Esenamanova Marina K, Kochkorova Firuza A, Tsivinskaya Tatyana A, Vinnikov Denis, Aikimbaev Kairgeldy
1 Department of Hygiene Disciplines, Kyrgyz State Medical Academy named after I.K. Ahunbaev , Bishkek, Kyrgyz Republic.
High Alt Med Biol. 2014 Sep;15(3):412-7. doi: 10.1089/ham.2013.1150. Epub 2014 Aug 27.
The obesity and overweight rates in population exposed to chronic intermittent exposure to high altitudes are not well studied. The aim of the retrospective study was to evaluate whether there are differences in body mass index in different occupation groups working in intermittent shifts at mining industry at high altitude: 3800-4500 meters above sea level. Our study demonstrated that obesity and overweight are common in workers of high altitude mining industry exposed to chronic intermittent hypoxia. The obesity rate was lowest among miners as compared to blue- and white-collar employees (9.5% vs. 15.6% and 14.7%, p=0.013). Obesity and overweight were associated with older age, higher rates of increased blood pressure (8.79% and 5.72% vs. 1.92%), cholesterol (45.8% and 45.6% vs. 32.8%) and glucose (4.3% and 1.26% vs. 0.57%) levels as compared to normal body mass index category (p<0.0001 for all). There were differences in patterns of cholesterol and glucose levels in men and women employees according to occupation type. In conclusion, obesity and overweight rates are prevalent and associated with increase in blood pressure, cholesterol, and glucose levels in workers of mining industry exposed to intermittent high-altitude hypoxia. Therefore, assessment and monitoring of body mass index seems to be essential in those who live and work at high altitudes to supply the correct nutrition, modify risk factors, and prevent related disorders.
长期间歇性暴露于高海拔环境人群的肥胖和超重率尚未得到充分研究。这项回顾性研究的目的是评估在海拔3800 - 4500米的采矿业从事间歇性轮班工作的不同职业群体中,体重指数是否存在差异。我们的研究表明,长期间歇性缺氧的高海拔采矿业工人中肥胖和超重现象普遍。与蓝领和白领员工相比,矿工的肥胖率最低(9.5% 对 15.6% 和 14.7%,p = 0.013)。与正常体重指数类别相比,肥胖和超重与年龄较大、血压升高率较高(8.79% 和 5.72% 对 1.92%)、胆固醇(45.8% 和 45.6% 对 32.8%)和血糖(4.3% 和 1.26% 对 0.57%)水平升高有关(所有p < 0.0001)。根据职业类型,男女员工的胆固醇和血糖水平模式存在差异。总之,肥胖和超重率在暴露于间歇性高海拔缺氧的采矿业工人中普遍存在,并且与血压、胆固醇和血糖水平升高有关。因此,对于那些在高海拔地区生活和工作的人来说,评估和监测体重指数似乎至关重要,以便提供正确的营养、改变危险因素并预防相关疾病。