aterosklerozАтеросклерозAteroscleroz2078-256X2949-3633НИИТПМ-филиал ИЦиГ СО РАН10.52727/2078-256X-2024-20-2-145-153ateroskleroz-1053Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESАссоциации жизненного истощения и поведенческих факторов риска сердечно-сосудистых заболеваний у лиц молодого возрастаAssociations of vital exhaustion and behavioral risk factors for cardiovascular diseases in young peoplehttps://orcid.org/0000-0001-5701-7856ГафаровВ. В.GafarovV. V.

Валерий Васильевич Гафаров, д-р мед. наук, проф., руководитель лаборатории

лаборатория психологических и социологических проблем терапевтических заболеваний

630089,; ул. Бориса Богаткова, 175/1; Новосибирск

Valery V. Gafarov, doctor of medical sciences, professor, head laboratory

laboratory of psychological and sociological problems of therapeutic diseases

630089; 175/1, Boris Bogatkov str.; Novosibirsk

valery.gafarov@gmail.comhttps://orcid.org/0000-0001-8313-3893ГромоваЕ. А.GromovaE. A.

Елена Алексеевна Громова, д-р мед. наук, ведущий научный сотрудник

лаборатория психологических и социологических проблем терапевтических заболеваний

630089,; ул. Бориса Богаткова, 175/1; Новосибирск

Elena A. Gromova, doctor of medical sciences, leading researcher

laboratory of psychological and sociological problems of therapeutic diseases

630089; 175/1, Boris Bogatkov str.; Novosibirsk

https://orcid.org/0000-0001-5255-5647ГагулинИ. В.GagulinI. V.

Игорь Вячеславович Гагулин, старший научный сотрудник

лаборатория психологических и социологических проблем терапевтических заболеваний

630089,; ул. Бориса Богаткова, 175/1; Новосибирск

Igor V. Gagulin, senior researcher

laboratory of psychological and sociological problems of therapeutic diseases

630089; 175/1, Boris Bogatkov str.; Novosibirsk

https://orcid.org/0000-0002-2470-2133ДенисоваД. В.DenisovaD. V.

Диана Вахтанговна Денисова, д-р мед. наук, главный научный сотрудник

лаборатория профилактической медицины

630089,; ул. Бориса Богаткова, 175/1; Новосибирск

Diana V. Denisova, doctor of medical sciences, chief researcher

laboratory of preventive medicine

630089; 175/1, Boris Bogatkov str.; Novosibirsk

https://orcid.org/0000-0002-3898-3247ТрипельгорнА. Н.TripelgornA. N.

Александра Николаевна Трипельгорн, младший научный сотрудник

лаборатория психологических и социологических проблем терапевтических заболеваний

630089,; ул. Бориса Богаткова, 175/1; Новосибирск

Alexandra N. Tripelgorn, junior researcher

laboratory of psychological and sociological problems of therapeutic diseases

630089; 175/1, Boris Bogatkov str.; Novosibirsk

https://orcid.org/0000-0001-5380-9434ГафароваА. В.GafarovaA. V.

Альмира Валерьевна Гафарова, старший научный сотрудник

лаборатория психологическихи социологических проблем терапевтических заболеваний

630089,; ул. Бориса Богаткова, 175/1; Новосибирск

Almira V. Gafarova, senior researcher

laboratory of psychological and sociological problems of therapeutic diseases

630089; 175/1, Boris Bogatkov str.; Novosibirsk

Научно-исследовательский институт терапии и профилактической медицины – филиал Федерального государственного бюджетного научного учреждения «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»РоссияResearch Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics,Siberian Branch of Russian Academy of SciencesRussian Federation202404072024202145153Copyright © Гафаров В.В., Громова Е.А., Гагулин И.В., Денисова Д.В., Трипельгорн А.Н., Гафарова А.В., 20242024Гафаров В.В., Громова Е.А., Гагулин И.В., Денисова Д.В., Трипельгорн А.Н., Гафарова А.В.Gafarov V.V., Gromova E.A., Gagulin I.V., Denisova D.V., Tripelgorn A.N., Gafarova A.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://ateroskleroz.elpub.ru/jour/article/view/1053

   Цель исследования – проанализировать ассоциации жизненного истощения (ЖИ) с курением и физической активностью среди лиц 25–44 лет г. Новосибирска.

