Association of Vital Exhaustion with Risk Factors for Cardiovascular Diseases, Quality of Life and Lifestyle in 41–44-Year-Old Muscovite Men
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Participants
2.2. Measurement Methods
2.3. Statistical Analyses
3. Results
4. Discussion
4.1. Vital Exhaustion versus Cardiovascular Risk Factors
4.2. Vital Exhaustion versus Sociopsychological Environment, Lifestyle and Quality of Life
5. Conclusions
Study Strengths and Limitations
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Risk Factors | Vital Exhaustion Levels | Chi-Squared Tests | ||||
---|---|---|---|---|---|---|
1 (n = 97) | 2 (n = 109) | 3 (n = 93) | Linear-by-Linear Association | Pearson’s Chi-Square | ||
Overweight status + obesity | yes | 71 (73) | 73 (67) | 57 (61) | x2 = 3.05 p = 0.081 | x2 = 3.06 p = 0.26 |
no | 26 (27) | 36 (33) | 36 (39) | |||
Abdominal obesity | yes | 50 (52) | 54 (50) | 40 (43) | x2 = 1.37 p = 0.242 | x2 = 1.52 p = 0.468 |
no | 47 (48) | 55 (50) | 53 (57) | |||
Arterial hypertension | yes | 32 (33) | 37 (34) | 45 (48) *† | x2 = 4.69 p = 0.030 | x2 = 6.04 p = 0.049 |
no | 65 (67) | 72 (66) | 48 (52) | |||
Dyslipidemia | yes | 73 (75) | 83 (76) | 65 (70) | x2 = 0.69 p = 0.405 | x2 = 1.15 p = 0.562 |
no | 24 (25) | 26 (24) | 28 (30) | |||
Current smokers | yes | 40 (41) | 50 (46) | 44 (47) | x2 = 0.71 p = 0.399 | x2 = 0.79 p = 0.675 |
no | 57 (59) | 59 (54) | 49 (53) | |||
Low physical activity | yes | 27 (28) | 24 (22) | 27 (29) | x2 = 0.03 p = 0.863 | x2 = 1.51 p = 0.471 |
no | 70 (72) | 85 (78) | 66 (71) | |||
Alcohol consumption | yes | 76 (78) | 86 (79) | 80 (86) | x2 = 1.78 p = 0.182 | x2 = 2.27 p = 0.321 |
no | 21 (22) | 23 (21) | 13 (14) | |||
Excessive alcohol consumption | yes | 11 (11) | 26 (24) * | 30 (32) *** | x2 = 11.95 p = 0.001 | x2 = 12.16 p = 0.002 |
no | 86 (89) | 83 (76) | 63 (68) |
Studied Indicators | Vital Exhaustion Levels | F-Test for Trend | ||
---|---|---|---|---|
1 (n = 97) | 2 (n = 109) | 3 (n = 93) | ||
Age, years | 42.9 (42.8–43.0) | 43.0 (42.9–43.1) | 42.9 (42.8–43.0) | F = 0.60, p = 0.440 |
SBP, mmHg | 121 (118–123) | 122 (119–124) | 125 (121–128) | F = 3.17, p = 0.076 |
DBP, mmHg | 82 (80–84) | 82 (80–84) | 84 (81–86) | F = 1.67, p = 0.198 |
Pulse, beats per minute | 73 (71–75) | 75 (73–77) | 75 (72–77) | F = 0.96, p = 0.328 |
BMI, kg/m2 | 28.7 (27.6–29.7) | 27.5 (26.6–28.4) | 26.9 (25.9–27.8) * | F = 6.85, p = 0.009 |
WC, cm | 96.3 (93.5–99.1) | 93.8 (91.4–96.3) | 93.3 (90.8–95.9) | F = 2.38, p = 0.124 |
WC/HC | 0.93 (0.92–0.95) | 0.93 (0.91–0.94) | 0.93 (0.92–0.95) | F = 0.03, p = 0.871 |
Hand-grip dynamometry, kg | 45.5 (44.2–46.8) | 43.6 (42.0–45.2) | 41.1 (39.5–42.6) *** | F = 16.41, p < 0.001 |
TCH, mmol/L | 5.7 (5.5–6.0) | 5.7 (5.4–5.9) | 5.8 (5.5–6.0) | F = 0.01, p = 0.907 |
