A hypertension treatment program at the workplace to complement community care

Sexton, Mary; Yuhas, Michael; Guyther, J R

doi:10.1016/0091-7435(85)90017-9

Cited by 6 publications

(3 citation statements)

References 14 publications

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“…Direct incentives toward achieving the above BP goal could also be explored. Furthermore, an integration of worksite health promotion and medical care would be ideal for firefighters to ensure adequate and cost‐effective follow‐up after screening examinations 34–37 …”

Section: Discussionmentioning

confidence: 99%

Prospective Surveillance of Hypertension in Firefighters

Soteriades

Kales

Liarokapis

et al. 2003

J of Clinical Hypertension

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The authors evaluated blood pressure and antihypertensive medication use in 334 firefighters in an occupational medical surveillance program. Firefighters received written summaries of their examination results, including blood pressures, and were encouraged to see their personal physicians for any abnormal results. The mean age of the participants was 39 years, and the vast majority were men (n=330). The prevalence of hypertension was 20% at baseline (1996), 23% in 1998, and 23% in 2000. Among firefighters with high blood pressure readings, only 17%, 25%, and 22% were taking antihypertensive medications at the baseline, 1998, and 2000 examinations, respectively. Medical surveillance was effective in detecting hypertension in firefighters; however, after 4 years of follow-up, only 42% of hypertensives were receiving treatment with medications, including only 22% of firefighters with hypertensive readings. Overall, 74% of hypertensives were not adequately controlled. Possible reasons for low treatment rates may be the inadequate recognition among primary care physicians that mild hypertension is a significant risk factor for cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Prospective Surveillance of Hypertension in Firefighters

Soteriades

Kales

Liarokapis

et al. 2003

J of Clinical Hypertension

View full text Add to dashboard Cite

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“…The difference was smaller in one study compared to chlorpromazine (Pellerito, 1956) and another to placebo (Hodgkinson, 1956) and in only one of these studies with a statistical comparison, nonsignificantly higher than diuretic, methyldopa, adrenergic blockers or beta-blockers (Bant, 1978). Clearer no-difference effects were in comparison with chlorpromazine (Bennett et al, 1956), placebo (Segal and Shapiro, 1959), beta-blockers, methyldopa, clonidine, diuretic (Dissegna et al, 1985) and other-treated participants in a cross-sectional examination (Zhu et al, 2019). Additionally, one study reported no significant difference in reserpine monotherapy compared with a variety of other medications (although overall, depression was numerically lower than comparators), except for a higher rate of depression identified in participants treated with both reserpine and pentolinium than other comparators (Wallace, 1955); a final study identified (numerically) lower rates of depression in reserpine than alpha methyldopa but higher depression in reserpine than in either captopril or metoprolol (Santucci et al, 1989).…”

Section: Primary Outcomementioning

confidence: 94%

The effects of reserpine on depression: A systematic review

et al. 2022

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Background: Reserpine is an effective antihypertensive drug, but its role in routine practice has declined such that it is rarely used. This is largely based on the assumption that reserpine causes depression. This assumption was a foundation for the original monoamine hypothesis of depression. However, there remains conflicting evidence as to whether reserpine causes depression, and no systematic review of available evidence. Aims: We systematically reviewed evidence on effects of reserpine on depressive and related symptoms (e.g. anxiety, suicidal ideation). Method: Electronic searches of MEDLINE, Embase and PsycINFO were conducted to identify studies up to 14 February 2021. Studies of any methodological design involving reserpine-treated and reserpine-untreated conditions, in any adult human population, were included and a narrative synthesis of findings was undertaken. Risk of bias (RoB) was examined using ROBINS-I. Results: Of the 35 studies meeting inclusion criteria, 9 were randomised controlled trials. Eleven studies reported some depressogenic effects, 13 reported no effect and 11 reported putative antidepressant effects. Studies identifying depressive effects were more likely to examine people without psychiatric disorders at baseline, while studies identifying a potential antidepressant effect tended to treat fewer participants for shorter durations, at higher doses. Around one-third of studies conducted in people with psychiatric disorders showed beneficial effects on depression symptoms. 30/35 studies were at high RoB. Conclusions: Associations between reserpine and depression are inconsistent and limited by a lack of high-quality evidence. Due to reserpine’s apparently complex effects, we urge nuance rather than simplicity surrounding the monoamine hypothesis of depression.

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“…[1][2][3][4] The opportunities provided by occupational medicine for the regular follow-up and monitoring of individuals and, hence, for improving the continuity of care between primary practice and the daily lives of patients have been described as underexploited. [5][6][7] The health threat of hypertension has been amply documented, as have the benefits of effective control of blood pressure. The detection and treatment of hypertension has been the subject of several expert reports.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of hypertension in the adult population of Belgium: report of a worksite study, Attention Hypertension

et al. 2002

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Hypertension remains a major cause of cardiovascular morbidity in Belgium. Information on the prevalence of hypertension in the working population is desirable. A worksite study of hypertension prevalence was carried out in Belgium where 3472 individuals were screened for 1 week. The result was that high blood pressure (у140/90 mm Hg) was identified in approximately onethird of the men and one-quarter of the women even though the majority of subjects had no recorded history of hypertension. Associations were identified between

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A hypertension treatment program at the workplace to complement community care

Cited by 6 publications

References 14 publications

Prospective Surveillance of Hypertension in Firefighters

Prospective Surveillance of Hypertension in Firefighters

The effects of reserpine on depression: A systematic review

Prevalence of hypertension in the adult population of Belgium: report of a worksite study, Attention Hypertension

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