Daily trend of blood pressure in staff under conditions of shift work of railway transport

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  • Authors: Alpaev D.V.1,2,3, Serikov V.V.2, Dmitrieva E.V.1, Kostenko N.A.1, Zhovnerchuk E.V.4,5
  • Affiliations:
    1. Research Institute of Occupational Medicine named after A.I. Academician N.F. Izmerov of the Ministry of Education and Science of the Russian Federation
    2. Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Department of Occupational Pathology and Occupational Medicine
    3. Private healthcare institution “Central Clinical Hospital of Russian Railways – Medicine”
    4. Academy of Postgraduate Education “Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia”
    5. Science State Scientific Center of the Russian Federation Institute of Biomedical Problems of the Russian Academy of Sciences
  • Issue: Vol 102, No 9 (2023)
  • Pages: 914-920
  • Section: OCCUPATIONAL HEALTH
  • Published: 28.10.2023
  • URL: https://edgccjournal.org/0016-9900/article/view/638332
  • DOI: https://doi.org/10.47470/0016-9900-2023-102-9-914-920
  • EDN: https://elibrary.ru/zcejoi
  • ID: 638332

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Abstract

Introduction. The results of the study of features of the daily rhythm of blood pressure in people who constantly work in a rotational shift schedule, arising under the influence of night shift work, are discussed.

The purpose of the study was to determine the modifying effect of working night wakefulness on the parameters of the daily rhythm of blood pressure in persons employed in work with a night shift schedule.

Materials and methods. The analysis was carried out, in two cohorts of 19 years — 62 years employees of locomotive crews of Russian Railways. The study included drivers, assistant locomotive drivers, for at least 1 year, with night shifts n = 30,566, the number of measurements = 4,497,122, but borderline (high normal) blood pressure.

Results. The lowest levels of systolic blood pressure (SBP) were found to be recorded in a cohort of subjects per day with a night shift, the highest — in the general group of workers and in a cohort of subjects per day with a day shift.

The daily trend of SBP was characterized by a regular change of phases in all observation groups. In the general group, a subgroup of persons with normotonia, in a cohort of subjects, when working on a day shift, a DECLINE curve of the same type in configuration was formed.

Limitations. The representativeness of the sample size was ensured by the participation in the study of employees of locomotive crews with a range of ages of 19-62 years. The limitations of the study are related to the distribution of respondents by gender: there are no female respondents in the sample.

Conclusions. Parameters of the daily rhythm of blood pressure sensitively react to changes in working hours. To the greatest extent, changes in the daily rhythm during the hours of night working wakefulness are typical for the indicators of the daily rhythm of diastolic blood pressure.

Compliance with ethical standards. This study did not require the opinion of an ethics committee in connection with the analysis of data from retrospective pre-trip medical examination records.

Contribution:
Alpaev D.V. — study concept and design, editing;
Serikov V.V. — research concept and design, editing;
Dmitrieva E.V. — research concept and design, editing;
Kostenko N.A. — writing text, editing;
Zhovnerchuk E.V. — writing text, editing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

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

Acknowledgement. The study had no sponsorship.

Received: June 30, 2023 / Accepted: September 26, 2023 / Published: October 30, 2023

About the authors

Dmitry V. Alpaev

Research Institute of Occupational Medicine named after A.I. Academician N.F. Izmerov of the Ministry of Education and Science of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Department of Occupational Pathology and Occupational Medicine; Private healthcare institution “Central Clinical Hospital of Russian Railways – Medicine”

Author for correspondence.
Email: noemail@neicon.ru
ORCID iD: 0000-0001-8622-5988
Russian Federation

Vasily V. Serikov

Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Department of Occupational Pathology and Occupational Medicine

Email: noemail@neicon.ru
ORCID iD: 0000-0001-7523-4686
Russian Federation

Ekaterina V. Dmitrieva

Research Institute of Occupational Medicine named after A.I. Academician N.F. Izmerov of the Ministry of Education and Science of the Russian Federation

Email: noemail@neicon.ru
ORCID iD: 0000-0002-9204-753X
Russian Federation

Natalya A. Kostenko

Research Institute of Occupational Medicine named after A.I. Academician N.F. Izmerov of the Ministry of Education and Science of the Russian Federation

Email: noemail@neicon.ru
ORCID iD: 0000-0001-6290-6586
Russian Federation

Evgeniy V. Zhovnerchuk

Academy of Postgraduate Education “Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia”; Science State Scientific Center of the Russian Federation Institute of Biomedical Problems of the Russian Academy of Sciences

Email: zheviy@ya.ru
ORCID iD: 0000-0002-7078-7238

MD, PhD, DSci., Leading Researcher at the Academician N.F. Izmerov Research Institute of Occupational Medicine, Moscow, 105275, Russian Federation.

e-mail: zheviy@ya.ru

 

Russian Federation

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