HDL CH, mmol/L | 0.95 (0.90–1.01) | 0.99 (0.93–1.04) | 1.07 (0.98–1.15) * | F = 5.72, p = 0.017 |
LDL CH, mmol/L | 4.1 (3.9–4.4) | 4.0 (3.8–4.3) | 4.0 (3.8–4.3) | F = 0.57, p = 0.450 |
TG, mmol/L | 1.4 (1.2–1.6) | 1.5 (1.3–1.6) | 1.5 (1.2–1.7) | F = 0.34, p = 0.559 |
Number of smoked cigarettes per day | 15 (12–17) | 18 (15–21) | 18 (15–21) | F = 2.22, p = 0.138 |
The amount of consumed ethanol, g per week | 77.3 (55.1–99.5) | 119.1 (80.2–158.1) | 201.0 (136.7–265.2) ***† | F = 14.59, p < 0.001 |
Physical training and sports, hours per week | 2.3 (1.7–2.9) | 2.5 (1.9–3.1) | 1.5 (1.0–2.1) | F = 3.19, p = 0.075 |
Sedentary behavior, hours per day | 6.3 (5.7–6.8) | 7.8 (7.1–8.5) ** | 7.4 (6.7–8.1) * | F = 5.89, p = 0.016 |
Psychosocial stress score | 3.2 (3.1–3.3) | 2.9 (2.8–3.0) *** | 2.5 (2.4–2.7) ***††† | F = 79.02, p < 0.001 |
Studied Indicators | Vital Exhaustion Levels | F-Test | ||
---|---|---|---|---|
1 (n = 97) | 2 (n = 109) | 3 (n = 93) | ||
SBP, mmHg | 121 (118–124) | 122 (119–124) | 125 (121–128) | F = 1.58, p = 0.208 |
DBP, mmHg | 81 (79–84) | 82 (80–84) | 84 (81–86) | F = 0.93, p = 0.397 |
Pulse, beats per minute | 73 (71–75) | 75 (73–77) | 75 (73–77) | F = 0.86, p = 0.426 |
BMI, kg/m2 | 28.6 (27.6–29.6) | 27.5 (26.6–28.4) | 26.9 (25.9–28.0) | F = 2.46, p = 0.087 |
WC, cm | 95.9 (93.2–98.7) | 93.8 (91.3–96.3) | 93.7 (90.8–96.6) | F = 0.77, p = 0.463 |
WC/HC | 0.93 (0.91–0.95) | 0.93 (0.91–0.94) | 0.94 (0.92–0.95) | F = 0.30, p = 0.783 |
Hand-grip dynamometry, kg | 45.3 (43.7–46.9) | 43.6 (42.2–45.1) | 41.3 (39.6–42.9) ** | F = 5.36, p < 0.005 |
TCH, mmol/L | 5.7 (5.5–6.0) | 5.7 (5.5–5.9) | 5.8 (5.5–6.0) | F = 0.10, p = 0.909 |
HDL CH, mmol/L | 0.96 (0.89–1.03) | 0.99 (0.93–1.05) | 1.06 (0.99–1.13) | F = 1.89, p = 0.153 |
LDL CH, mmol/L | 4.1 (3.9–4.4) | 4.0 (3.8–4.3) | 4.0 (3.8–4.3) | F = 0.22, p = 0.801 |
TG, mmol/L | 1.4 (1.2–1.6) | 1.5 (1.3–1.6) | 1.5 (1.3–1.7) | F = 0.39, p = 0.680 |
Number of smoked cigarettes per day | 15 (12–18) | 18 (15–20) | 18 (15–21) | F = 1.33, p = 0.268 |
The amount of consumed ethanol, g per week | 70.3 (23.3–117.3) | 119.5 (77.3–161.7) | 209.1 (160.3–257.9) ***† | F = 7.47, p < 0.001 |
Physical training and sports, hours per week | 2.5 (1.9–3.1) | 2.5 (2.0–3.1) | 1.0 (0.7–1.9) *†† | F = 4.86, p = 0.008 |
Sedentary behavior, hours per day | 6.4 (5.7–7.2) | 7.8 (7.2–8.5) ** | 7.2 (6.5–7.9) | F = 4.23, p = 0.015 |
Studied Indicators | Vital Exhaustion Levels | F-Test | ||
---|---|---|---|---|
1 (n = 97) | 2 (n = 109) | 3 (n = 93) | ||
Education | 3.4 (3.2–3.5) | 3.2 (3.0–3.4) | 3.2 (3.0–3.4) | F = 1.74, p = 0.188 |
Social satisfaction | 71.5 (68.3–74.7) | 64.5 (61.2–67.9) * | 51.8 (46.7–56.8) **†† | F = 48.51, p < 0.001 |
The type of work | 3.6 (3.5–3.8) | 3.5 (3.3–3.7) | 3.3 (3.1–3.5) * | F = 7.26, p = 0.007 |
