Are hypertensive women at additional risk of ischaemic heart disease from physically demanding work?

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Abstract

The combination of hypertension and high physical activity at work may increase blood pressure considerably and increase the risk of atherosclerosis and thereby ischaemic heart disease (IHD), but only a few studies in men, and none among women, have examined this topic.

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Most cited references 17

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Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States.

Katharina Wolf-Maier, Richard Cooper, José R. Banegas … (2003)

Geographic variations in cardiovascular disease (CVD) and associated risk factors have been recognized worldwide. However, little attention has been directed to potential differences in hypertension between Europe and North America. To determine whether higher blood pressure (BP) levels and hypertension are more prevalent in Europe than in the United States and Canada. Sample surveys that were national in scope and conducted in the 1990s were identified in Germany, Finland, Sweden, England, Spain, Italy, Canada, and the United States. Collaborating investigators provided tabular data in a consistent format by age and sex for persons at least 35 years of age. Population registries were the main basis for sampling. Survey sizes ranged from 1800 to 23 100, with response rates of 61% to 87.5%. The data were analyzed to provide age-specific and age-adjusted estimates of BP and hypertension prevalence by country and region (eg, European vs North American). Blood pressure levels and prevalence of hypertension in Europe, the United States, and Canada. Average BP was 136/83 mm Hg in the European countries and 127/77 mm Hg in Canada and the United States among men and women combined who were 35 to 74 years of age. This difference already existed among younger persons (35-39 years) in whom treatment was uncommon (ie, 124/78 mm Hg and 115/75 mm Hg, respectively), and the slope with age was steeper in the European countries. For all age groups, BP measurements were lowest in the United States and highest in Germany. The age- and sex-adjusted prevalence of hypertension was 28% in the North American countries and 44% in the European countries at the 140/90 mm Hg threshold. The findings for men and women by region were similar. Hypertension prevalence was strongly correlated with stroke mortality (r = 0.78) and more modestly with total CVD (r = 0.44). Despite extensive research on geographic patterns of CVD, the 60% higher prevalence of hypertension in Europe compared with the United States and Canada has not been generally appreciated. The implication of this finding for national prevention strategies should be vigorously explored.

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Physiological analysis of middle-aged and old former athletes. Comparison with still active athletes of the same ages.

B Saltin, G Grimby (1968)

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Physical activity and risk of cardiovascular disease: what does the new epidemiological evidence show?

Jian Li, Adrian Loerbroks, Peter Angerer (2013)

Abundant evidence has documented inverse associations of physical activity and the risk of cardiovascular disease (CVD). However, the effects of different types of physical activity (e.g., leisure time and occupational physical activity) are still poorly understood.

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Author and article information

Journal

Journal ID (iso-abbrev): Eur J Prev Cardiol

Title: European journal of preventive cardiology

Publisher: SAGE Publications

ISSN (Electronic): 2047-4881

ISSN (Print): 2047-4873

Publication date (Electronic): Jul 2016

Volume: 23

Issue: 10

Affiliations

[1 ] Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark Research Centre for Prevention and Health, Centre for Health, Rigshospitalet-Glostrup, Denmark karen.allesoee@regionh.dk.

[2 ] Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark.

[3 ] Research Centre for Prevention and Health, Centre for Health, Rigshospitalet-Glostrup, Denmark Department of Public Health, University of Copenhagen, Denmark.

[4 ] Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark Dalla Lana School of Public Health, University of Toronto, Canada.

[5 ] Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark National Research Centre for the Working Environment, Denmark.

Article

Publisher Item ID: 2047487316631681

DOI: 10.1177/2047487316631681

PubMed ID: 26876489

SO-VID: f1ff0601-b13e-443b-a648-bab3e49f224a

History

Keywords: prospective study,women,Heart disease,hypertension,occupational health,physical activity

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Keywords: prospective study, women, Heart disease, hypertension, occupational health, physical activity

Are hypertensive women at additional risk of ischaemic heart disease from physically demanding work?

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Most cited references 17

Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States.

Physiological analysis of middle-aged and old former athletes. Comparison with still active athletes of the same ages.

Physical activity and risk of cardiovascular disease: what does the new epidemiological evidence show?

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