Effects of Work Stress on Ambulatory Blood Pressure, Heart Rate, and Heart Rate Variability
Work stress has repeatedly been associated with an increased risk for cardiovascular disease. This study tested whether this relationship could be explained by exaggerated cardiovascular reactivity to work or impaired recovery in leisure time. Vagal tone was assessed as a possible determinant of the...
Gespeichert in:
Veröffentlicht in: | Hypertension (Dallas, Tex. 1979) Tex. 1979), 2000-04, Vol.35 (4), p.880-886 |
---|---|
Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 886 |
---|---|
container_issue | 4 |
container_start_page | 880 |
container_title | Hypertension (Dallas, Tex. 1979) |
container_volume | 35 |
creator | Vrijkotte, Tanja G. M van Doornen, Lorenz J. P de Geus, Eco J. C |
description | Work stress has repeatedly been associated with an increased risk for cardiovascular disease. This study tested whether this relationship could be explained by exaggerated cardiovascular reactivity to work or impaired recovery in leisure time. Vagal tone was assessed as a possible determinant of these work stress effects. Participants included 109 male white-collar workers (age, 47.2±5.3) who were monitored on 2 workdays and 1 nonworkday for ambulatory blood pressure, heart rate, and heart rate variability. Chronic work stress was defined according to Siegrist’s model as (1) high imbalance, a combination of high effort and low reward at work, or (2) high overcommitment, an exhaustive work-related coping style indexing the inability to unwind. All findings were adjusted for possible differences in posture and physical activity between the work stress groups. High imbalance was associated with a higher heart rate during work and directly after work, a higher systolic blood pressure during work and leisure time, and a lower 24-hour vagal tone on all 3 measurement days. Overcommitment was not associated with an unfavorable ambulatory profile. Logistic regression analysis revealed that heart rate [odds ratio 1-SD increase 1.95 (95% CI, 1.02 to 3.77)] and vagal tone [odds ratio 1-SD decrease 2.67 (95% CI, 1.24 to 5.75)] were independently associated with incident mild hypertension. Surprisingly, the values during sleep were more predictive for mild hypertension than the values during work. The results from the present study suggest that the detrimental effects of work stress are partly mediated by increased heart rate reactivity to a stressful workday, an increase in systolic blood pressure level, and lower vagal tone. |
doi_str_mv | 10.1161/01.hyp.35.4.880 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71065603</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71065603</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5887-46cb0db54cae78d5aeef22b511110dd497fe6b3f760736027a4090c7ed2035453</originalsourceid><addsrcrecordid>eNpdkN1rFDEUxYModq0--yaDiE_O9OZ75rGW6hYKLX6LDyGTSdhps5M1yVD2vzfbXbD0QMi55HcvNweh1xgajAU-AdystpuG8oY1bQtP0AJzwmrGBX2KFoA7VncY_zpCL1K6AcCMMfkcHWGQkhct0J9z56zJqQqu-hnibfU1R5tKOVWn6372Ooe4rT76EIbqevcyR_uhWlodc_VF5-L1NDyoqx86jrof_Zi3L9Ezp32yrw73Mfr-6fzb2bK-vPp8cXZ6WRvetrJmwvQw9JwZbWU7cG2tI6TnuAiGgXXSWdFTJwVIKoBIzaADI-1AgHLG6TF6v5-7ieHvbFNW6zEZ672ebJiTkhgEF0AL-PYReBPmOJXdFAFOuk7SHXSyh0wMKUXr1CaOax23CoPaha4Aq-Xva0W5YqqEXjreHMbO_doOD_h9ygV4dwB0Mtq7qCczpv8cA1w-UjC2x-6CzzamWz_f2ahWVvu8UlDEiGhrcu_KqXdG0n_dN5eO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>205299733</pqid></control><display><type>article</type><title>Effects of Work Stress on Ambulatory Blood Pressure, Heart Rate, and Heart Rate Variability</title><source>MEDLINE</source><source>EZB Electronic Journals Library</source><source>American Heart Association</source><source>Journals@Ovid Complete</source><creator>Vrijkotte, Tanja G. M ; van Doornen, Lorenz J. P ; de Geus, Eco J. C</creator><creatorcontrib>Vrijkotte, Tanja G. M ; van Doornen, Lorenz J. P ; de Geus, Eco J. C</creatorcontrib><description>Work stress has repeatedly been associated with an increased risk for cardiovascular disease. This study tested whether this relationship could be explained by exaggerated cardiovascular reactivity to work or impaired recovery in leisure time. Vagal tone was assessed as a possible determinant of these work stress effects. Participants included 109 male white-collar workers (age, 47.2±5.3) who were monitored on 2 workdays and 1 nonworkday for ambulatory blood pressure, heart rate, and heart rate variability. Chronic work stress was defined according to Siegrist’s model as (1) high imbalance, a combination of high effort and low reward at work, or (2) high overcommitment, an exhaustive work-related coping style indexing the inability to unwind. All findings were adjusted for possible differences in posture and physical activity between the work stress groups. High imbalance was associated with a higher heart rate during work and directly after work, a higher