Working conditions | 69.8 (66.0–73.5) | 61.8 (56.8–66.8) * | 57.5 (52.5–62.5) *** | F = 13.40, p < 0.001 |
Working hours | 8.5 (7.9–9.1) | 8.7 (8.0–9.5) | 8.8 (8.0–9.5) | F = 0.29, p = 0.588 |
Working relationship with managers | 80.5 (77.3–83.8) | 76.5 (73.0–80.0) | 66.2 (61.1–71.2) **†† | F = 25.95, p < 0.001 |
Working relationships with colleagues | 83.9 (81.4–86.4) | 80.9 (78.1–83.8) | 72.7 (68.7–76.7) **†† | F = 24.12, p < 0.001 |
Job satisfaction | 76.8 (73.5–80.1) | 68.5 (64.8–72.1) ** | 54.7 (49.8–59.6) **†† | F = 59.08, p < 0.001 |
Lack of stress in the workplace | 59.4 (55.0–63.7) | 49.0 (44.5–53.4) ** | 46.5 (41.6–51.4) ** | F = 15.45, p < 0.001 |
Spiritual needs | 62.3 (58.8–65.8) | 52.4 (48.3–56.5) ** | 46.7 (42.2–51.3) **† | F = 27.82, p < 0.001 |
Hobby | 61.1 (55.7–66.4) | 58.9 (54.0–63.7) | 48.0 (42.5–53.6) **†† | F = 11.57, p = 0.001 |
Personal happiness level | 77.1 (74.2–80.1) | 71.1 (68.1–74.1) ** | 56.9 (53.1–60.7) **†† | F = 72.82, p < 0.001 |
Faith | 56.8 (49.9–63.7) | 57.7 (52.0–63.5) | 59.2 (53.0–65.5) | F = 0.28, p = 0.595 |
Enough friends | 74.9 (70.5–79.3) | 70.7 (66.2–75.3) | 56.7 (50.8–62.6) **†† | F = 25.02, p < 0.001 |
Satisfaction with friends | 76.1 (71.6–80.5) | 72.2 (67.7–76.6) | 61.3 (55.7–67.0) **†† | F = 17.24, p < 0.001 |
Family and relatives support | 90.7 (87.9–93.5) | 87.7 (84.4–91.0) | 81.1 (75.6–86.6) **† | F = 10.92, p = 0.001 |
Friends’ support | 78.9 (74.4–83.3) | 70.7 (65.9–75.5) | 56.5 (50.2–62.8) ***††† | F = 34.62, p < 0.001 |
Satisfaction with the authorities | 51.4 (46.4–56.4) | 46.6 (42.2–51.0) | 40.8 (35.4–46.2) ** | F = 8.75, p = 0.003 |
Availability of essential food | 82.4 (79.1–85.7) | 77.2 (73.8–80.6) * | 68.8 (64.3–73.4) **†† | F = 24.78, p < 0.001 |
Personal safety | 67.9 (64.5–71.3) | 64.3 (60.8–67.8) | 56.5 (52.2–60.8) **†† | F = 17.49, p < 0.001 |
Living space, sq. m | 75.2 (64.4–86.0) | 76.9 (63.1–90.7) | 56.9 (51.6–62.3) *† | F = 5.03, p = 0.026 |
Material well-being of the household | 67.2 (63.9–70.6) | 60.1 (56.6–63.6) ** | 53.5 (49.9–57.0) **†† | F = 29.62, p < 0.001 |
Satisfaction with earnings | 61.6 (57.1–66.1) | 52.5 (47.6–57.4) * | 47.2 (42.0–52.3) ** | F = 16.89, p < 0.001 |
Satisfaction with housing conditions | 68.7 (64.2–73.2) | 65.0 (60.1–69.8) | 59.0 (53.3–64.6) * | F = 7.10, p = 0.008 |
Environmental satisfaction | 64.0 (59.6–68.4) | 63.9 (59.9–67.8) | 47.7 (42.9–52.5) **†† | F = 25.65, p < 0.001 |
Satisfaction with living conditions | 76.7 (73.3–80.2) | 72.9 (69.3–76.5) | 65.9 (61.6–70.1) ***† | F = 15.80, p < 0.001 |
Dietary diversity | 74.1 (70.8–77.5) | 69.2 (65.8–72.5) | 59.5 (55.4–63.6) **†† | F = 30.62, p < 0.001 |
Satisfaction with food intake | 90.2 (87.6–92.8) | 88.7 (85.9–91.5) | 79.6 (75.5–83.6) **†† | F = 21.07, p < 0.001 |
Intimacy issues | 83.0 (79.7–86.2) | 75.6 (71.4–79.9) * | 64.5 (59.1–69.8) **†† | F = 34.18, p < 0.001 |
