Work stress has no meaningful effect on BP
Does work stress increase blood pressure?
Work stress has no meaningful effect on blood pressure. (LOE = 1b)
Guimont C, Brisson C, Dagenais GR, et al. Effects of job strain on blood pressure: a prospective study of male and female white-collar workers. Am J Public Health 2006;96:1436-1443. [PMID:16809603]
"I don't need medication; my blood pressure is only high because of my stressful job." How should you respond? This team of researchers observed more than 6000 white-collar workers (men and women) for 7.5 years (84% follow-up). They excluded anyone with known cardiovascular disease and hypertension at baseline. The participants completed a series of scales to assess job stress and other psychological demands of work. Additionally, the study team assessed each participant's vital signs, body mass index, tobacco use, exercise patterns, and so forth. Women had no difference in their blood pressure whether exposed to stress at baseline or at follow-up, or at both, or neither. Men who experienced no work stress at baseline or at follow-up also showed no change in blood pressure. The excited authors, however, point out a graded response: Stress levels present only at baseline were less important than stress levels only at follow-up, and when men's stress levels were present at both baseline and at follow-up, the systolic blood pressure increased a whopping 1.8 mm Hg. This is a perfect example of how researchers can confuse and mislead us with statistics. Yes, the difference was statistically significant, but the clinical difference was trivial.
Barry, Henry, et al., editors. "Work Stress Has No Meaningful Effect On BP." EE+ POEM Archive, John Wiley & Sons, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/infoPOEMs/426077/all/Work_stress_has_no_meaningful_effect_on_BP.
Work stress has no meaningful effect on BP. In: Barry HH, Ebell MHM, Shaughnessy AFA, et al, eds. EE+ POEM Archive. John Wiley & Sons; 2019. https://evidence.unboundmedicine.com/evidence/view/infoPOEMs/426077/all/Work_stress_has_no_meaningful_effect_on_BP. Accessed December 4, 2023.
Work stress has no meaningful effect on BP. (2019). In Barry, H., Ebell, M. H., Shaughnessy, A. F., & Slawson, D. C. (Eds.), EE+ POEM Archive. John Wiley & Sons. https://evidence.unboundmedicine.com/evidence/view/infoPOEMs/426077/all/Work_stress_has_no_meaningful_effect_on_BP
Work Stress Has No Meaningful Effect On BP [Internet]. In: Barry HH, Ebell MHM, Shaughnessy AFA, Slawson DCD, editors. EE+ POEM Archive. John Wiley & Sons; 2019. [cited 2023 December 04]. Available from: https://evidence.unboundmedicine.com/evidence/view/infoPOEMs/426077/all/Work_stress_has_no_meaningful_effect_on_BP.
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TY - ELEC T1 - Work stress has no meaningful effect on BP ID - 426077 ED - Barry,Henry, ED - Ebell,Mark H, ED - Shaughnessy,Allen F, ED - Slawson,David C, BT - EE+ POEM Archive UR - https://evidence.unboundmedicine.com/evidence/view/infoPOEMs/426077/all/Work_stress_has_no_meaningful_effect_on_BP PB - John Wiley & Sons DB - Evidence Central DP - Unbound Medicine ER -