Journal
PSYCHOSOMATIC MEDICINE
Volume 66, Issue 4, Pages 459-465Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.psy.0000132872.71870.6d
Keywords
cardiovascular reactivity; epidemiology; hypertension; prevention; screening
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Funding
- NIMH NIH HHS [MH17119] Funding Source: Medline
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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 1 hypertensive workers suggests that increased systolic blood pressure reactivity to work stress is associated with long-term risk of hypertension.
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