Hypertension, Vol 19, 488-494, Copyright © 1992 by American Heart Association
PL Schnall, JE Schwartz, PA Landsbergis, K Warren and TG Pickering
"Job strain" (defined as high psychological demands and low decision
latitude on the job) has been previously reported to be associated with
increased risk of hypertension and increased left ventricular mass index
(LVMI) in a case-control study of healthy employed men, aged 30- 60 years,
without evidence of coronary heart disease. We hypothesized that job strain
would be associated with increased ambulatory blood pressure (AmBP). A
total of 264 men at eight work sites wore an AmBP monitor for 24 hours on a
working day. In an analysis of covariance model, job strain was associated
with an increase in systolic AmBP of 6.8 mm Hg (p = 0.002) and diastolic
AmBP of 2.8 mm Hg at work (p = 0.03) after adjusting for age, race, body
mass index, Type A behavior, alcohol behavior, smoking, work site, 24-hour
urine sodium, education, and physical demand level of the job. Alcohol use
also had a significant effect on AmBP. However, among subjects not in
high-strain jobs, alcohol had no apparent effect on AmBP at work. Instead,
alcohol use and job strain interacted such that workers in high-strain jobs
who drank regularly had significantly higher systolic AmBP at work (p =
0.007). Among the other risk factors, only age, body mass index, and
smoking had significant effects on AmBP. Job strain also had significant
effects on AmBP at home and during sleep as well as on LVMI.(ABSTRACT
TRUNCATED AT 250 WORDS)
ARTICLES
Relation between job strain, alcohol, and ambulatory blood pressure
Cardiovascular and Hypertension Center, New York Hospital-Cornell Medical College 10021.
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