Evaluation of Journals, Diaries, and Indexes of Worksite and Environmental Stress

  • Gary D. James
Part of the Contemporary Cardiology book series (CONCARD)


Noninvasive ambulatory blood pressure monitors are being increasingly used in the clinical evaluation of hypertension. With this technology, blood pressures are measured at fixed time intervals over the course of a single day (up to 24 h) while the patient goes about typical daily activities, including sleep. There is a substantial intraindividual variation in ambulatory blood pressure measurements that is not cyclical or repetitive. It occurs as a consequence of homeostatic circulatory processes that act to maintain adequate blood flow to body tissues when changes in the internal physiological and external environmental conditions occur (1,2). Thus, cardiovascular adjustments are continuously made every second of every day as people change their behavior to adapt to recurrent and sometimes patterned stressors that pervade and define their lifestyles. There are many behavioral and lifestyle factors that will increase the level of ambulatory blood pressure measurements (1,3–6). If circumstances that raise blood pressure are experienced or sampled with a high frequency during an ambulatory monitoring in a patient with normal blood pressure, it is possible that they may be incorrectly diagnosed with hypertension (2).


Blood Pressure Measurement Ambulatory Blood Pressure Blood Pressure Monitoring Ambulatory Blood Pressure Monitoring Blood Pressure Variability 
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  1. 1.
    Pickering TG. Ambulatory Monitoring and Blood Pressure Variability, Science, London, 1991.Google Scholar
  2. 2.
    James GD, Pickering TG. The influence of behavioral factors on the daily variation of blood pressure. Am J Hypertens 1993;6:170S–174S.Google Scholar
  3. 3.
    James GD. Blood pressure response to the daily stressors of urban environments: methodology, basic concepts and significance. Yrbk Phys Anthropol 1991;34:189–210.CrossRefGoogle Scholar
  4. 4.
    Schwartz JE, Warren K, Pickering TG. Mood, location and physical position as predictors of ambulatory blood pressure and heart rate: application of a multilevel random effects model. Ann Behav Med 1994;16:210–220.Google Scholar
  5. 5.
    Pickering TG, Schwartz JE, James GD. Ambulatory blood pressure monitoring for evaluating the relationships between lifestyle, hypertension and cardiovascular risk. Clin Exp Pharmacol Phys 1995;22:226–231.CrossRefGoogle Scholar
  6. 6.
    James GD, Brown DE. The biological stress response and lifestyle: catecholamines and blood pressure. Annu Rev Anthropol 1997;26:313–335.CrossRefGoogle Scholar
  7. 7.
    Harper GJ. Stress and adaptation among elders in life care communities, PhD thesis, Department Anthropology, The Ohio State University, 1998.Google Scholar
  8. 8.
    Van Egeren LF, Madarasmi S. A computer assisted diary (CAD) for ambulatory blood pressure monitoring. Am J Hypertens 1988;1:179S–185S.CrossRefGoogle Scholar
  9. 9.
    Chesney MA, Ironson GH. Diaries in ambulatory monitoring. In: Schneidermann N, Weiss SM, Kaufman PG, eds. Handbook of Research Methods in Cardiovascular Behavioral Medicine. Plenum, New York, 1989, pp. 317–332.Google Scholar
  10. 10.
    Kaplan NM. Clinical Hypertension, 5th ed. Williams & Wilkens, Baltimore, 1990.Google Scholar
  11. 11.
    Pickering TG. Modern definitions and clinical expressions of hypertension. In: Laragh JH, Brenner BM, eds. Hypertension: Pathophysiology Diagnosis and Management. Raven, New York, 1995, pp. 17–21.Google Scholar
  12. 12.
    Joint National Committee. The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1997;157: 2413–2446.CrossRefGoogle Scholar
  13. 13.
    Baumgart P, Walger P, Jurgens U, Rahn KH. Reference data for ambulatory blood pressure monitoring: What results are equivalent to the established limits of office blood pressure? Klin Wochenschr 1990;68:723–727.PubMedCrossRefGoogle Scholar
  14. 14.