Satisfaction with sleep | 76.5 (72.7–80.2) | 65.9 (61.2–70.7) ** | 53.2 (47.6–58.7) **†† | F = 45.47, p < 0.001 |
Family happiness | 82.3 (78.5–86.2) | 76.8 (72.8–80.9) | 68.6 (63.3–73.8) **† | F = 19.22, p < 0.001 |
Studied Indicators | Vital Exhaustion Levels | F-Test | ||
---|---|---|---|---|
1 (n = 97) | 2 (n = 109) | 3 (n = 93) | ||
Education | 3.4 (3.2–3.6) | 3.2 (3.0–3.4) | 3.1 (2.9–3.4) | F = 1.29, p = 0.276 |
Social satisfaction | 70.9 (66.7–75.0) | 64.4 (60.7–68.2) * | 52.5 (48.2–56.7) ***††† | F = 17.12, p < 0.001 |
The type of work | 3.6 (3.5–3.8) | 3.5 (3.3–3.7) | 3.2 (3.1–3.4) * | F = 3.89, p = 0.021 |
Working conditions | 68.5 (63.7–73.2) | 61.8 (57.4–66.2) | 59.2 (53.9–64.5) * | F = 3.38, p = 0.035 |
Working hours | 8.7 (7.9–9.4) | 8.8 (8.1–9.5) | 8.5 (7.7–9.3) | F = 0.18, p = 0.837 |
Working relationship with managers | 80.3 (76.4–84.3) | 76.5 (72.7–80.3) | 66.4 (62.1–70.7) ***†† | F = 10.41, p < 0.001 |
Working relationships with colleagues | 82.4 (79.2–85.5) | 80.8 (77.9–83.7) | 74.6 (71.2–78.1) **† | F = 5.39, p = 0.005 |
Job satisfaction | 75.7 (71.6–79.7) | 68.5 (64.7–72.2) * | 56.1 (51.7–60.5) ***††† | F = 18.90, p < 0.001 |
Lack of stress in the workplace | 55.5 (51.1–60.0) | 48.7 (44.6–52.9) | 51.3 (46.4–56.2) | F = 2.41, p = 0.091 |
Spiritual needs | 62.7 (58.4–67.0) | 52.6 (48.7–56.4) ** | 46.3 (41.8–50.7) ***† | F = 12.61, p < 0.001 |
Hobby | 60.3 (54.8–65.9) | 58.6 (53.6–63.6) | 48.8 (43.1–54.6) *† | F = 4.27, p = 0.015 |
Personal happiness level | 76.2 (72.8–79.6) | 71.0 (67.9–74.1) * | 58.0 (54.4–61.6) ***††† | F = 25.04, p < 0.001 |
Faith | 56.1 (49.4–62.7) | 57.6 (51.6–63.7) | 60.1 (53.2–67.0) | F = 0.31, p = 0.734 |
Enough friends | 73.7 (68.5–78.8) | 71.3 (66.6–76.0) | 58.2 (52.8–63.5) ***††† | F = 8.92, p < 0.001 |
Satisfaction with friends | 74.7 (69.6–79.8) | 72.3 (67.7–76.9) | 62.9 (57.6–68.2) **† | F = 5.03, p = 0.007 |
Family and relatives support | 90.1 (85.9–94.3) | 87.5 (83.8–91.3) | 81.8 (77.5–86.2) * | F = 3.40, p = 0.035 |
Friends’ support | 77.9 (72.3–83.4) | 70.8 (65.8–75.8) | 57.6 (51.9–63.3) ***†† | F = 11.64, p < 0.001 |
Satisfaction with the authorities | 47.3 (42.3–52.3) | 46.2 (41.7–50.7) | 45.5 (40.3–50.6) | F = 0.12, p = 0.887 |
Availability of essential food | 82.8 (78.9–86.8) | 77.5 (73.9–81.1) * | 68.3 (64.3–72.4) ***†† | F = 11.45, p < 0.001 |
Personal safety | 65.6 (61.7–69.5) | 64.1 (60.6–67.6) | 59.1 (55.1–63.1) | F = 2.61, p = 0.076 |
Living space, sq. m | 77.3 (65.9–88.7) | 77.5 (66.8–88.1) | 54.4 (42.2–66.7) *† | F = 4.48, p = 0.012 |
Material well-being of the household | 66.7 (63.1–70.4) | 60.3 (56.9–63.6) * | 54.0 (50.2–57.9) **† | F = 9.94, p < 0.001 |
Satisfaction with earnings | 61.9 (56.8–67.1) | 53.0 (48.4–57.6) * | 46.8 (41.5–52.1) *** | F = 7.50, p < 0.001 |
