Commitment to a healthy lifestyle in the prevention of hypertension in workers of harmful industries

Introduction. The formation of a healthy lifestyle is one of the priorities of the state’s policy in the prevention of chronic noncommunicable diseases, including arterial hypertension (AH), among the able-bodied population.

The aim of the study was to assess adherence to a healthy lifestyle (HLS) in the prevention of AH in workers of harmful industries.

Materials and methods. Individual preventive counseling was conducted, aimed at increasing adherence to healthy lifestyle and correcting risk factors, among one hundred thirty six AH workers of harmful industries. Adherence to a healthy lifestyle according to the “Healthy Lifestyle Profile” questionnaire and blood pressure (BP) indices were assessed at the initial consultation and after 3 years of the preventive program.

Results. 3 years after the start of the program, the proportion of employees who followed the recommendations on healthy lifestyle increased by 15–20% in the category of “good” adherence to healthy lifestyle and 5–7% in the category of “high” adherence to healthy lifestyle. There was an increase in scores on all scales characterizing the main components of healthy lifestyle: “Responsibility for health”, “Physical activity”, “Nutrition”, “Stress management”, “Inner growth”, "Interpersonal relationships”. The target BP levels (less than 135/85 mmHg) were achieved in 58% of the surveyed. The number of employees with a normal daily BP rhythm (“dippers”) increased from 45% to 61%. A significant effect of the components of healthy lifestyle (“Nutrition”, “Physical activity”, “Stress management”) on BP levels (r=0.57–0.61) was revealed.

Limitations. The assessment of adherence to a healthy lifestyle is limited by the number of surveyed workers of harmful industries exposed to noise and vibration, and the duration of observation.

Conclusion. The questionnaire based on the “Healthy Lifestyle profile” questionnaire can be used as a criterion for evaluating the effectiveness of hypertension prevention at the individual and group levels.

Compliance with ethical standards. The research program was approved by the Committee on Biomedical Ethics of the Federal Scientific Center of Hygiene named after F.F. Erisman (Protocol No. 16 of February 18, 2021). All participants gave informed voluntary written consent to participate in the study.

Contribution: All co-authors made an equal contribution to the research and preparation of the article for publication.

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

Funding. The study had no sponsorship.

Received: November 21, 2025 / Accepted: December 2, 2025 / Published: January 15, 2026

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