[Interdisciplinary approach to evaluation of metabolic syndrome in locomotive crew workers].

The authors revealed features of metabolic syndrome diagnosis by means of various intradisciplinary criteria in locomotive crew workers. The locomotive crew workers, if compared to mounters, demonstrate 1.4 times more frequent excessive body weight, 1.6 times more frequent obesity, 1.4 times more frequent dyslipidemia, 2 times more common arterial hypertension. According to RSCS, metabolic syndrome in locomotive operators appeared more frequent--1.6 times than in IDF, 1.5 times than in ATP, ESN. Frequency of metabolic syndrome in males of stress occupations varies from 30% according to ATP, IDF, ESN to 49% according to RSCS--that is 2.5 times more frequent than in individuals with low occupational stress. Bioimpedometry revealed fluidsretention in 13% of train operators, water deficit in 24%, muscular mass deficiency in 55%. RSCS criteria are priority in interdisciplinary approach to metabolic syndrome evaluation in males under occupational stress. Assessment of visceral fat in locomotive crew workers helps to formulate purposeful prophylactic recommendations.

[Effect of psychosocial stress on the level of anxiety, depression and behavioral risk factors of cardiovascular diseases in men].

AIM: To elucidate peculiarities of risk factors (RF) of cardiovascular diseases and frequency of arterial hypertension (AH) at place of work in men with various level of psychosocial stress. MATERIAL AND METHODS: We examined 224 men (and their assistants) aged 22-55 years. Examination included analysis of risk factors, assessment of psychoemotional status (self-assessment of psychosocial stress using Reeder Stress Inventory [RSI] and Hospital Anxiety and Depression Scale [HADS]), detection of AH at working place by "Mathematical calculation" stress test. Three groups were formed according to results of RSI: with high (16.1%), medium (44.6%), and low (39.3%) level of stress. RESULTS: High level of stress was associated with older age (p < 0.01), stressful occupation (locomotive drivers) (p < 0.001), threat of emergency situations (p = 0.0007), history of early cardiovascular diseases (p = 0.02), insufficient consumption of vegetables and fruits (p = 0.02), higher body mass (p = 0.02), insufficient sleep duration (p = 0.02), subclinical, clinical anxiety and depression, work place AH (p = 0.002).

[Professional stress and development of stress-induced hypertension].

AIM OF THE STUDY: to elucidate rates of development of arterial hypertension (AH) at working place (wp), risk factors of cardiovascular diseases (CVD), anxiety depressive disorders in persons with professional stress. We carried out monitoring of arterial pressure during working hours and hours of rest, assessed risk factors of CVD development, and evaluated severity of symptoms of anxiety and depression using the Hamilton scale in 138 men (mean age 40.0+/-1.2 years). Results of the study evidenced for high frequency (46.4%) of development of AHwp among representatives of stressful occupations. Patients with AHwp have risk factors of CVD development and total coronary risk comparable with those of patients with hypertensive disease. Patients with AH have more pronounced anxiety depressive disorders than healthy subjects.