Work Conditions and Masked (Hidden) Hypertension – Insights into the Global Epidemic of Hypertension

Details

• Personal Author:
  Baker, Dean B. ; Belkic KL ; Landsbergis PA ; Pickering TG ; Schnall PL ; Schwartz JE
• Description:
  Hypertension is the leading cause of cardiovascular disease. There is considerable evidence that work conditions play an important role in the etiology of essential hypertension. Ambulatory blood pressure during waking hours (work and home) is more strongly associated with subsequent cardiovascular disease than the traditional measurement of casual clinical blood pressure. A person with normal clinical blood pressure but elevated awake ambulatory blood pressure is said to have "masked" (or "occult" or "hidden") hypertension. Masked hypertension is associated with increased cardiovascular risk, and has been observed in 10-30% of adults with normal clinical blood pressure. It has been hypothesized that exposure to workplace stressors first elevates work, but not clinical, blood pressure; after chronic exposure to stressors, both daytime and clinical pressure become elevated. In this manuscript, an algorithm is provided that targets ambulatory monitoring for high-risk groups and helps detect work-related hypertension. A public health approach incorporating clinical guidelines, workplace surveillance, and improved work conditions is recommended for tackling the epidemic of hypertension. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Occupational Health Safety Stress, Psychological Workplace
• Keywords:
  Author Keywords: Ambulatory Blood Pressure Blood Pressure Cardiovascular Disease Epidemiology Hidden Hypertension Hypertension Job Strain Job Stress Masked Hypertension Occult Hypertension Review Surveillance White-coat Hypertension Work Environment Work Stress

  More +
• ISSN:
  0355-3140
• 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:
  41-51
• Issue:
  6
• NIOSHTIC Number:
  nn:20058477
• Citation:
  Scand J Work Environ Health 2008 Aug; (6)(Suppl 2008):41-51
• Contact Point Address:
  Dr P Landsbergis, Department of Enviromental and Occupational Health Sciences, State University of New York--Downstate Medical Center, Box 43, 450 Clarkson Avenue, Brooklyn, NY 11203, USA
• Email:
  paul.landsbergis@downstate.edu
• Federal Fiscal Year:
  2008
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Scandinavian Journal of Work, Environment & Health
• Supplement:
  Suppl 2008
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:eff9319a807c9fe4c8f458ee0cd5428721aa855271e099ec3693f92a8eec1d863206d592b590c795af7f89db4007deca677faf8a61e8adfc905054c4ce3ab481
• Download URL:
  https://stacks.cdc.gov/view/cdc/221566/cdc_221566_DS1.pdf
• File Type:
  [PDF - 237.31 KB ]