   Материал и методы

   Материал и методы. Выполнено исследование случайной репрезентативной выборки лиц 25–44 лет из базы данных Территориального фонда обязательного медицинского страхования в одном из районов г. Новосибирска в 2013–2016 гг. Обследовано 975 лиц, в том числе 427 мужчин (возраст 34,0 ± 0,4 года) и 548 женщин (возраст 35,0 ± 0,4 года). Отклик составил 50 %. Для оценки уровня ЖИ предлагалась шкала MOPSY по ЖИ; отношение к курению и физической нагрузке исследовалось шкалой «Знание и отношение к своему здоровью», ранее апробированной и валидированной для изучаемой популяции в программе ВОЗ «MONICA-психосоциальная (MOPSY)». Материалы обработаны в соответствии с алгоритмами, представленными программой ВОЗ «MONICA», и получены результаты по шкалам.

   Результаты

   Результаты. ЖИ наблюдалось у 48,6 % участников. Курили 58,9 % респондентов (p < 0,001). Среди лиц с высоким уровнем ЖИ (ВЖИ) пытались изменить курение, но безуспешно 0,5 % (p < 0,05). Респондентам был задан вопрос: «Делаете ли вы физзарядку дома?», среди лиц с ВЖИ обоего пола в 53,2 % случаев преобладал ответ «я должен был делать зарядку, но не делаю» (p < 0,01). На вопрос: «Как вы проводите досуг?» среди людей с ВЖИ чаще встречался ответ «физически пассивно» (38 %, p < 0,001).

  Заключение

  Заключение. Лица с ВЖИ имеют большую зависимость от курения и более низкий уровень физической активности.

   Aim of the study was to analyze the associations of vital exhaustion (VE) with smoking and physical activity among people 25–44 years old in the city of Novosibirsk.

   Material and methods

   Material and methods. A study was carried out on a random representative sample of people aged 25–44 years from the database of the Territorial Compulsory Health Insurance Fund in one of the districts of Novosibirsk in 2013–2016. 975 individuals were examined, including 427 men (age 34.0 ± 0.4 years) and 548 women (age 35.0 ± 0.4 years). The response rate was 50 %. To assess the level of vital exhaustion (VE), the MOPSY scale for VE was proposed; attitudes towards smoking and physical activity were studied using the “Knowledge and attitude towards one’s health” scale, previously tested and validated for the study population in the WHO program “MONICA-psychosocial (MOPSY)”. The materials were processed in accordance with the algorithms presented by the WHO program “MONICA” and the results were obtained on the scales.

   Results

   Results. VE was observed in 48.6 % of participants. 58.9 % of respondents smoked (p < 0.001). Among individuals with a high level of VE (HVE), 10.5 % attempted to change smoking, but were unsuccessful (p < 0.05). Respondents were asked the question: “Do you do physical exercises at home?”, among persons with HVE of both sexes, the answer “I should have done exercises, but I don’t” prevailed in 53.2 % cases (p < 0.01). To the question: “How do you spend your leisure time?” among people with HVE, the answer “physically passive” was more common – 38 % (p < 0.001).

   Conclusions

   Conclusions. Individuals with HVE have a greater dependence on smoking and a lower level of physical activity.

