The possibilities of using non-medicinal methods to reduce the risk of hypertension in workers of harmful industries

Introduction. Harmful physical factors of production, such as noise and vibration, having a prohypertensive effect, cause nonspecific adverse responses of the cardiovascular system and ause an increased risk of arterial hypertension (AH), which requires additional preventive measures. In this regard, the therapeutic method of transcranial electrical stimulation (TES therapy), which has a targeted effect on neuroendocrine regulation, stress adaptation, and some functional parameters of vascular tone, seems promising.

The aim of the study. To evaluate the effectiveness of TES therapy in preventing and reducing the risk of arterial hypertension in workers of harmful industries.

Materials and methods. The study included eighty five workers of harmful industries engaged in production processes accompanied by significant noise and vibration, and who have an increased risk for hypertension. During the implementation of the preventive program using TES therapy, the state of health was assessed according to daily blood pressure monitoring (DBPM), adaptive potential, heart rate variability, and psychological indicators (Spielberger test, Well-being, Activity, Mood(SAN) test, SF-36 quality of life questionnaire).

Results. TES therapy helps to normalize blood pressure (p < 0.05), heart rate variability (p < 0.05), reflecting a decrease in the tone of the sympathetic nervous system (p < 0.05), and a decrease in the index of functional changes. The use of TES therapy led to an improvement in the psycho-emotional state due to a decrease in the level of reactive anxiety, an increase in the SAN test, and an improvement in the SF-36 quality of life (p < 0.05).

Research limitations. The study is limited to evaluating the effectiveness of TES therapy in 85 workers of harmful industries with increased noise and vibration levels, who have an increased risk of hypertension.

Conclusion. The results of the study make it possible to recommend the inclusion of TES therapy in the management system for personalized occupational risk of hypertension among workers in harmful industries associated with increased noise and vibration levels.

Compliance with ethical standards. The research program was approved by the Committee on Biomedical Ethics of the Federal Scientific Center of Hygiene named after F.F. Erisman” of Rospotrebnadzor (Protocol No. 16 of February 18, 2021). All participants gave informed voluntary written consent to participate in the study.

Contribution of the authors:
Sukhova A.V. — the concept and design of the study, collection and static processing of material, writing a text, collection of literature data, editing;
Preobrazhenskaya E.A. — the concept and design of the study, collection and static processing of material, writing a text, collection of literature data, editing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Funding. The study had no sponsorship.

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

Received: October 1, 2025 / Accepted: October 8, 2025 / Published: December 17, 2025

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