    Mancia G, Sega R, Bravi C, DeVito G, Valagussa F, Cesana G, et al. Ambulatory blood pressure normality: results from the PAMELA Study. J Hypertens 1995;13:1377–1390.PubMedCrossRefGoogle Scholar
  15. 15.
    Pickering TG, Kaplan NM, Krakoff L, Prisant LM, Sheps S, Weber MA, et al. for the American Society of Hypertension Expert Panel. Conclusions and recommendations on the clinical use of home (self) and ambulatory blood pressure monitoring. Am J Hypertens 1996;9: 1–11.PubMedCrossRefGoogle Scholar
  16. 16.
    Imai Y, Ohkubo T. Ambulatory blood pressure normality: experience in the Ohasama Study. Blood Pressure Monit 1998;3:185–188.Google Scholar
  17. 17.
    Schwartz JE, Stone AA. Strategies for analyzing ecological momentary assessment data. Health Psychol 1998;17:6–16.PubMedCrossRefGoogle Scholar
  18. 18.
    James GD, Yee LS, Harshfield GA, B lank S, Pickering, TG. The influence of happiness, anger and anxiety on the blood pressure of borderline hypertensives. Psychosom Med 1986;48: 502–508.PubMedGoogle Scholar
  19. 19.
    Clark LA, Denby L, Presibon D, Harshfield GA, Pickering TG, Blank S, et al. A quantitative analysis of the effects of activity and time of day on the diurnal variations of blood pressure. J Chronic Dis 1987;40:671–681.PubMedCrossRefGoogle Scholar
  20. 20.
    Gerber LM, Schwartz JE, Pickering TG. Does the relationship of ambulatory blood pressure to position and location vary by age, sex, race/ethnicity or body mass index? Am J Hum Biol 1998;10:459–470.CrossRefGoogle Scholar
  21. 21.
    Gellman M, Spitzer S, Fronson G, Llabre M, Saab P, et al. Posture, place and mood effects on ambulatory blood pressure. Psychophysiology 1990;27:544–551.PubMedCrossRefGoogle Scholar
  22. 22.
    Pickering TG, Harshfiield GA, Kleinert HD, Blank S, Laragh JH. Blood pressure during normal daily activities, sleep and exercise. Comparison of values in normal and hypertensive subjects. J Am Med Assoc 1982;247:992–996.CrossRefGoogle Scholar
  23. 23.
    Harshfiield GA, Pickering TG, Kleinert HD, Blank S, Laragh JH. Situational variation of blood pressure in ambulatory hypertensive patients. Psychosom Med 1982;44:237–245.Google Scholar
  24. 24.
    Llabre MM, Ironson GH, Spitzer SB, Gellman MD, Weidler, DJ, Schneiderman N. How many blood pressure measurements are enough?: an application of generalizability theory to the study of blood pressure reliability. Psychophysiology 1988;25:97–106.PubMedCrossRefGoogle Scholar
  25. 25.
    Light KC, Turner JR, Hinderliter AL. Job strain and ambulatory work blood pressure in healthy young men and women. Hypertension 1992;20:214–218.PubMedCrossRefGoogle Scholar
  26. 26.
    James GD, Schlussel YR, Pickering TG. The association between daily blood pressure and catecholamine variability in normotensive working women. Psychosom Med 1993;55:55–60.PubMedGoogle Scholar
  27. 27.
    Light KC, Brownley KA, Turner JR, Hinderliter AL, Girdler SS, Sherwood A, et al. Job status and high-effort coping influence work blood pressure in women and blacks. Hypertension 1995;25:554–559.PubMedCrossRefGoogle Scholar
  28. 28.
    Sundburg S, Kohvakka A, Gordin A. Rapid reversal of circadian blood pressure rhythm in shift workers. J Hypertens 1988;6:393–396.Google Scholar
  29. 29.
    Baumgart P, Walger P, Fuchs G, Dorst KG, Vetter H, et al. Twenty-four-hour blood pressure is not dependent on endogenous circadian rhythm. J Hypertens 1989;7:331–334.PubMedCrossRefGoogle Scholar
  30. 30.
