Arustamian O. Hygienic bases of early prevention of metabolic syndrome in workers of locomotive crews.

Thesis deals with the basics of hygiene and justification of early prevention of metabolic syndrome in workers of locomotive crews. Research include the study of the influence of harmful production and non-production factors on the development of dismetabolic disorders and the formation of their cardiovascular disease, the study of the nature and dynamics of manifestations dismetabolic disorders, metabolic syndrome, structural and functional changes in the cardiovascular system, depending on the experience of work of workers of locomotive crews. It was found that with increasing seniority in adverse working conditions for workers locomotive crews develops and progresses metabolic syndrome, that manifested by abdominal obesity, dyslipidemia and hyperglycemia on an empty stomach, and there are structural and functional changes in the cardiovascular system and hemodynamic disorders in cranial blood vessels. We must assume that it may be caused by a combination of harmful factors, and the presence of major risk factors (physical inactivity, violation of the regime and diet, smoking, stress factor) affecting the organism of drivers of locomotive and their assistants. Based on the results of the study was set up medical scheme of clinical examination of locomotive crews, depending on their length of service with the formation of groups at risk of metabolic syndrome and cardiovascular disease with the provision of preventive and treatment recommendations.