жизненное истощениефизическая активностькурениесердечно-сосудистые заболеванияvital exhaustionphysical activitysmokingcardiovascular diseasesРабота выполнена в рамках бюджетного финансирования по теме FWNR-2024-0002The work was carried out within the framework of the budget topic FWNR-2024-0002ReferencesГафаров В.В., Громова Е.А., Гагулин И.В., Гафарова А.В. Изучение влияния жизненного истощения на риск возникновения инфаркта миокарда в популяции мужчин 25–64 лет. Клиническая медицина, 2005; 83 (5): 23–26.Gafarov V.V., Gromova E.A., Gagulin I.V., Gafarova A.V. Study of the influence of vital exhaustion on myocardial infarction risk in a male population aged 25 to 64 years. Clinical Medicine, 2005; 83 (5): 23–26 (In Russ.)Гафаров В.В., Громова Е.А., Максимов В.Н., Гагулин И.В., Юдин Н., Гафарова А.В., Мишакова Т. Сердечно-сосудистые заболевания и жизненное истощение: проспективное исследование в России/Сибири (программа ВОЗ МОНИКА – психосоциальная). Рос. кардиол. журн., 2016; 4: 115–123. doi: 10.15829/1560-4071-2016-4-eng-115-123.Gafarov V., Voevoda M., Gromova E., Maksimov V., Gagulin I., Yudin N., Gafarova A., Mishakova T. Cardiovascular diseases and vital exhaustion: a prospective study in Russia/Siberia (WHO MONICA program - psychosocial). Russian Journal of Cardiology, 2016; 4: 115–123. (In Russ.). doi: 10.15829/1560-4071-2016-4-eng-115-123Saarinen A., Keltikangas-Järvinen L., Viding E., Dobewall H., Kaseva K., Lehtimäki T., Raitakari O., Hintsanen M. Compassion protects against vital exhaustion and negative emotionality. Motiv. Emot., 2021; 45 (4): 506–517. doi: 10.1007/s11031-021-09878-2Saarinen A., Keltikangas-Järvinen L., Viding E., Dobewall H., Kaseva K., Lehtimäki T., Raitakari O., Hintsanen M. Compassion protects against vital exhaustion and negative emotionality. Motiv. Emot., 2021; 45 (4): 506–517. doi: 10.1007/s11031-021-09878-2Volz A.R., Dennis P.A., Dennis M.F., Calhoun P.S., Wilson S.M., Beckham J.C. The role of daily hassles and distress tolerance in predicting cigarette craving during a quit attempt. Nicotine & Tobacco Research, 2014; 16 (6): 872–875. doi: 10.1093/ntr/ntt286Volz A.R., Dennis P.A., Dennis M.F., Calhoun P.S., Wilson S.M., Beckham J.C. The role of daily hassles and distress tolerance in predicting cigarette craving during a quit attempt. Nicotine & Tobacco Research, 2014; 16 (6): 872–875. doi: 10.1093/ntr/ntt286Cambron C., Haslam A.K., Baucom B.RW., Lam C., Vinci C., Cinciripini P., Li L., Wetter D.W. Momentary precipitants connecting stress and smoking lapse during a quit attempt. Health Psychol., 2019; 38 (12): 1049–1058. doi: 10.1037/hea0000797Cambron C., Haslam A.K., Baucom B.RW., Lam C., Vinci C., Cinciripini P., Li L., Wetter D.W. Momentary precipitants connecting stress and smoking lapse during a quit attempt. Health Psychol., 2019; 38 (12): 1049–1058. doi: 10.1037/hea0000797Mantsch J.R., Baker D.A., Funk D., Lê A.D., Shaham Y. Stress-induced reinstatement of drug seeking: 20 years of progress. Neuropsychopharmacology, 2016; 41 (1): 335. doi: 10.1038/npp.2015.142Mantsch J.R., Baker D.A., Funk D., Lê A.D., Shaham Y. Stress-induced reinstatement of drug seeking: 20 years of progress. Neuropsychopharmacology, 2016; 41 (1): 335. doi: 10.1038/npp.2015.142Epel E.S., Crosswell A.D., Mayer S.E., Prather A.A., Slavich