    Broege PA, James GD, Peters M. Anxiety coping style and daily blood pressure variation in female nurses. Blood Pressure Monit 1997;2:155–159.Google Scholar
  31. 31.
    Yamasaki F, Schwartz JE, Gerber LM, Warren K, Pickering TG. Impact of shift work and race/ ethnicity on the diurnal rhythm of blood pressure and catecholamines. Hypertension 1998;32: 417–423.PubMedCrossRefGoogle Scholar
  32. 32.
    Harshfiield GA, Pickering TG, James GD, Blank SG. Blood pressure variability and reactivity in the natural environment. In: Meyer-Sabellek W, Anlauf M, Gotzen R, Steinfield L, eds. Blood Pressure Measurements. New Techniques in Automatic and 24-Hour Indirect Monitoring. Springer-Verlag, New York, 1990, pp. 241–225.CrossRefGoogle Scholar
  33. 33.
    James GD, Pickering TG. Ambulatory blood pressure monitoring: assessing the diurnal variation of blood pressure. Am J Phys Anthropol 1991;84:343–349.PubMedCrossRefGoogle Scholar
  34. 33a.
    Van Egeren LF, Sparrow AW. Ambulatory monitoring to assess real-life cardiovascular reactivity in type A and B subjects. Psychosom Med 1990;52:297–306.PubMedGoogle Scholar
  35. 34.
    Rosenman RH. The interview method of assessment of the coronary-prone behavior pattern. In: Dembrowski TM, Weiss SM, Sheilds JL, Haynes SG, Feinlab M. eds. Coronary-Prone Behavior. Springer-Verlag, Berlin, 1978, pp. 55–69.Google Scholar
  36. 35.
    Van Egeren LF. The relationship between job strain and blood pressure at work, at home and during sleep. Psychosom Med 1992;54:337–343.PubMedGoogle Scholar
  37. 36.
    Gretler DD, Carlson GF, Montano AV, Murphy MB. Diurnal blood pressure variability and physical activity measured electronically and by diary. Am J Hypertens 1993;6:127–133.PubMedGoogle Scholar
  38. 37.
    Sokolow M, Werdegar D, Perloff DB, Cowan RM, Brenenstuhl H. Preliminary studies relating portably recorded blood pressures to daily life events in patients with essential hypertension. Bibl Psychiatrica 1970;144:164–189.Google Scholar
  39. 38.
    Southard DR, Coates TJ, Kolodner K, Parker C, Padgett NE, et al. Relationship between mood and blood pressure in the natural environment: an adolescent population. Health Psychol 1986;5:469–480.PubMedCrossRefGoogle Scholar
  40. 39.
    Brondolo E, Karlin W, Alexander K, Bobrow A, Schwartz J. Workday communication and ambulatory blood pressure: Implications for the reactivity hypothesis. Psychophysiology 1999;36:86–94.PubMedCrossRefGoogle Scholar
  41. 40.
    James GD, Yee LS, Harshfield GA, Pickering TG. Sex differences in factors affecting the daily variation of blood pressure. Soc Sci Med 1988;26:1019–1023.PubMedCrossRefGoogle Scholar
  42. 41.
    James GD, Yee LS, Pickering TG. Winter-summer differences in the effects of emotion, posture and place of measurement on blood pressure. Soc Sci Med 1990;31:1213–1217.PubMedCrossRefGoogle Scholar
  43. 42.
    Gerdts E, Myking OL, Omivik P. Salt sensitive essential hypertension evaluated by 24-hour ambulatory blood pressure. Blood Pressure 1994;3:375–380.PubMedCrossRefGoogle Scholar
  44. 43.
    Overlack A, Ruppert M, Kolloch R, Kraft K, Stumpe KO. Age is a major determinant of the divergent blood pressure responses to varying salt intake in essential hypertension. Am J Hypertens 1995;8:829–836.PubMedCrossRefGoogle Scholar
  45. 44.
    James GD, Pecker MS, Pickering TG. Sex differences in casual and ambulatory blood pressure responses to extreme changes in dietary sodium. Blood Pressure Monit 1996;1:397–401.Google Scholar
  46. 45.
