Associations of vital exhaustion and behavioral risk factors for cardiovascular diseases in young people

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

1. 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.)

2. 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-115-123

3. Saarinen 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/s11031-021-09878-2

4. Volz 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/ntt286

5. Cambron 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/hea0000797

6. Mantsch 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.2015.142

7. Epel 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.2018.03.001

8. Naczenski 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-RA

9. Warburton 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.051351

10. Kotova 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/ijerph18189691

11. 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.

12. Bühl A., Zöfel P. SPSS Version 10. Einführung in die moderne Datenanalyse unter Windows. 2005. 608 p.

13. 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)90029-5

14. Frestad 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.0000000000000423

15. Flores M.A. Smoking and vital exhaustion in industrial workers in Southern Ural. Human Ecology, 2019; 6: 59–64 (In Russ.). doi: 10.33396/1728-0869-2019-6-59-64

16. Prescott 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/dyg235

17. Alberg A.J., Shopland D.R., Cummings K.M. The 2014 Surgeon General’s report: commemorating the 50^th 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/kwt335

18. 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.

19. 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=12070

20. Vangeli 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.x

21. Kassel 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: 10.1037/0033-2909.129.2.270

22. Oberleitner 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/pha0000187

23. Joseph 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/s11136-013-0492-8

24. Feuerhahn 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.2012.709965

25. Rook J.W., Zijlstra F.R. The contribution of various types of activities to recovery. Eur. J. Work Organ. Psy., 2006; 15: 218–240. doi: 10.1080/13594320500513962

26. Klaperski 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/s10865-014-9562-9

27. Schuch 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.2016.02.023

28. 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