Diseases of the circulatory system and life expectancy of men in an industrial region

Introduction. In the Russian Federation, diseases of the circulatory system are leading in the structure of the common incidence and mortality in the adult population, and since 2008, they have also been the leading causes of death among the employable age population. Reducing mortality among the employable age population and mortality from diseases of the circulatory system are the most important target indices of the national project “Healthcare”.

Materials and methods. Life expectancy was calculated using an indirect (demographic) method, the contribution of mortality from diseases of the circulatory system by age groups to the differences in life expectancy of men in Kuzbass and subjects of the Russian Federation, and elimination reserves of life expectancy were calculated based on the component method.

The age-related mortality rates of the Russian Fertility and Mortality Database were used. To identify the incidence of atherosclerosis of the main arteries, 610 patients aged 47.003±4.875 years were examined.

Results. Mortality in Kuzbass men from diseases of the circulatory system is higher in all age groups compared to the Russian Federation, except for 20–29 years. In 2022, the difference in life expectancy with the Russian Federation is 3.30 years, of which 0.79 years is the contribution of diseases of the circulatory system (0.23 years – ischemic heart disease, 0.32 years – cerebrovascular diseases). The elimination reserve associated with the exclusion of mortality from diseases of the circulatory system is 5.78 years. In a random sample, we found a high occurrence of asymptomatic atherosclerosis in men of employable age (61.35%). Arterial hypertension as one of the leading risk factors for the development of atherosclerosis was revealed in almost half of the examined individuals (43.2%).

Limitations of the study are related to the duration of the preventive medical examination.

Conclusion. Regional features of the life expectancy of Kuzbass men and the impact of mortality from circulatory system diseases, a significant proportion of which is associated with atherosclerosis, have been identified. The elimination of mortality from diseases of the circulatory system promotes an increase in the life expectancy of Kuzbass men by 5.78 years.

Compliance with ethical standards. In accordance with the Declaration of Helsinki of the World Medical Association (2013 edition), all subjects read and signed informed consent to participate in the study, the protocol of which met the requirements of the Bioethics Committee of the Federal State Budgetary Scientific Institution “Research Institute for Complex Problems of Hygiene and Occupational Diseases” (Protocol of Meeting No. 4, § 1 dated November 18, 2021). All participants gave informed voluntary written consent to participate in the study.

Contribution:
Korotenko O.Yu. – concept and design of the study, collection of material, writing the text;
Baran O.I. – data analysis, writing the text.
All co-authors – approval of the final version of the article, responsibility for the integrity of all parts of the article.

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

Funding. The study had no sponsorship.

Received: June 25, 2025 / Revised: July 14, 2025 / Accepted: July 15, 2025 / Published: August 20, 2025

1. Drapkina O.M., Shal’nova S.A., Kalinina A.M., Drozdova L.Yu., Kontsevaya A.V., Shepel R.N., et al. Prevention of Major Chronic Non-Communicable Diseases and the Formation of a Healthy Lifestyle [Profilaktika osnovnykh khronicheskikh neinfektsionnykh zabolevanii i formirovanie zdorovogo obraza zhizni]. Moscow; 2024. https://doi.org/10.15829/ROPNIZ-d97-2024 https://elibrary.ru/ozroov (in Russian)

2. Budaev B.S., Kitsul I.S., Tarmaeva I.Yu., Bogdanova O.G. The analysis of morbidity and mortality of population because of diseases of blood circulation system. Problemy sotsial’noi gigieny, zdravookhraneniya i istorii meditsiny. 2021; 29(4): 865–70. https://doi.org/10.32687/0869-866X-2021-29-4-865-870 https://elibrary.ru/qnoirv (in Russian)

3. Garipova F.G., Zazdravnykh E.A. Assessment of the economic efficiency of preventive measures targeted at reducing the incidence of cardiovascular diseases in the workforce. Zdravookhranenie Rossiyskoy Federatsii. 2025; 69(1): 12–9. https://doi.org/10.47470/0044-197X-2025-69-1-12-19 https://elibrary.ru/zbypnp (in Russian)

4. Mukhin N.A., Kosarev V.V., Babanov S.A., Fomin V.V. Occupational Diseases [Professional’nyye bolezni]. Moscow: GEOTAR-Media; 2013. (in Russian)

5. Nechiporenko V.V., Boeva I.A., Mirnaia E.V. Sudden cardiac death and coronary heart disease in the production. Vestnik gigieny i epidemiologii. 2019; 23(2): 150–1. https://elibrary.ru/illlgs (in Russian)

6. Gurev A.V., Tukov A.R. The prevalence of persons with professional diseases. Profilakticheskaya i klinicheskaya meditsina. 2021; (1): 30–7. https://doi.org/10.47843/2074-9120_2021_1_30 https://elibrary.ru/ntoscs (in Russian)