    Moore TJ, Halarick C, Olmedo A, Klein RC. Salt restriction lowers resting but not 24-h ambulatory pressure. Am J Hypertens 1991;4:410–415.PubMedCrossRefGoogle Scholar
  47. 46.
    James GD, Pecker MS, Pickering TG, Jackson S, DiFabio B, et al. Extreme changes in dietary sodium effect the daily variability and level of blood pressure in borderline hypertensive patients. Am J Hum Biol 1994;6:283–291.CrossRefGoogle Scholar
  48. 47.
    Karasek R, Baker D, Marxer F, Ahlom A, Theorell T. Job decision latitude, job demands and cardiovascular disease: a prospective study of Swedish men. Am J Public Health 1981;71: 694–705.PubMedCrossRefGoogle Scholar
  49. 48.
    Pickering TG, James GD, Schnall PL, Schlussel YR, Pieper CT, Gerin W, et al. Occupational stress and blood pressure: studies in working men and women. In: Frankenhaeuser M, Lundberg U, Chesney M, eds. Women, Work and Health: Stress and Opportunities. Plenum, New York, 1991, pp. 1 71–186.Google Scholar
  50. 49.
    James GD, Broege PA, Schlussel YR. Assessing cardiovascular risk and stress-related blood pressure variability in young women employed in wage jobs. Am J Hum Biol 1996;8:743–749.CrossRefGoogle Scholar
  51. 50.
    Schnall PL, Schwartz JE, Landsbergis PA, Warren K, Pickering TG. Relation between job strain, alcohol and ambulatory blood pressure. Hypertension 1992;19:488–494.PubMedCrossRefGoogle Scholar
  52. 51.
    Landesbergis PA, Schnall PL, Warren K, Pickering TG, Schwartz JE. Association between ambulatory blood pressure and alternative formulations of job strain. Scand J Work Environ Health 1994;20:349–363.CrossRefGoogle Scholar
  53. 52.
    Schlussel YR, Schnall PL, Zimbler M, Warren K, Pickering TG. The effect of work environments on blood pressure: evidence from seven New York organizations. J Hypertens 1990;8: 679–685.PubMedCrossRefGoogle Scholar
  54. 53.
    James GD, Baker PT. Human population biology and blood pressure: evolutionary and ecological considerations and interpretations of population studies. In: Laragh JH, Brenner BM, eds. Hypertension: Pathophysiology, Diagnosis and Management, 2nd ed. Raven, New York, 1995, pp. 115–126.Google Scholar
  55. 54.
    Schall JI. Sex differences in the response of blood pressure to modernization. Am J Hum Biol 1995;7:159–172.CrossRefGoogle Scholar
  56. 55.
    McGarvey ST, Schendel DE. Blood pressure of Samoans. In: Baker PT, Hanna JM, Baker TS, eds. The Changing Samoans: Behavior and Health in Transition. Oxford University Press, New York, 1986, pp. 350–393.Google Scholar
  57. 56.
    Pickering TG, Devereux RB, Gerin W, James GD, Pieper C, Schlussel YR, et al. The role of behavioral factors in white coat and sustained hypertension. J Hypertens 1990;8(Suppl 7): S141–S147.Google Scholar
  58. 57.
    James GD, Cates EM, Pickering TG, Laragh JH. Parity and perceived job stress elevate blood pressure in young normotensive women. Am J Hypertens 1989;2:637–639.PubMedCrossRefGoogle Scholar
  59. 58.
    James GD, Moucha OP, Pickering TG. The normal hourly variation of blood pressure in women: average patterns and the effect of work stress. J Hum Hypertens 1991;5:505–509.PubMedGoogle Scholar
  60. 59.
    James, GD. Race and perceived stress independently affect the diurnal variation of blood pressure in women. Am J Hypertens 1991;4:382–384.PubMedCrossRefGoogle Scholar
  61. 60.
    Brown DE, James GD, Nordloh L. Comparison of factors affecting daily variation of blood pressure in Filipino-American and Caucasian nurses in Hawaii. Am J Phys Anthropol 1998; 106:373–383.PubMedCrossRefGoogle Scholar

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© Springer Science+Business Media New York 2001

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  • Gary D. James

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