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C Deyanov

Publications and source records attributed to C Deyanov.

4 recordsLinked to original sources

Dyslipoproteinemias in industrial workers: relationship with hypertension and overweight.

The aim of the investigation was to study the lipid profile of industrial workers with attention to the relationship of lipid indexes with hypertension and overweight. 139 hypertensive male blue-collar workers were investigated, compared to 107 normotensive ones. The overweight and obese workers in each group were compared with normal body mass ones. Cholesterol and triacylglycerols (TG) were assayed by enzymatic tests CHOD-PAP and GPO-PAP respectively and the lipoprotein fractions were separated by precipitation method. Our results show high rate of industrial workers with dyslipoproteinemias, especially among the hypertensive and overweight and obese ones. The hypertension is associated with total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) and low density lipoprotein TG (LDL-TG), while overweight is related with TG and high density lipoprotein cholesterol (HDL-C), effecting significantly on very low density lipoprotein TG (VLDL-TG). The high rate of persons with concentrations of the examined lipid indexes indicating moderate and high cardiovascular risk motivates multifactorial preventive strategy towards coping the hypertension, optimizing the nutritional habits, increase in physical activity and reduction of body mass.

Adult↗

Prevalence of arterial hypertension among school teachers in Sofia.

The aim of the present study was to investigate the age-related changes of blood pressure (BP) and prevalence of arterial hypertension (AH) among school teachers. 168 female teachers between 25 and 55 years of age from comprehensive and technical schools in Sofia were studied. A group of 103 female employees (designers, researchers) served as controls. The age-related changes of systolic and diastolic BP were more pronounced in the teachers' group. An abrupt elevation of mean SBP was disclosed in teachers more than 45 years old and a significant difference of SBP between teachers during the first and second half of the fourth decade was found. The elevation of the DBP with age was more expressed among the teachers than the controls. A strong positive correlation between teachers' length of service and the levels of SBP and DBP was revealed (r = 0.56; p < 0.001 and r = 0.50; p < 0.001, respectively). The similarity in age distribution, body weight and tobacco consumption of the subjects of both examined groups, disqualify these variables as risk factors for the obtained age-related differences. The estimated relative risk for AH among teachers in total was 1.5 and the AH prevalence among teachers over 40 years old was 31%, which can classify this occupation as high risk for AH.

Adult↗

Cardiovascular changes at work: relation with some individual risk factors.

Heart rate (HR) acceleration during work which is accepted as a main cardiovascular response to stress could be influenced not only by the work itself but also by some behavioural variables. The purpose of this study was to investigate the effect of several individual characteristics (age, body mass index, arterial blood pressure, VO2max, leisure time physical activity, Type A behavior and neuroticism) on HR reactivity during work and rest. Sixty-nine male subjects practising several occupations (air traffic controllers, railway station controllers, managers, chemical operators, etc.) participated in the study. The common characteristic of all jobs was the presence of neuro-emotional strain of various degrees. The ECG Holter Medilog 4500 system was used for monitoring the HR during the working day. The HR at work was applied as a single dependent variable in the multiple regression analysis and the independent contribution of the following variables was evaluated: HR at rest, neuroticism and Type A behaviour pattern. They appeared to be the most significant determinants in this model and explained about 23% of the variation in HR during work. As second-rank predictors, age and leisure time physical activity led to a non-essential increase (up to 25%) of the multiple regression coefficient. In order to reduce the risk effects of health-related behaviours and individual patterns on the cardiovascular system it is recommended that a preventive approach based on behavioural modification should be adopted.

Adult↗

Cardiovascular changes in operators on 12-hour shifts.

Many alternative shift schedules "compress" the working week into a smaller number of days by adding more work hours per day. The assessment of such work schedules needs to take into consideration the advantages and disadvantages of this style of work on workers' health and well-being. The aim of the present study was to evaluate the cardiovascular strain in control room operators in a chemical plant working on an extended workday schedule and to assess their tolerance to the longer shifts. The cardiovascular strain of the operators (11 males and 10 females) was evaluated by ECG Holter monitoring during both the 12-hour day and night shifts. The results obtained indicate a light to moderate cardiovascular strain in the male operators. The higher work heart rate (HR) and more pronounced ECG changes (frequent HR peak values, transient ST-depressions, etc.) indicate a higher level of cardiovascular strain in the female group during the day shift. During the night shift the mean HR values were significantly lower in both groups. At night the HR of the male operators displayed a well expressed circadian rhythm while we observed a flattening of the HR variations in the female group. The results of the job analysis, the time-budget survey and the data obtained by the ECG Holter monitoring indicate in general that the cardiovascular strain in this occupation is acceptable and the chemical operators' job is suitable for a longer shift duration. Nevertheless a need for the improvement of the working conditions and organization, especially for the female operators, is apparent.

Adult↗