Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women.
<h4>Background</h4>Job strain is associated with an increased coronary heart disease risk, but few large-scale studies have examined the relationship of this psychosocial characteristic with the biological risk factors that potentially mediate the job strain - heart disease association.&...
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Public Library of Science (PLoS)
2013-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0067323&type=printable |
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| author | Solja T Nyberg Eleonor I Fransson Katriina Heikkilä Lars Alfredsson Annalisa Casini Els Clays Dirk De Bacquer Nico Dragano Raimund Erbel Jane E Ferrie Mark Hamer Karl-Heinz Jöckel France Kittel Anders Knutsson Karl-Heinz Ladwig Thorsten Lunau Michael G Marmot Maria Nordin Reiner Rugulies Johannes Siegrist Andrew Steptoe Peter J M Westerholm Hugo Westerlund Töres Theorell Eric J Brunner Archana Singh-Manoux G David Batty Mika Kivimäki IPD-Work Consortium |
| author_facet | Solja T Nyberg Eleonor I Fransson Katriina Heikkilä Lars Alfredsson Annalisa Casini Els Clays Dirk De Bacquer Nico Dragano Raimund Erbel Jane E Ferrie Mark Hamer Karl-Heinz Jöckel France Kittel Anders Knutsson Karl-Heinz Ladwig Thorsten Lunau Michael G Marmot Maria Nordin Reiner Rugulies Johannes Siegrist Andrew Steptoe Peter J M Westerholm Hugo Westerlund Töres Theorell Eric J Brunner Archana Singh-Manoux G David Batty Mika Kivimäki IPD-Work Consortium |
| author_sort | Solja T Nyberg |
| collection | DOAJ |
| description | <h4>Background</h4>Job strain is associated with an increased coronary heart disease risk, but few large-scale studies have examined the relationship of this psychosocial characteristic with the biological risk factors that potentially mediate the job strain - heart disease association.<h4>Methodology and principal findings</h4>We pooled cross-sectional, individual-level data from eight studies comprising 47,045 participants to investigate the association between job strain and the following cardiovascular disease risk factors: diabetes, blood pressure, pulse pressure, lipid fractions, smoking, alcohol consumption, physical inactivity, obesity, and overall cardiovascular disease risk as indexed by the Framingham Risk Score. In age-, sex-, and socioeconomic status-adjusted analyses, compared to those without job strain, people with job strain were more likely to have diabetes (odds ratio 1.29; 95% CI: 1.11-1.51), to smoke (1.14; 1.08-1.20), to be physically inactive (1.34; 1.26-1.41), and to be obese (1.12; 1.04-1.20). The association between job strain and elevated Framingham risk score (1.13; 1.03-1.25) was attributable to the higher prevalence of diabetes, smoking and physical inactivity among those reporting job strain.<h4>Conclusions</h4>In this meta-analysis of work-related stress and cardiovascular disease risk factors, job strain was linked to adverse lifestyle and diabetes. No association was observed between job strain, clinic blood pressure or blood lipids. |
| format | Article |
| id | doaj-art-01f09ef0e3ee44a0b042e2087995918e |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-01f09ef0e3ee44a0b042e2087995918e2025-08-20T02:30:38ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0186e6732310.1371/journal.pone.0067323Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women.Solja T NybergEleonor I FranssonKatriina HeikkiläLars AlfredssonAnnalisa CasiniEls ClaysDirk De BacquerNico DraganoRaimund ErbelJane E FerrieMark HamerKarl-Heinz JöckelFrance KittelAnders KnutssonKarl-Heinz LadwigThorsten LunauMichael G MarmotMaria NordinReiner RuguliesJohannes SiegristAndrew SteptoePeter J M WesterholmHugo WesterlundTöres TheorellEric J BrunnerArchana Singh-ManouxG David BattyMika KivimäkiIPD-Work Consortium<h4>Background</h4>Job strain is associated with an increased coronary heart disease risk, but few large-scale studies have examined the relationship of this psychosocial characteristic with the biological risk factors that potentially mediate the job strain - heart disease association.<h4>Methodology and principal findings</h4>We pooled cross-sectional, individual-level data from eight studies comprising 47,045 participants to investigate the association between job strain and the following cardiovascular disease risk factors: diabetes, blood pressure, pulse pressure, lipid fractions, smoking, alcohol consumption, physical inactivity, obesity, and overall cardiovascular disease risk as indexed by the Framingham Risk Score. In age-, sex-, and socioeconomic status-adjusted analyses, compared to those without job strain, people with job strain were more likely to have diabetes (odds ratio 1.29; 95% CI: 1.11-1.51), to smoke (1.14; 1.08-1.20), to be physically inactive (1.34; 1.26-1.41), and to be obese (1.12; 1.04-1.20). The association between job strain and elevated Framingham risk score (1.13; 1.03-1.25) was attributable to the higher prevalence of diabetes, smoking and physical inactivity among those reporting job strain.<h4>Conclusions</h4>In this meta-analysis of work-related stress and cardiovascular disease risk factors, job strain was linked to adverse lifestyle and diabetes. No association was observed between job strain, clinic blood pressure or blood lipids.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0067323&type=printable |
| spellingShingle | Solja T Nyberg Eleonor I Fransson Katriina Heikkilä Lars Alfredsson Annalisa Casini Els Clays Dirk De Bacquer Nico Dragano Raimund Erbel Jane E Ferrie Mark Hamer Karl-Heinz Jöckel France Kittel Anders Knutsson Karl-Heinz Ladwig Thorsten Lunau Michael G Marmot Maria Nordin Reiner Rugulies Johannes Siegrist Andrew Steptoe Peter J M Westerholm Hugo Westerlund Töres Theorell Eric J Brunner Archana Singh-Manoux G David Batty Mika Kivimäki IPD-Work Consortium Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women. PLoS ONE |
| title | Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women. |
| title_full | Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women. |
| title_fullStr | Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women. |
| title_full_unstemmed | Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women. |
| title_short | Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women. |
| title_sort | job strain and cardiovascular disease risk factors meta analysis of individual participant data from 47 000 men and women |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0067323&type=printable |
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