G.M., Puterman E., Mendes W.B. More than a feeling: A unified view of stress measurement for population science. Frontiers in Neuroendocrinology, 2018; 49: 146–169. doi: 10.1016/j.yfrne.2018.03.001Epel E.S., Crosswell A.D., Mayer S.E., Prather A.A., Slavich G.M., Puterman E., Mendes W.B. More than a feeling: A unified view of stress measurement for population science. Frontiers in Neuroendocrinology, 2018; 49: 146–169. doi: 10.1016/j.yfrne.2018.03.001Naczenski L.M., de Vries J.D., van Hooff M.L., Kompier M.A.J. Systematic review of the association between physical activity and burnout. J. Occup. Healt., 2017; 59 (6): 477–494. doi: 10.1539/joh.17-0050-RANaczenski L.M., de Vries J.D., van Hooff M.L., Kompier M.A.J. Systematic review of the association between physical activity and burnout. J. Occup. Healt., 2017; 59 (6): 477–494. doi: 10.1539/joh.17-0050-RAWarburton D.E.R, Nicol C.W., Bredin S.S. Health benefits of physical activity: the evidence. CMAJ, 2006; 174: 801–809. doi: 10.1503/cmaj.051351Warburton D.E.R, Nicol C.W., Bredin S.S. Health benefits of physical activity: the evidence. CMAJ, 2006; 174: 801–809. doi: 10.1503/cmaj.051351Kotova M.B., Rozanov V.B., Kiselev A.R., Maksimov S.A., Drapkina O.M. Association of vital exhaustion with risk factors for cardiovascular diseases, quality of life and lifestyle in 41–44-year-old muscovite men. Int. J. Environ. Res. Public Health, 2021; 18 (18): 9691. doi: 10.3390/ijerph18189691Kotova M.B., Rozanov V.B., Kiselev A.R., Maksimov S.A., Drapkina O.M. Association of vital exhaustion with risk factors for cardiovascular diseases, quality of life and lifestyle in 41–44-year-old muscovite men. Int. J. Environ. Res. Public Health, 2021; 18 (18): 9691. doi: 10.3390/ijerph18189691MONICA, monograph, and multimedia sourcebook: world’s largest study of heart disease, stroke, risk factors, and population trends 1979–2002. Geneva: World Health Organization, 2003. 224 p.MONICA, monograph, and multimedia sourcebook: world’s largest study of heart disease, stroke, risk factors, and population trends 1979–2002. Geneva: World Health Organization, 2003. 224 p.Bühl A., Zöfel P. SPSS Version 10. Einführung in die moderne Datenanalyse unter Windows. 2005. 608 p.Bühl A., Zöfel P. SPSS Version 10. Einführung in die moderne Datenanalyse unter Windows. 2005. 608 p.Appels A., Höppener P., Mulder P.A. Questionnaire to assess premonitory symptoms of myocardial infarction. Int. J. Cardiol., 1987; 17 (1): 15–24 doi: 10.1016/0167-5273(87)90029-5Appels A., Höppener P., Mulder P.A. Questionnaire to assess premonitory symptoms of myocardial infarction. Int. J. Cardiol., 1987; 17 (1): 15–24 doi: 10.1016/0167-5273(87)90029-5Frestad D., Prescott E. Vital exhaustion and coronary heart disease risk : a systematic review and meta-analysis. Psychosom. Med., 2017; (3): 260–272. doi: 10.1097/psy.0000000000000423Frestad D., Prescott E. Vital exhaustion and coronary heart disease risk : a systematic review and meta-analysis. Psychosom. Med., 2017; (3): 260–272. doi: 10.1097/psy.0000000000000423Флорес М.