systolic blood pressure during work and leisure time, and a lower 24-hour vagal tone on all 3 measurement days. Overcommitment was not associated with an unfavorable ambulatory profile. Logistic regression analysis revealed that heart rate [odds ratio 1-SD increase 1.95 (95% CI, 1.02 to 3.77)] and vagal tone [odds ratio 1-SD decrease 2.67 (95% CI, 1.24 to 5.75)] were independently associated with incident mild hypertension. Surprisingly, the values during sleep were more predictive for mild hypertension than the values during work. The results from the present study suggest that the detrimental effects of work stress are partly mediated by increased heart rate reactivity to a stressful workday, an increase in systolic blood pressure level, and lower vagal tone.</description><identifier>ISSN: 0194-911X</identifier><identifier>EISSN: 1524-4563</identifier><identifier>DOI: 10.1161/01.hyp.35.4.880</identifier><identifier>PMID: 10775555</identifier><identifier>CODEN: HPRTDN</identifier><language>eng</language><publisher>Philadelphia, PA: American Heart Association, Inc</publisher><subject>Adult ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Female ; Heart Rate ; Humans ; Hypertension - etiology ; Hypertension - psychology ; Male ; Medical sciences ; Middle Aged ; Stress, Psychological ; Surveys and Questionnaires</subject><ispartof>Hypertension (Dallas, Tex. 1979), 2000-04, Vol.35 (4), p.880-886</ispartof><rights>2000 American Heart Association, Inc.</rights><rights>2000 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. Apr 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5887-46cb0db54cae78d5aeef22b511110dd497fe6b3f760736027a4090c7ed2035453</citedby><cites>FETCH-LOGICAL-c5887-46cb0db54cae78d5aeef22b511110dd497fe6b3f760736027a4090c7ed2035453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,3688,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1401354$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10775555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vrijkotte, Tanja G. M</creatorcontrib><creatorcontrib>van Doornen, Lorenz J. P</creatorcontrib><creatorcontrib>de Geus, Eco J. C</creatorcontrib><title>Effects of Work Stress on Ambulatory Blood Pressure, Heart Rate, and Heart Rate Variability</title><title>Hypertension (Dallas, Tex. 1979)</title><addtitle>Hypertension</addtitle><description>Work stress has repeatedly been associated with an increased risk for cardiovascular disease. This study tested whether this relationship could be explained by exaggerated cardiovascular reactivity to work or impaired recovery in leisure time. Vagal tone was assessed as a possible determinant of these work stress effects. Participants included 109 male white-collar workers (age, 47.2±5.3) who were monitored on 2 workdays and 1 nonworkday for ambulatory blood pressure, heart rate, and heart rate variability. Chronic work stress was defined according to Siegrist’s model as (1) high imbalance, a combination of high effort and low reward at work, or (2) high overcommitment, an exhaustive work-related coping style indexing the inability to unwind. All findings were adjusted for possible differences in posture and physical activity between the work stress groups. High imbalance was associated with a higher heart rate during work and directly after work, a higher systolic blood pressure during work and leisure time, and a lower 24-hour vagal tone on all 3 measurement days. Overcommitment was not associated with an unfavorable ambulatory profile. Logistic regression analysis revealed that heart rate [odds ratio 1-SD increase 1.95 (95% CI, 1.02 to 3.77)] and vagal tone [odds ratio 1-SD decrease 2.67 (95% CI, 1.24 to 5.75)] were independently associated with incident mild hypertension. Surprisingly, the values during sleep were more predictive for mild hypertension than the values during work. The results from the present study suggest that the detrimental effects of work stress are partly mediated by increased heart rate reactivity to a stressful workday, an increase in systolic blood pressure level, and lower vagal tone.</description><subject>Adult</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Female</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Hypertension - etiology</subject><subject>Hypertension - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Stress, Psychological</subject><subject>Surveys and Questionnaires</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkN1rFDEUxYModq0--yaDiE_O9OZ75rGW6hYKLX6LDyGTSdhps5M1yVD2vzfbXbD0QMi55HcvNweh1xgajAU-AdystpuG8oY1bQtP0AJzwmrGBX2KFoA7VncY_zpCL1K6AcCMMfkcHWGQkhct0J9z56zJqQqu-hnibfU1R5tKOVWn6372Ooe4rT76EIbqevcyR_uhWlodc_VF5-L1NDyoqx86jrof_Zi3L9Ezp32yrw73Mfr-6fzb2bK-vPp8cXZ6WRvetrJmwvQw9JwZbWU7cG2tI6TnuAiGgXXSWdFTJwVIKoBIzaADI-1AgHLG6TF6v5-7ieHvbFNW6zEZ672ebJiTkhgEF0AL-PYReBPmOJXdFAFOuk7SHXSyh0wMKUXr1CaOax23CoPaha4Aq-Xva0W5YqqEXjreHMbO_doOD_h9ygV4dwB0Mtq7qCczpv8cA1w-UjC2x-6CzzamWz_f2ahWVvu8UlDEiGhrcu_KqXdG0n_dN5eO</recordid><startdate>200004</startdate><enddate>200004</enddate><creator>Vrijkotte, Tanja