Occupational risk of developing chronic non-communicable diseases in bearing production workers

Introduction. Prevention of chronic non-communicable diseases, maintaining health and prolonging the occupational longevity of the working population is the most important strategic direction of the state policy of the Russian Federation in the field of public health

The purpose. Stratification of the occupational risk of developing chronic non-communicable diseases among workers in the production of bearings for the subsequent development of specialized targeted programs for the prevention of health disorders.

Material and methods. An assessment of the occupational risk of developing chronic non-communicable diseases among workers in the production of bearings is given on the basis of complex studies of production factors, primary and general chronic morbidity using the methodology for assessing occupational health risk.

Results. It has been established that the development of chronic non-infectious diseases in bearing production workers is determined by a complex of harmful (classes 3.2–3.4) factors of the working environment of various nature, which form an occupational health risk in categories from medium to very high. In the structure of the general chronic non-infectious morbidity of workers, diseases of the eye and its adnexa (24.4%), diseases of the musculoskeletal system and connective tissue (20.7%), diseases of the circulatory system (19.32%) and diseases of the endocrine system had the highest prevalence in systems of eating disorders and metabolic disorders — 15.1%. A causal relationship of varying severity with the work of the most common nosological forms of chronic was revealed as arterial hypertension (RR = 1.425; EF = 29.837%; C = 1.044–1.945), obesity (RR = 1.731; EF = 42.24%; CI = 1.219–2.459), presbyopia (RR = 2.443; EF = 59.071%; CI = 1.549–3.855), indicating their occupational conditioning.

Limitations. The limitation of the study was the assessment of the occupational risk of developing chronic non-communicable diseases in one occupational cohort of workers.

Conclusion. The development of specialized programs for the prevention of chronic non-communicable diseases among workers should include the study of causal aspects of health disorders and the rationale for measures to minimize the impact of occupational risk factors for occupationally determined pathology.

Compliance with ethical standards. The study was approved by the local ethical committee of the Saratov Scientific Research Center for Hygiene, Saratov, Protocol No 3 dated 16.01.2023. All examined and signed an informed consent to participate in the study.

Contribution of the authors:
Novikova T.A. — research concept and design, writing the text;
Bezrukova G.A. — writing the text, editing;
Kochetova N.A. — statistical data processing;
Migacheva A.G. — the collection and processing of the material;
Aleshina Yu.A. — the collection and processing of the material;
Raikova S.V. — the collection and processing of the material.
All coauthors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment. The study had no sponsorship.

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

Received: July 3, 2023
Accepted: October 11, 2023
Published: December 23, 2023

1. Resolution adopted by the General Assembly on 25 September 2015. Transforming our world: the 2030 Agenda for Sustainable Development. Available at: https://www.un.org/en/development/desa/population/migration/generalassembly/docs/globalcompact/A_RES_70_1_E.pdf

2. WHO/ILO joint estimates of the work-related burden of disease and injury, 2000–2016: global monitoring report. Geneva; 2021. Available at: https://apps.who.int/iris/bitstream/handle/10665/345242/9789240034945-eng.pdf

3. Korolenko A.V., Kalachikova O.N. Determinants of health of the working population: conditions and nature of work. Zdorov’e naseleniya i sreda obitaniya – ZNiSO. 2020; (11): 22–30. https://doi.org/10.35627/2219-5238/2020-332-11-22-30 https://elibrary.ru/cbizhm (in Russian)

4. Bukhtiyarov I.V., Kuz’mina L.P., Pfaf V.F. Actual problems of prevention of production-related pathology. In: Bukhtiyarova I.V., ed. Actual Problems of Occupational Medicine [Aktual’nye problemy meditsiny truda]. Saratov: Amirit; 2018: 26–37. (in Russian)

5. Vladimirova A.S., Gribanova N.V. Analysis of the competitiveness of the Russian bearing market. Mezhdunarodnyy studencheskiy nauchnyy vestnik. 2018; (5): 110. https://elibrary.ru/xzpccl (in Russian)

6. Trofimova V.M., Trushkova E.A. Analysis of social-hygienic lifestyle factors working in the enterprise engineering. Analysis of social and hygienic factors of the lifestyle of workers at a mechanical engineering enterprise. Mezhdunarodnyy studencheskiy nauchnyy vestnik. 2017; (3): 62. https://elibrary.ru/ytpzyh (in Russian)

7. Latyshevskaya N.I., Alborova M.A., Davydenko L.A., Filatov B.N. Working conditions and prevalence of musculoskeletal pain in metalworking machine operators. Meditsina truda i promyshlennaya ekologiya. 2022; 62(1): 53–8. https://doi.org/10.31089/1026-9428-2022-62-1-53-58 (in Russian)

8. Chen Y., Zhang M., Qiu W., Sun X., Wang X., Dong Y., et al. Prevalence and determinants of noise-induced hearing loss among workers in the automotive industry in China: A pilot study. J. Occup. Health. 2019; 61(5): 387–97. https://doi.org/10.1002/1348-9585.12066

9. Melent’ev A.V., Serebryakov P.V., Zheglova A.V. Influence of noise and vibration on nervous regulation of heart. Meditsina truda i promyshlennaya ekologiya. 2018; 58(9): 19–23. https://doi.org/10.31089/1026-9428-2018-9-19-23 https://elibrary.ru/yjgust (in Russian)

10. Bolm-Audorff U., Hegewald J., Pretzsch A., Freiberg A., Nienhaus A., Seidler A. Occupational noise and hypertension risk: A systematic review and meta-analysis. Int. J. Environ. Res. Public Health. 2020; 17(17): 6281. https://doi.org/10.3390/ijerph17176281

11. Obukhova M.P., Valeeva E.T., Volgareva A.D., Galimova R.R., Gimranova G.G. Analysis of results of studying hemomicrocirculation in subjects exposed to different industrial factors. Permskiy meditsinskiy zhurnal. 2016; 33(4): 94–101. https://elibrary.ru/wlyrgt (in Russian)

12. Flouris A.D., Dinas P.C., Ioannou L.G., Nybo L., Havenith G., Kenny G.P., et al. Workers’ health and productivity under occupational heat strain: a systematic review and meta-analysis. Lancet Planet Health. 2018; 2(12): e521–31. https://doi.org/10.1016/S2542-5196(18)30237-7

13. Strizhakov L.A., Babanov S.A., Borisova D.K., Agarkova A.S., Ostryakova N.A., Kiryushina T.M. Occupational and work-related lesions of the cardiovascular system: problems of causation. Vrach. 2020; 31(12): 5–11. https://doi.org/10.29296/25877305-2020-12-01 https://elibrary.ru/knuqdd (in Russian)

14. Work-related musculoskeletal disorders: prevalence, costs and demographics in the EU. EU-OSHA; 2019. Available at: https://osha.europa.eu/en/publications/msds-facts-and-figures-overview-prevalence-costs-and-demographics-msds-europe

15. 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 of 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)

16. Кuo W.C., Bratzke L.C., Oakley L.D., Kuo F., Wang H., Brown R.L. The association between psychological stress and metabolic syndrome: A systematic review and meta-analysis. Obes. Rev. 2019; 20(11): 1651–64. https://doi.org/10.1111/obr.12915

17. Wong K., Chan A.H.S., Ngan S.C. The effect of long working hours and overtime on occupational health: a meta-analysis of evidence from 1998 to 2018. Int. J. Environ. Res. Public Health. 2019; 16(12): 2102. https://doi.org/10.3390/ijerph16122102