The association between blood pressure and work stress: The importance of measuring isolated systolic hypertension

Abstract

The objective was to study whether the relationships between elevated blood pressure and (a) work stress as related to the stressor overtime, and (b) unwinding after work, depend on what kind of criteria are used for the diagnosis of hypertension. A total of 126 healthy men (aged 20–66 years) employed in white-collar jobs were tested over 24 hours by means of ambulatory blood pressure monitoring on a regular working day. Four groups were defined according to their blood pressure status: normotensives (NT), hypertensives (HT), isolated systolic hypertensives (ISH), and isolated diastolic hypertensives (IDH). No differences of age, body mass index, overtime work, and disturbed unwinding were found between the normotensives and the hypertensives. ISH was found to be related to working overtime and to disturbed unwinding but not to biological risk factors; IDH, however, was related exclusively to the biological risk factor high body mass index. Thus, significant differences associated with overtime were found between ISH and both NT and IDH, with the isolated systolic hypertensives carrying out more than twice as much overtime as the normotensives or isolated diastolic hypertensives. More men with a disturbed ability to relax and vital exhaustion were found in the ISH group than in the NT group. It seems that, in addition to the usual diagnosis of hypertension, the classification of ISH and IDH adds new information about the relationship between blood pressure elevation and both work stress and disturbed unwinding.

Keywords:

• Job strain
• overtime
• work-related stress
• isolated systolic hypertension
• blood pressure

The study was supported by a grant from the German Research Foundation (RA 745/2-2).