7. Mach F., Baigent C., Catapano A.L., Koskinas K.C., Casula M., Badimon L., et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Rossiiskii kardiologicheskii zhurnal. 2020; 25(5): 121–93. https://doi.org/10.15829/1560-4071-2020-3826 https://elibrary.ru/fdliiw (in Russian)

8. Filimonov E.S., Korotenko O.Yu., Ulanova E.V. Atherosclerotic vascular lesion in the coal industry workers of average and high fatal risk groups. Meditsina truda i promyshlennaya ekologiya. 2024; 64(9): 582–7. https://doi.org/10.31089/1026-9428-2024-64-9-582-587 https://elibrary.ru/jfisrw (in Russian)

9. Napolskikh K.A., Sekletsova O.V. Kuzbass coal industry and ESG-principles. Vestnik Altaiskoi akademii ekonomiki i prava. 2022; (3–1): 83–8. https://doi.org/10.17513/vaael.2101 https://elibrary.ru/rpbvjs (in Russian)

10. Andreev E.M. Method of components in life expectancy analysis. Vestnik statistiki. 1982; (9): 42–7. (in Russian)

11. Gorchakova T.Yu., Churanova A.N. Current state of mortality of the working-age population in Russia and Europe. Meditsina truda i promyshlennaya ekologiya. 2020; 60(11): 756–9. https://doi.org/10.31089/1026-9428-2020-60-11-756-759 https://elibrary.ru/epvwtd (in Russian)

12. Tachkova I.A. State and ways of solving the demographic problem of Russia. Ekonomika. Sotsiologiya. Pravo. 2019; (4): 45–51. https://elibrary.ru/cacgfh (in Russian)

13. Shaikhlislamova E.R., Shastin A.S., Malykh O.L., Valeeva E.T., Gazimova V.G., Tsepilova T.M., et al. Incidence of circulatory system diseases among working population in certain entities of the Russian Federation between 2014 and 2020. Meditsina truda i ekologiya cheloveka. 2022; (3): 69–84. https://doi.org/10.24411/2411-3794-2022-10307 https://elibrary.ru/ehjhba (in Russian)

14. Akhmetov A.I., Glushakov A.I., Mamedova T.G. Modification and implementation of the parameters of objectification of the indicator of healthy life expectancy. Ekonomika i upravlenie: problemy, resheniya. 2024; 8(6): 184–91. https://doi.org/10.36871/ek.up.p.r.2024.06.08.027 https://elibrary.ru/danjcr (in Russian)

15. Bongiovanni D., Klug M., Valgimigli M., Bernlochner I. Not only lungs: COVID-19 hits platelets as well. Eur. Heart J. 2022; 43(22): 2092–3. https://doi.org/10.1093/eurheartj/ehac076

16. Drapkina O.M., Samorodskaya I.V. Trends in regional mortality rates from heart diseases in Russia in 2019–2021. Profilakticheskaya meditsina. 2022; 25(12): 64–70. https://doi.org/10.17116/profmed20222512164 https://elibrary.ru/epqmox (in Russian)

17. Yumaguzin V.V., Vinnik M.V. Assessing the quality of the cause-specific mortality statistics in Russian regions. Monitoring obshchestvennogo mneniya: ekonomicheskie i sotsial’nye peremeny. 2023; (2): 282–303. https://doi.org/10.14515/monitoring.2023.2.2368 https://elibrary.ru/vjndws (in Russian)

18. Smirnova T.M., Krut’ko V.N. Historical dynamics of mortality and its accounting for strategic planning of medical and social assistance for the elderly. Klinicheskaya gerontologiya. 2018; 24(9–10): 63–5. https://elibrary.ru/xwbnox (in Russian)

19. Bukhtiyarov I.V., Chebotarev A.G., Courierov N.N., Sokur O.V. Topical issues of improving working conditions and preserving the health of workers of mining enterprises. Meditsina truda i promyshlennaya ekologiya. 2019; 59(7): 424–9. https://doi.org/10.31089/1026-9428-2019-59-7-424-429 https://elibrary.ru/ejxzmd (in Russian)

20. Zelenina A.A., Shalnova S.A., Muromtseva G.A., Kapustina A.V., Balanova Yu.A., Evstifeeva S.E., et al. Association between cardiovascular mortality and deprivation in the adult population of Russia. Kardiovaskulyarnaya terapiya i profilaktika. 2024; 23(3): 59–69. https://doi.org/10.15829/1728-8800-2024-3903 https://elibrary.ru/ewekfj (in Russian)

21. Suslin S.A., Kiryakova O.V., Izmalkov N.S., Choloyan S.B. Dynamics of general morbidity and mortality of the adult population from diseases of the circulatory system. Sovremennyye problemy zdravookhraneniya i meditsinskoy statistiki. 2024; (5): 258–77. https://doi.org/10.24412/2312-2935-2024-5-258-277 https://elibrary.ru/cuojug (in Russian)