Working conditions and masked hypertension

Details

• Personal Author:
  Landsbergis PA ; Schnall PL ; Travis A
• Description:
  INTRODUCTION: Masked hypertension, i.e., normal clinic blood pressure but elevated blood pressure during normal daily activities as measured by ambulatory monitoring, is a common problem and a serious cardiovascular risk factor. Given previously reported associations between work stressors and ambulatory blood pressure, an inquiry into the relationship between work stressors and masked hypertension is warranted. OBJECTIVE: To assess the relationship between working conditions and masked hypertension. DESIGN: Cross-sectional study. SETTING: Hospital and home care employers in New York City. STUDY PARTICIPANTS: Forty-five male and 119 female hospital and home care employee volunteers wore an ambulatory blood pressure monitor during working hours. MAIN OUTCOME MEASURES: Masked hypertension was defined as work systolic ambulatory blood pressure =135 mmHg or diastolic ambulatory blood pressure =85 mmHg, and casual blood pressure <140/90 mmHg with no use of antihypertensive medications. Associations between work stressors and masked hypertension were tested by multiple logistic regression. RESULTS: Masked hypertension, observed in 24.0% of males and 17.6% of females with normal casual office obtained blood pressure, was associated with evening, night or rotating shiftwork (odds ratio (OR) 8.25, 95% confidence interval (CI) 2.11-40.31) and with the combination of job strain and effort-reward imbalance (OR 2.97, 95% CI 1.02-8.60) after controlling for age. Associations remained substantial, and statistically significant for shiftwork, after individual adjustment for each of 10 potential confounders. Masked hypertension was not associated with total weekly work hours. CONCLUSIONS: Masked hypertension is a significant individual and public health concern. Additional research is needed to clarify the role of work-related risk factors in the development of masked hypertension, and to develop an appropriate clinical and public health strategy for diagnosis, treatment and prevention. [Description provided by NIOSH]
• Subjects:
  Blood Cardiovascular Diseases Cardiovascular System Health Care Facilities Workforce And Services Health Personnel Men Occupational Health Public Health Risk Assessment Risk Factors Safety Shift Work Schedule Stress, Psychological Women Workplace

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• Keywords:
  Ambulatory Blood Pressure Author Keywords: Job Stress Blood-pressure Cardiovascular-function Cardiovascular-system Effort-reward Imbalance Health-care-personnel Humans Hypertension Job-stress Job Strain Masked Hypertension Mathematical-models Medical-monitoring Monitors Public-health Risk-factors Shift-work Shiftwork Stress Systolic-pressure Work-environment Work-operations Work-organization Work Hours

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• ISSN:
  1120-9879
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; New York ; OSHA Region 2 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  69-76
• Volume:
  20
• Issue:
  2
• NIOSHTIC Number:
  nn:20043792
• Citation:
  High Blood Press Cardiovasc Prev 2013 Jun; 20(2):69-76
• Contact Point Address:
  Paul Landsbergis, Department of Environmental and Occupational Health Sciences, State University of New York-Downstate School of Public Health, 450 Clarkson Ave., Box 43, Brooklyn, NY 11203, USA
• Email:
  paul.landsbergis@downstate.edu
• Federal Fiscal Year:
  2013
• Performing Organization:
  Mount Sinai School of Medicine
• Peer Reviewed:
  False
• Start Date:
  20010930
• Source Full Name:
  High Blood Pressure & Cardiovascular Prevention
• End Date:
  20060929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bfea88f1caee5f23efe346d905b1d5ee7ad0239ff9e428d567cd5a9c9cace8868ab544393ac53e121c30992eb35c6f980da2191b870caf16990636ce819fb362
• Download URL:
  https://stacks.cdc.gov/view/cdc/199687/cdc_199687_DS1.pdf
• File Type:
  [PDF - 270.72 KB ]