The effect of job strain on nighttime blood pressure dipping among men and women with high blood pressure.
The effect of job strain on nighttime blood pressure dipping among men and women with high blood pressure.
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DOI：
10.5271/sjweh.3294
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发表时间：
2013-01
期刊：
影响因子：
--
通讯作者：
Sherwood A
中科院分区：
文献类型：
--
作者：
Fan LB;Blumenthal JA;Hinderliter AL;Sherwood A
夜间血压下降迟缓是公认的心血管危险因素。这项研究调查了工作压力对男性和女性高血压患者夜间血压下降的影响。样本由 122 名蓝领和白领工人组成（男性 = 72，女性 = 50）。通过工作内容问卷测量工作心理需求、工作控制力和社会支持。工作压力通过工作要求/工作控制的比率来评估。通过三个工作日的 24 小时动态血压监测来评估夜间血压下降情况。与低工作压力的男性相比，高工作压力的男性睡眠收缩压高出 5.4 毫米汞柱 (P=0.03)，睡眠脉压高出 3.5 毫米汞柱 (P=0.02)。工作紧张程度高的男性从清醒到睡眠期间的收缩压和脉压下降幅度小于工作紧张程度低的男性（P<0.05）。层次分析表明，在调整种族、体重指数、焦虑和抑郁症状、当前吸烟状况和饮酒量后，工作压力是男性收缩压下降的独立决定因素（P=0.03）。进一步的探索性分析表明，工作控制是与血压下降相关的工作压力的显着组成部分（p=.03）。 High job strain is associated with a blunting of the normal diurnal variation in blood pressure and pulse pressure, which may contribute to the relationship between job strain and cardiovascular disease.
Blunted nighttime blood pressure dipping is an established cardiovascular risk factor. This study examined the effect of job strain on nighttime blood pressure dipping among men and women with high blood pressure. The sample consisted of 122 blue collar and white collar workers (men=72, women=50). Job psychological demands, job control and social support were measured by the Job Content Questionnaire. Job strain was assessed by the ratio of job demands/job control. Nighttime blood pressure dipping was evaluated from 24-hour ambulatory blood pressure monitoring performed on three workdays. Men with high job strain had a 5.4 mm Hg higher sleep systolic blood pressure (P=0.03) and 3.5 mm Hg higher sleep pulse pressure (P=0.02) compared to men with low job strain. Men with high job strain had a smaller fall in systolic blood pressure and pulse pressure from awake to sleep than those with low job strain (P<0.05). Hierarchical analyses showed that job strain was an independent determinant of systolic blood pressure dipping (P=0.03) among men after adjusting for ethnicity, body mass index, anxiety and depression symptoms, current smoking status, and alcohol consumption. Further exploratory analyses indicated that job control was the salient component of job strain associated with blood pressure dipping (p=.03). High job strain is associated with a blunting of the normal diurnal variation in blood pressure and pulse pressure, which may contribute to the relationship between job strain and cardiovascular disease.
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影响因子：
5
作者：
Landsbergis, PA;Schnall, PL;Schwartz, JE
通讯作者：
Schwartz, JE
影响因子：
8.3
作者：
Kario, K;Schwartz, JE;Pickering, TG
通讯作者：
Pickering, TG
影响因子：
158.5
作者：
Pickering, Thomas G.;Shimbo, Daichi;Haas, Donald
通讯作者：
Haas, Donald
影响因子：
8.3
作者：
Fagard, Robert H.;Celis, Hilde;De Bacquer, Dirk A.
通讯作者：
De Bacquer, Dirk A.
影响因子：
5.4
作者：
Kario, K;James, GD;Pickering, TG
通讯作者：
Pickering, TG