Heart rate variability and occupational stress-systematic review.

Heart rate variability and occupational stress-systematic review.
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DOI:
10.2486/indhealth.2017-0190
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发表时间:
2018-11-21
期刊:
影响因子:
2
通讯作者:
Tarvainen MP
Tarvainen MP
中科院分区:
医学4区
文献类型:
--
作者:
Järvelin-Pasanen S;Sinikallio S;Tarvainen MP

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本系统综述的目的是探讨工作期间职业压力与心率变异性(HRV)之间的关系。我们检索了PubMed、Web of Science、Scopus、Cinahl和PsycINFO,检索了2005年1月至2017年9月间发表的英文同行评议文章。共有10篇文章符合纳入标准。对纳入的文章从研究设计、研究人群、职业压力和HRV评估以及研究局限性等方面进行分析。研究中有横断面研究(n=9)和纵向研究设计。样本量从19人到653人不等,包括女性和男性。最常用的职业压力评估方法是工作内容问卷(JCQ)和努力-回报不平衡问卷(ERI)。通过24小时或更长时间的动态心电图或心率监测来评估HRV,并主要使用标准时域和频域参数进行分析。主要发现是,职业压力的增加与HRV的降低有关,特别是副交感神经激活的减少。副交感神经激活减少,RMSSD和HF功率降低,LF/HF比值增加。职业压力和HRV的评估分析方法多种多样。
The aim of this systematic review was to explore studies regarding association between occupational stress and heart rate variability (HRV) during work. We searched PubMed, Web of Science, Scopus, Cinahl and PsycINFO for peer-reviewed articles published in English between January 2005 and September 2017. A total of 10 articles met the inclusion criteria. The included articles were analyzed in terms of study design, study population, assessment of occupational stress and HRV, and the study limitations. Among the studies there were cross-sectional (n=9) studies and one longitudinal study design. Sample size varied from 19 to 653 participants and both females and males were included. The most common assessment methods of occupational stress were the Job Content Questionnaire (JCQ) and the Effort-Reward Imbalance (ERI) questionnaire. HRV was assessed using 24 h or longer Holter ECG or HR monitoring and analyzed mostly using standard time-domain and frequency-domain parameters. The main finding was that heightened occupational stress was found associated with lowered HRV, specifically with reduced parasympathetic activation. Reduced parasympathetic activation was seen as decreases in RMSSD and HF power, and increase in LF/HF ratio. The assessment and analysis methods of occupational stress and HRV were diverse.
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