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Living Well Study > Blog > Living Well > Can Occupational Stress Affect Cardiovascular Health?
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Can Occupational Stress Affect Cardiovascular Health?

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In an expansive and meticulous study involving a large, multi-ethnic cohort of adults in the United States who were initially free from cardiovascular disease, it was found that individuals experiencing work-related stress were significantly more likely to exhibit poorer measures of cardiovascular health. These enlightening findings have been thoroughly documented and recently published in the Journal of the American Heart Association, highlighting a crucial public health issue linked to the workplace.

The research analysed data meticulously collected between 2000 and 2002 from 3,579 community-dwelling adults aged between 45 and 84 years. These participants were all part of the Multi-Ethnic Study of Atherosclerosis, a detailed project designed to investigate the factors affecting cardiovascular health across different ethnic groups. To assess the state of each participant’s cardiovascular health, researchers used a composite score derived from seven critical health metrics: smoking status, level of physical activity, body mass index (BMI), dietary quality, total cholesterol levels, blood pressure, and blood glucose levels. Each metric contributed to a cumulative score ranging from 0 to 14 points, with zero points indicating poor health, one point for intermediate health, and two points for ideal health across each metric.

The findings revealed that 20% of the study participants reported experiencing work-related stress, as determined by their responses to a detailed questionnaire. When the data was adjusted for various confounding factors such as age, gender, ethnicity, and socio-economic status, it became evident that individuals with work-related stress had 25% and 27% lower odds of achieving average (9–10 points) and optimal (11–14 points) cardiovascular health scores, respectively. This was in stark contrast to their peers who did not report such stress, pointing to a significant association between occupational stress and diminished cardiovascular wellness.

The implications of these findings are substantial, prompting calls from the study’s authors for a deeper investigation into this phenomenon. First author Dr Oluseye Ogunmoroti, MD, MPH, from Emory University, alongside senior author Dr Erin Michos, MD, MHS, from Johns Hopkins University, emphasised the urgency of addressing work-related stress as a significant factor in public health strategies. They suggested that future research should focus on longitudinal studies to trace the mechanisms that underlie the relationship between work-related stress and cardiovascular health over time. Understanding these pathways is critical to developing targeted interventions.

Moreover, the authors advocated for implementing thorough intervention studies within workplace environments. These studies are crucial to developing, testing, and refining effective stress management strategies. By improving these strategies, it is possible to enhance employees’ well-being and significantly uplift their cardiovascular health profiles. The potential benefits of such initiatives extend beyond individual health improvements, proposing a model for healthier working environments that could inspire similar efforts globally. This research underscores the need for a holistic approach to employee health, where mental and physical health are equally prioritised to foster a healthier society.

More information: Oluseye Ogunmoroti et al, Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of Atherosclerosis, Journal of the American Heart Association. DOI: 10.1161/JAHA.124.035824

Journal information: Journal of the American Heart Association Provided by Wiley

TAGGED:atherosclerosiscardiovascular diseaselongitudinal studiesstress management
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