Lifestyle and the development of hypertension : a 3-year follow-up study of middle-aged Japanese male office workers.
The association of lifestyle factors with the development of hypertension (blood pressure>140/90 mmHg) over a 3-year follow-up period was studied in 949 hypertension-free Japanese male office workers aged 35 to 54 years.
From the Cox proportional hazards mode, age, alcohol intake, body mass index (BMI) and hours of work were independent factors associated with the development of hypertension.
Adjusted hazard ratios for 5-year increases in age, daily consumption of alcohol, 5-kg/m2 increases in BMI an working 10 hours per day or more were 1.18 [95% confidence interval (Cl)=1.02-1.35] : 1.53 (Cl=1.14-2.05) ; 1.79 (Cl=1.38-2.33) and 0.58 (Cl=0.41-0.82), respectively.
In the analysis using logistic regression, BMI was independently related to working 10 hours per day or more, controlling for other lifestyle factors.
Adjusted odds ratio for 5-kg/m2 increase in BMI was 0.66 (Cl=0.49-0.88).
These results suggest that the influences of long working hours on blood pressure are likely to be indirectly mediated through less overall obesity.
Mots-clés Pascal : Médecine travail, Employé bureau, Homme, Hypertension artérielle, Etude longitudinale, Epidémiologie, Japon, Asie, Facteur risque, Mode de vie, Incidence, Age mûr, Analyse multivariable, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Occupational medicine, Clerical personnel, Human, Hypertension, Follow up study, Epidemiology, Japan, Asia, Risk factor, Life style, Incidence, Middle age, Multivariate analysis, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0187235
Code Inist : 002B12B05B. Création : 16/11/1999.