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International Archives of Occupational and Environmental Health

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Open Access 01-07-2020 | Original Article

The relation of work-related factors with ambulatory blood pressure and nocturnal blood pressure dipping among aging workers

Authors: Saana Karelius, Jussi Vahtera, Jaana Pentti, Annika S. Lindroos, Pekka Jousilahti, Olli J. Heinonen, Sari Stenholm, Teemu J. Niiranen

Published in: International Archives of Occupational and Environmental Health | Issue 5/2020

Abstract

Objectives

Individuals with reduced nocturnal blood pressure (BP) dipping are at increased risk of cardiovascular disease compared to persons with normal BP dipping. Although the relation of work-related factors and BP has been studied extensively, very little is known of the association between work-related factors and 24-h BP patterns in aging workers. We examined the cross-sectional relation of work-related risk factors, including occupational status, work-time mode, job demands and job control, with ambulatory BP in aging workers, focusing on nocturnal BP dipping.

Methods

208 workers (mean age 62 ± 3 years; 75% women) from two Finnish population-based cohort studies underwent 24-h ambulatory BP monitoring. Work-related factors were inquired using a questionnaire. Nocturnal BP dipping was calculated as [1 − (asleep BP/awake BP)] × 100.

Results

Shift workers demonstrated a higher nocturnal diastolic BP dipping than regular day workers (19% vs. 17%, p = 0.03) and had a significantly higher systolic awake BP than regular day workers (136.5 mmHg vs. 132.5 mmHg, p = 0.03). Participants with high job demands demonstrated a smaller nocturnal systolic BP dipping than participants with low job demands (14% vs. 16%, p = 0.04). We did not observe significant differences in nocturnal systolic or diastolic BP dipping between groups categorized by occupational status or job control.

Conclusions

Although shift workers have a higher daytime BP than regular daytime workers, they exhibit greater nighttime BP dipping. Participants with high job demand had smaller nighttime BP dipping than participants with low job demand. Job control or occupation did not affect the 24-h ambulatory BP profile of aging workers.

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Title: The relation of work-related factors with ambulatory blood pressure and nocturnal blood pressure dipping among aging workers
Authors: Saana Karelius
Jussi Vahtera
Jaana Pentti
Annika S. Lindroos
Pekka Jousilahti
Olli J. Heinonen
Sari Stenholm
Teemu J. Niiranen
Publication date: 01-07-2020
Publisher: Springer Berlin Heidelberg
Published in: International Archives of Occupational and Environmental Health / Issue 5/2020
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-019-01510-8

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Springer Medicine

The relation of work-related factors with ambulatory blood pressure and nocturnal blood pressure dipping among aging workers

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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