G. M</creator><creator>van Doornen, Lorenz J. P</creator><creator>de Geus, Eco J. C</creator><general>American Heart Association, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200004</creationdate><title>Effects of Work Stress on Ambulatory Blood Pressure, Heart Rate, and Heart Rate Variability</title><author>Vrijkotte, Tanja G. M ; van Doornen, Lorenz J. P ; de Geus, Eco J. C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5887-46cb0db54cae78d5aeef22b511110dd497fe6b3f760736027a4090c7ed2035453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Cardiology. Vascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Female</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Hypertension - etiology</topic><topic>Hypertension - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Stress, Psychological</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vrijkotte, Tanja G. M</creatorcontrib><creatorcontrib>van Doornen, Lorenz J. P</creatorcontrib><creatorcontrib>de Geus, Eco J. C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vrijkotte, Tanja G. M</au><au>van Doornen, Lorenz J. P</au><au>de Geus, Eco J. C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Work Stress on Ambulatory Blood Pressure, Heart Rate, and Heart Rate Variability</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>2000-04</date><risdate>2000</risdate><volume>35</volume><issue>4</issue><spage>880</spage><epage>886</epage><pages>880-886</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>Work stress has repeatedly been associated with an increased risk for cardiovascular disease. This study tested whether this relationship could be explained by exaggerated cardiovascular reactivity to work or impaired recovery in leisure time. Vagal tone was assessed as a possible determinant of these work stress effects. Participants included 109 male white-collar workers (age, 47.2±5.3) who were monitored on 2 workdays and 1 nonworkday for ambulatory blood pressure, heart rate, and heart rate variability. Chronic work stress was defined according to Siegrist’s model as (1) high imbalance, a combination of high effort and low reward at work, or (2) high overcommitment, an exhaustive work-related coping style indexing the inability to unwind. All findings were adjusted for possible differences in posture and physical activity between the work stress groups. High imbalance was associated with a higher heart rate during work and directly after work, a higher systolic blood pressure during work and leisure time, and a lower 24-hour vagal tone on all 3 measurement days. Overcommitment was not associated with an unfavorable ambulatory profile. Logistic regression analysis revealed that heart rate [odds ratio 1-SD increase 1.95 (95% CI, 1.02 to 3.77)] and vagal tone [odds ratio 1-SD decrease 2.67 (95% CI, 1.24 to 5.75)] were independently associated with incident mild hypertension. Surprisingly, the values during sleep were more predictive for mild hypertension than the values during work. The results from the present study suggest that the detrimental effects of work stress are partly mediated by increased heart rate reactivity to a stressful workday, an increase in systolic blood pressure level, and lower vagal tone.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>10775555</pmid><doi>10.1161/01.hyp.35.4.880</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0194-911X |
ispartof | Hypertension (Dallas, Tex. 1979), 2000-04, Vol.35 (4), p.880-886 |
issn | 0194-911X 1524-4563 |
language | eng |
recordid | cdi_proquest_miscellaneous_71065603 |
source | MEDLINE; EZB Electronic Journals Library; American Heart Association; Journals@Ovid Complete |
subjects | Adult Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood Pressure Blood Pressure Monitoring, Ambulatory Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Female Heart Rate Humans Hypertension - etiology Hypertension - psychology Male Medical sciences Middle Aged Stress, Psychological Surveys and Questionnaires |
title | Effects of Work Stress on Ambulatory Blood Pressure, Heart Rate, and Heart Rate Variability |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-10T15%3A26%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effects%20of%20Work%20Stress%20on%20Ambulatory%20Blood%20Pressure,%20Heart%20Rate,%20and%20Heart%20Rate%20Variability&rft.jtitle=Hypertension%20(Dallas,%20Tex.%201979)&rft.au=Vrijkotte,%20Tanja%20G.%20M&rft.date=2000-04&rft.volume=35&rft.issue=4&rft.spage=880&rft.epage=886&rft.pages=880-886&rft.issn=0194-911X&rft.eissn=1524-4563&rft.coden=HPRTDN&rft_id=info:doi/10.1161/01.hyp.35.4.880&rft_dat=%3Cproquest_cross%3E71065603%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=205299733&rft_id=info:pmid/10775555&rfr_iscdi=true |