А. Оценка связи курения и жизненного истощения среди работников предприятия Южного Урала. Экология человека, 2019; 06: 59–64. doi: 10.33396/1728-0869-2019-6-59-64.Flores M.A. Smoking and vital exhaustion in industrial workers in Southern Ural. Human Ecology, 2019; 6: 59–64 (In Russ.). doi: 10.33396/1728-0869-2019-6-59-64Prescott E., Holst C., Grønbæk M., Schnohr P., Jensen G., Barefoot J. Vital exhaustion as a risk factor for ischaemic heart disease and all-cause mortality in a community sample. A prospective study of 4084 men and 5479 women in the Copenhagen City Heart Study. Int. J. Epidemiol., 2003; 32 (6): 990–997. doi: 10.1093/ije/dyg235Prescott E., Holst C., Grønbæk M., Schnohr P., Jensen G., Barefoot J. Vital exhaustion as a risk factor for ischaemic heart disease and all-cause mortality in a community sample. A prospective study of 4084 men and 5479 women in the Copenhagen City Heart Study. Int. J. Epidemiol., 2003; 32 (6): 990–997. doi: 10.1093/ije/dyg235Alberg A.J., Shopland D.R., Cummings K.M. The 2014 Surgeon General’s report: commemorating the 50<sup>th</sup> Anniversary of the 1964 Report of the Advisory Committee to the US Surgeon General and updating the evidence on the health consequences of cigarette smoking. Am. J. Epidemiol., 2014; 179 (4): 403–412. doi: 10.1093/aje/kwt335Alberg A.J., Shopland D.R., Cummings K.M. The 2014 Surgeon General’s report: commemorating the 50<sup>th</sup> Anniversary of the 1964 Report of the Advisory Committee to the US Surgeon General and updating the evidence on the health consequences of cigarette smoking. Am. J. Epidemiol., 2014; 179 (4): 403–412. doi: 10.1093/aje/kwt335Wu P., Wilson K., Dimoulas P., Mills E.J. Effectiveness of smoking cessation therapies : a systematic review and meta-analysis. BMC Public Health, 2006; 6(1): 300. doi: 10.1186/1471-2458-6-300.Wu P., Wilson K., Dimoulas P., Mills E.J. Effectiveness of smoking cessation therapies : a systematic review and meta-analysis. BMC Public Health, 2006; 6(1): 300. doi: 10.1186/1471-2458-6-300.Перевезенцев Е.А., Ананьин С.А., Васина Д.Д., Кузьмина М.А. Самооценка состояния здоровья работающего населения как основной фактор мотивации здорового образа жизни. Вестник Нижегородского университета им. Н.И. Лобачевского. Серия: Социальные науки, 2023; 2 (70): 54–62. URL: http://www.vestnik-soc.unn.ru/ru/nomera?anum=12070.Perevezentsev E.A., Ananyin S.A., Vasina D.D., Kuzmina M.A. Self-assessment of the state of health of the working population as the main factor of motivation of a healthy lifestyle. Bulletin of the Nizhny Novgorod University named after N.I. Lobachevsky. Series: Social Sciences, 2023; 2 (70): 54–62. (In Russ.). URL: http://www.vestnik-soc.unn.ru/ru/nomera?anum=12070Vangeli E., Stapleton J., Smit E.S., Borland R., West R. Predictors of attempts to stop smoking and their success in adult general population samples : a systematic review. Addiction, 2011; 106 (12): 2110–2121. doi: 10.1111/j.1360-0443.2011.03565.xVangeli E., Stapleton J., Smit E.S., Borland R., West R. Predictors of attempts to stop smoking and their success in adult general population samples : a systematic review. Addiction, 2011; 106 (12): 2110–2121. doi: 10.1111/j.1360-0443.2011.03565.xKassel J.D., Stroud L.R., Paronis C.A. Smoking, stress, and negative affect: correlation, causation, and context across stages of smoking. Psychol. Bull., 2003; 129 (2): 270–304. doi: 10.1037/0033-2909.129.2.270Kassel J.D., Stroud L.R., Paronis C.A. Smoking, stress, and negative affect: correlation, causation, and context across stages of