Psychosocial Stressors at Work and Ambulatory Blood Pressure
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Purpose of Review
Psychosocial stressors at work from the demand-latitude and effort-reward imbalance models are adverse exposures affecting about 20–25% of workers in industrialized countries. This review aims to summarize evidence on the effect of these stressors on blood pressure (BP).
Three systematic reviews have recently documented the effect of these psychosocial stressors at work on BP. Among exposed workers, statistically significant BP increases ranging from 1.5 to 11 mmHg have been observed in prospective studies using ambulatory BP (ABP). Recent studies using ABP have shown a deleterious effect of these psychosocial stressors at work on masked hypertension as well as on blood pressure control in pharmacologically treated patients.
Evidence on the effect of these psychosocial stressors on BP supports the relevance to tackle these upstream factors for primary prevention and to reduce the burden of poor BP control. There is a need for increased public health and clinical awareness of the occupational etiology of high BP, hypertension, and poor BP control.
KeywordsPsychosocial stressors at work Job strain Effort-reward imbalance Ambulatory blood pressure Masked hypertension Hypertension control
Compliance with Ethical Standards
Conflict of Interest
Xavier Trudel, Chantal Brisson, Mahée Gilbert-Ouimet, and Alain Milot declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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