya i profilaktika. 2021; 20(5): 252–61. https:// doi.org/10.15829/1728-8800-2021-3009 https://elibrary.ru/lcpzls (in Russian).

21. Boytsov S.A., Pogosova N.V., Bubnova M.G., Drapkina O.M., Gavrilova N.E., Eganyan R.A., et al. Cardiovascular prevention 2017. National guidelines. Rossiyskiy kardiologicheskiy zhurnal. 2018; 23(6): 7–122. https://doi.org/10.15829/1560-4071-2018-6-7-122 https://elibrary.ru/xslttf (in Russian).

22. Titarenko A.V., Shishkin S.V., Shcherbakova L.V., Malyutina S.K. Associations between blood pressure levels and cognitive functions in middle and old age in the Siberian population. Ateroskleroz. 2023; 19(3): 247–9. https://doi.org/10.52727/2078-256X-2023-19-3-247-249 https://elibrary.ru/gffvwc (in Russian).

23. Emelin A.Yu., Lobzin V.Yu., Naumov K.M., Kolmakova K.A., Salimkhanova Yu.R. Cognitive and neuroimaging markers of cerebral small vessel disease. Izvestiya Rossiyskoy voenno-meditsinskoy akademii. 2020; 39(S3-2): 67–70. https://elibrary.ru/nhgkxt (in Russian).