Cardiovascular Reactivity to Work Stress Predicts Subsequent Onset of Hypertension: The Air Traffic Controller Health Change Study
Abstract
OBJECTIVE: The hypothesis that increased blood pressure reactivity to stress is an early risk marker of hypertension was tested in a 1994 follow-up of the 1974 to 1978 Air Traffic Controller Health Change Study sample. METHODS: Assessments in 1974 to 1978 included physical examinations and recordings (every 20 minutes for 5 hours) of both workload (planes within controller airspace) and blood pressure reactivity. Individual differences in reactivity were used to predict 1994 self-report of ever having been told by a physician to take antihypertensive medication, assessed in a telephone survey of 218 respondents who were normotensive or stage 1 hypertensive in 1974 to 1978. RESULTS: Each SD increase in baseline systolic reactivity was associated with a 1.7 (p <.019) increase in the relative-odds of 1994 hypertension, after controlling for age, body mass index, and clinic systolic and diastolic blood pressure at clinical examination, with effects comparable for baseline normotensives and stage 1 hypertensives. CONCLUSION: A 20-year follow-up of originally normotensive and stage I hypertensive workers suggests that increased systolic blood pressure reactivity to work stress is associated with long-term risk of hypertension.
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RELACIONES ENTRE LA DIADA ENOJO-HOSTILIDAD E HIPERTENSIÓN
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The Overlooked Driver of Hypertension: Mental Stress at the Crossroad of Cardiology and Psychiatry
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- Authors
- Ming, E. E., Adler, G. K., Kessler, R. C., Fogg, L. F., Matthews, K. A., Herd, J. A., & Rose, R. M.
- Affiliations
- Harvard University (US)
- Corresponding author
- Rose, Robert M.
- Venue
- Psychosomatic Medicine
- Published
- 2004-07
- Volume
- 66
- Issue
- 4
- Pages
- 459-465
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2046749354
- Cited by
- 83
- References
- 26
- Citations by year
- 2025: 3 · 2024: 1 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 6 · 2014: 4 · 2013: 4 · 2012: 4
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-17119, T32MH017119)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- blood pressure reactivity, occupational stress, hypertension onset, air traffic controllers, systolic blood pressure, antihypertensive medication use, long-term follow-up
- MeSH terms
- Adult, Aerospace Medicine, Blood Pressure, Cardiovascular System, Follow-Up Studies, Heart Rate, Humans, Hypertension, Longitudinal Studies, Male, Middle Aged, Occupational Diseases, Probability, Psychophysiologic Disorders, Risk Factors, Stress, Psychological, Systole, Biomarkers, Workload
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