High Job Strain and Ambulatory Blood Pressure in Middle-Aged Men and Women From the Belgian Job Stress Study

Clays, Els; Leynen, Françoise; Bacquer, Dirk De; Kornitzer, Marcel; Karasek, Robert; Backer, Guy De

doi:10.1097/jom.0b013e31803b94e2

Cited by 63 publications

(55 citation statements)

References 54 publications

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“…Most of these studies were cross-sectional (N=9) and used ambulatory BP measures (N=9) (tables A and B). All the studies (except reference 44) presenting significant results found a deleterious effect in both BP at work and: (i) at home (133, 139, 151, 181), (ii) over 24 hours (133,175), and (iii) during sleep (133). The effect magnitudes were comparable for all periods.…”

Section: Methodological Characteristicssupporting

confidence: 50%

Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand–control–support and effort–reward imbalance models

Gilbert-Ouimet¹,

Trudel²,

Brisson³

et al. 2013

Scand J Work Environ Health

180

136

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This is the first systematic review and critical synthesis on the adverse effects of psychosocial work factors of the demand-control-support and effort-reward imbalance models on blood pressure. A more consistent effect has been observed among men than women and among studies of higher methodological quality. Evidence-based guidelines for cardiovascular diseases prevention may benefit from these findings.Affiliation: Population health research unit, St-Sacrement hospital,

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Section: Methodological Characteristicssupporting

confidence: 50%

Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand–control–support and effort–reward imbalance models

Gilbert-Ouimet¹,

Trudel²,

Brisson³

et al. 2013

Scand J Work Environ Health

180

136

View full text Add to dashboard Cite

show abstract

“…Inconsistent associations have been reported for job control and diastolic BP (DBP). High job control has been found to be associated with high DBP for females using casual BP readings (15), whereas other researchers using ambulatory BP monitoring (ABPM) readings found low job control to be associated with high DBP (8,16).…”

mentioning

confidence: 89%

“…High alcohol consumption has been found to increase BP (36, 37) and is a valid confounding factor in the association between job control and hypertension. Nevertheless, not all researchers adjust for this variable (8,16,35) perhaps owing to alcohol being a causal factor for hypertension.…”

Section: Discussionmentioning

confidence: 99%

Job control and ambulatory blood pressure

McCarthy¹,

Perry²,

Greiner³

2014

Scand J Work Environ Health

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Objective: The effect of work on blood pressure (BP) in a general population with appropriate adjustment for confounders is not well defined. High job control has been found to be associated with lower BP and with nocturnal BP dipping. However, with older workers this may be compromised and has not been studied extensively. Methods: A cross-sectional study was carried out on a primary care-based sample (N=2047) aged 50–69 years. Data were collected on sociodemographic factors, medication, clinic, and ambulatory blood pressure. Job control was measured using two scales from the Copenhagen Psychosocial Questionnaire (COPSOQ) (possibility for development and influence at work). Nocturnal systolic BP (SBP) dipping was the reduction in SBP from day- to night-time using ambulatory SBP readings. Results: In general, BP increased with age, male gender, and higher body mass index. Workers with high influence at work and high possibility for development were more likely to have high asleep SBP [odds ratio (OR) 2.13, 95% confidence interval (95% CI) 1.05–4.34, P=0.04], (OR 2.27, 95% CI 1.11–4.66, P=0.03) respectively. Influence at work and awake BP were inversely associated: awake SBP (OR 2.44, 95% CI 1.35–4.41, P<0.01), awake DBP (OR 2.42, 95% CI 1.24–4.72, P=0.01). No association was seen between job control and nocturnal SBP dipping. Conclusion: Older workers with high job control may be more at risk of cardiovascular disease resulting from high day- and night-time BP with no evidence of nocturnal dipping

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“…17 These organizations included two public administrations, one company from the secondary sector and one organization from the service sector. People taking medication for elevated BP were excluded from this study, as well as participants with a previous hospitalization for coronary heart disease (including peripheral vascular disease).…”

Section: Methodsmentioning

confidence: 99%

Behavioural and psychosocial correlates of nondipping blood pressure pattern among middle-aged men and women at work

et al. 2011

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The underlying pathogenetic mechanisms of nondipping blood pressure (BP) pattern are not completely understood. Especially the role of psychosocial correlates remains unclear. The aim was to assess the association between nondipping BP pattern, behavioural and psychosocial factors in a sample of working men and women. The study sample included 167 working men and women aged 40-64 years from the BELSTRESS cohort. Sociodemographic, behavioural and psychosocial factors were assessed by self-administered questionnaires. Participants were medically examined and underwent an ambulatory BP monitoring during 24 h. Nondipping was defined when the average nocturnal decline in BP was o10%. The prevalence of nondipping for both systolic and diastolic BP was 7.8%. Nondipping was not significantly related to smoking, alcohol consumption and leisure time physical activity. A crude significant association was observed between nondipping and sleep problems. After adjusting for gender, education and body mass index, the risk for nondipping was associated with job strain, living alone, being unsatisfied about the contact with one's children, depressive symptoms and vital exhaustion. Nondipping BP pattern was consistently related to psychosocial factors in this study: positive associations were observed with measures of job strain, poor private life support (living alone and being unsatisfied about the contact with one's children) and mental health problems (depressive symptoms and vital exhaustion).

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High Job Strain and Ambulatory Blood Pressure in Middle-Aged Men and Women From the Belgian Job Stress Study

Abstract: Within this study, high job strain was an important independent risk factor for higher ambulatory blood pressure at work, at home, and during sleep in a group of men and women.

Cited by 63 publications

References 54 publications

Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand–control–support and effort–reward imbalance models

Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand–control–support and effort–reward imbalance models

Job control and ambulatory blood pressure

Behavioural and psychosocial correlates of nondipping blood pressure pattern among middle-aged men and women at work

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