smoking. Psychol. Bull., 2003; 129 (2): 270–304. doi: 10.1037/0033-2909.129.2.270Oberleitner L., Moore K.E., Verplaetse T., Roberts W., McKee S.A. Developing a laboratory model of smoking lapse targeting stress and brief nicotine deprivation. Experimental and Clinical Psychopharmacology, 2018; 26 (3): 244. doi: 10.1037/pha0000187Oberleitner L., Moore K.E., Verplaetse T., Roberts W., McKee S.A. Developing a laboratory model of smoking lapse targeting stress and brief nicotine deprivation. Experimental and Clinical Psychopharmacology, 2018; 26 (3): 244. doi: 10.1037/pha0000187Joseph R.P., Royse K.E., Benitez T.J., Pekmezi D.W. Physical activity and quality of life among university students: exploring self-efficacy, self-esteem, and affect as potential mediators. Qual. Life Res., 2014; 23: 659–667. doi: 10.1007/s11136-013-0492-8Joseph R.P., Royse K.E., Benitez T.J., Pekmezi D.W. Physical activity and quality of life among university students: exploring self-efficacy, self-esteem, and affect as potential mediators. Qual. Life Res., 2014; 23: 659–667. doi: 10.1007/s11136-013-0492-8Feuerhahn N., Sonnentag S., Woll A. Exercise after work, psychological mediators, and affect: a day-level study. Eur. J. Work Organ. Psy., 2014; 23: 62–79. doi: 10.1080/1359432X.2012.709965Feuerhahn N., Sonnentag S., Woll A. Exercise after work, psychological mediators, and affect: a day-level study. Eur. J. Work Organ. Psy., 2014; 23: 62–79. doi: 10.1080/1359432X.2012.709965Rook J.W., Zijlstra F.R. The contribution of various types of activities to recovery. Eur. J. Work Organ. Psy., 2006; 15: 218–240. doi: 10.1080/13594320500513962Rook J.W., Zijlstra F.R. The contribution of various types of activities to recovery. Eur. J. Work Organ. Psy., 2006; 15: 218–240. doi: 10.1080/13594320500513962Klaperski S., von Dawans B., Heinrichs M., Fuchs R. Effects of a 12-week endurance training program on the physiological response to psychosocial stress in men: a randomized controlled trial. J. Behav. Med., 2014; 37: 1118–1133. doi: 10.1007/s10865-014-9562-9Klaperski S., von Dawans B., Heinrichs M., Fuchs R. Effects of a 12-week endurance training program on the physiological response to psychosocial stress in men: a randomized controlled trial. J. Behav. Med., 2014; 37: 1118–1133. doi: 10.1007/s10865-014-9562-9Schuch F.B., Vancampfort D., Richards J., Rosenbaum S., Ward P.B., Stubbs B. Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. J. Psychiatr. Res., 2016; 77: 42–51. doi: 10.1016/j.jpsychires.2016.02.023Schuch F.B., Vancampfort D., Richards J., Rosenbaum S., Ward P.B., Stubbs B. Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. J. Psychiatr. Res., 2016; 77: 42–51. doi: 10.1016/j.jpsychires.2016.02.023Драпкина О.М., Шишкова В.Н., Котова М.Б. Психоэмоциональные факторы риска хронических неинфекционных заболеваний в амбулаторной практике. Методические рекомендации для терапевтов. Кардиоваскуляр. терапия и профилактика, 2022; 21 (10): 3438. doi: 10.15829/1728-8800-2022-3438.Drapkina O.M., Shishkova V.M., Kotova M.B. Psychoemotional risk factors for non-communicable diseases in outpatient practice. Guidelines for internists. Cardiovascular Therapy and Prevention, 2022; 21 (10): 3438. (In Russ.). doi: 10.15829/1728-8800-2022-3438

The authors declare that there are no conflicts of interest present.