Satisfaction with housing conditions | 68.2 (62.9–73.5) | 64.6 (59.8–69.4) | 59.5 (54.1–65.0) | F = 2.25, p = 0.107 |
Environmental satisfaction | 62.0 (57.4–66.6) | 63.5 (59.4–67.7) | 50.0 (45.2–54.8) **†† | F = 9.42, p < 0.001 |
Satisfaction with living conditions | 76.9 (73.0–80.8) | 73.5 (70.0–77.0) | 65.7 (61.6–69.7) ***†† | F = 7.28, p < 0.001 |
Dietary diversity | 75.0 (71.2–78.9) | 69.2 (65.7–72.6) * | 58.5 (54.5–62.4) ***††† | F = 16.04, p < 0.001 |
Satisfaction with food intake | 90.0 (86.6–93.3) | 88.7 (85.7–91.8) | 79.9 (76.4–83.3) ***††† | F = 9.26, p < 0.001 |
Intimacy issues | 82.7 (78.1–87.2) | 76.3 (72.2–80.4) * | 64.9 (60.2–69.5) ***††† | F = 13.30, p < 0.001 |
Satisfaction with sleep | 74.1 (69.1–79.1) | 65.6 (61.1–70.1) * | 55.9 (50.8–61.1) ***† | F = 11.19, p < 0.001 |
Family happiness | 80.7 (76.3–85.0) | 77.0 (72.9–81.1) | 70.6 (65.7–75.5) * | F = 4.04, p = 0.019 |
Independent Variables | B (95%CI) | p | b | R2 (Partial) | R2(Adjusted) | VIF |
---|---|---|---|---|---|---|
Constant term | 19.140 (16.546; 21.733) | <0.001 | – | – | 0.466 | – |
Personal happiness level | −0.036 (−0.056; −0.015) | 0.001 | −0.193 | 0.255 | 1.523 | |
Psychosocial stress | −1.494 (−2.097; −0.891) | <0.001 | −0.247 | 0.093 | 1.175 | |
Job satisfaction | −0.027 (−0.045; −0.010) | 0.002 | −0.171 | 0.049 | 1.423 | |
Satisfaction with sleep | −0.023 (−0.036; −0.009) | 0.001 | −0.177 | 0.028 | 1.258 | |
Total volume of consumed ethanol, g per week | 0.002 (0.001; 0.003) | 0.001 | 0.154 | 0.023 | 1.045 | |
Hand-grip dynamometry | −0.060 (−0.101; −0.019) | 0.001 | −0.138 | 0.016 | 1.045 | |
Satisfaction with living conditions | −0.020 (−0.037; −0.003) | 0.023 | −0.113 | 0.011 | 1.118 | |
Spiritual needs | −0.016 (−0.031; −0.0001) | 0.049 | −0.097 | 0.008 | 1.103 |
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Kotova, M.B.; Rozanov, V.B.; Kiselev, A.R.; Maksimov, S.A.; Drapkina, O.M. Association of Vital Exhaustion with Risk Factors for Cardiovascular Diseases, Quality of Life and Lifestyle in 41–44-Year-Old Muscovite Men. Int. J. Environ. Res. Public Health 2021, 18, 9691. https://doi.org/10.3390/ijerph18189691
Kotova MB, Rozanov VB, Kiselev AR, Maksimov SA, Drapkina OM. Association of Vital Exhaustion with Risk Factors for Cardiovascular Diseases, Quality of Life and Lifestyle in 41–44-Year-Old Muscovite Men. International Journal of Environmental Research and Public Health. 2021; 18(18):9691. https://doi.org/10.3390/ijerph18189691
Chicago/Turabian StyleKotova, Marina B., Vyacheslav B. Rozanov, Anton R. Kiselev, Sergey A. Maksimov, and Oxana M. Drapkina. 2021. "Association of Vital Exhaustion with Risk Factors for Cardiovascular Diseases, Quality of Life and Lifestyle in 41–44-Year-Old Muscovite Men" International Journal of Environmental Research and Public Health 18, no. 18: 9691. https://doi.org/10.3390/ijerph18189691