What Happens to Blood Pressure When On-Call?

Arco-Galán, C.; Súarez-Fernández, Carmen; Gabriel-Sánchez, R.

doi:10.1093/ajh/7.5.396

Cited by 20 publications

(6 citation statements)

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“…| 845 may therefore experience repeated exposure to blunted dipping in BP at least several times each week. Studies by Del Arco-Galan et al, 48 Fialho et al, 49 and Goldstein et al, 50 assessed BP during wakefulness and during periods of sleep when working a 24-hour shift.…”

Section: The Argument For Intra-shift Nappingmentioning

confidence: 99%

Should public safety shift workers be allowed to nap while on duty?

Patterson

Weaver

Guyette

et al. 2020

American J Industrial Med

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Fatigue and sleep deficiency among public safety personnel are threats to wellness, public and personal safety, and workforce retention. Napping strategies may reduce work‐related fatigue, improve safety and health, yet in some public safety organizations it is discouraged or prohibited. Our aim with this commentary is to define intra‐shift napping, summarize arguments for and against it, and to outline potential applications of this important fatigue mitigation strategy supported by evidence. We focus our discussion on emergency medical services (EMS); a key component of the public safety system, which is comprised of police, fire, and EMS. The personnel who work in EMS stand to benefit from intra‐shift napping due to frequent use of extended duration shifts, a high prevalence of personnel working multiple jobs, and evidence showing that greater than half of EMS personnel report severe fatigue, poor sleep quality, inadequate inter‐shift recovery, and excessive daytime sleepiness. The benefits of intra‐shift napping include decreased sleepiness and fatigue, improved recovery between shifts, decreased anxiety, and reduced feelings of burnout. Intra‐shift napping also mitigates alterations in clinician blood pressure associated with disturbed sleep and shift work. The negative consequences of napping include negative public perception, acute performance deficits stemming from sleep inertia, and the potential costs associated with reduced performance. While there are valid arguments against intra‐shift napping, we believe that the available scientific evidence favors it as a key component of fatigue mitigation and workplace wellness. We further believe that these arguments extend beyond EMS to all sectors of public safety.

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Section: The Argument For Intra-shift Nappingmentioning

confidence: 99%

Should public safety shift workers be allowed to nap while on duty?

Patterson

Weaver

Guyette

et al. 2020

American J Industrial Med

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“…The work environment is where adults spend the majority of their waking hours, and blood pressure measured with portable ambulatory blood pressure (ABP) monitors is elevated during work hours relative to non-work hours. [45][46][47] Work activities characterized as demanding and over which workers have little control or autonomy can provoke sharp rises in blood pressure under experimental conditions. [48][49][50] We also know that those occupations that require constant threat-avoidant vigilance (TAV) (i.e., a high level of vigilance in order to avoid serious accidents and loss of human life) lead to increased levels of biological arousal.…”

Section: Blood Pressure and Hypertensionmentioning

confidence: 99%

Globalization, Work, and Cardiovascular Disease

2016

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Cardiovascular disease (CVD), a global epidemic, is responsible for about 30% of all deaths worldwide. While mortality rates from CVD have been mostly declining in the advanced industrialized nations, CVD risk factors, including hypertension, obesity, and diabetes, have been on the increase everywhere. Researchers investigating the social causes of CVD have produced a robust body of evidence documenting the relationships between the work environment and CVD, including through the mechanisms of psychosocial work stressors. We review the empirical evidence linking work, psychosocial stressors, and CVD. These work stressors can produce chronic biologic arousal and promote unhealthy behaviors and thus, increased CVD risk. We offer a theoretical model that illustrates how economic globalization influences the labor market and work organization in high-income countries, which, in turn, exacerbates job characteristics, such as demands, low job control, effort-reward imbalance, job insecurity, and long work hours. There is also a growing interest in "upstream" factors among work stress researchers, including precarious employment, downsizing/restructuring, privatization, and lean production. We conclude with suggestions for future epidemiologic research on the role of work in the development of CVD, as well as policy recommendations for prevention of work-related CVD.

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“…We observed no differences in BP changes from weekdays to weekend between groups by job control status. The previous studies in this domain [2][3][4][5] offer some information on BP variation between work days and days off, but the study samples of these studies have been quite young (mean age range 27.2-37.8) and limited in size (30-159 participants). Moreover, the previous studies have mainly studied healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

“…J ob strain is associated with an increased ambulatory blood pressure (BP), particularly in men [1]. This may be partially dependent on the day of the week as ambulatory BP is known to vary during the week from working days to days off [2][3][4][5][6]. According to most of these studies, BP is higher during working days than during days off.…”

Section: Introductionmentioning

confidence: 99%

Association of work-related psychosocial factors and day-to-day home blood pressure variation: the Finn-Home study

Karelius,

Pentti,

Juhanoja

et al. 2023

Journal of Hypertension

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Objectives: Stress, and particularly job strain, has been found to associate with ambulatory blood pressure (BP). Moreover, BP is known to vary between days. One potential over-looked factor underlying this day-to-day BP variation could be work-related psychosocial factors. Thus, we aimed to study the association between job strain, job demands, job control and day-to-day BP variation. Methods: The home BP of 754 regularly working participants (mean age 50.9 ± 4.8, women 51%) of the Finn-Home Study was measured twice in the morning and twice in the evening over seven days. Average SBP and DBP were calculated for each day. Work-related psychosocial factors were measured with survey. Multivariable-adjusted generalized linear models were used for statistical analysis. Results: We found a greater SBP/DBP decrease between weekdays and weekend among participants with high job strain (-1.8 [95% confidence interval, 95% CI, -2.7 to -0.8]/-1.7 [95% CI, -2.3 to -1.1] mmHg) compared to participants with low job strain (-0.7 [95% CI, -1.1 to -0.2]/-0.7 [95% CI, -1.0 to -0.4] mmHg). The participants with high job demands showed a higher BP decrease between weekdays and weekend (-1.4 [95% CI, -2.0 to -0.8]/-1.3 [95% CI, -1.6 to -0.9] mmHg) than the participants with low job demands (-0.5 [95% CI, -1.1 to 0.0]/-0.6 [95% CI, -1.0 to -0.3] mmHg). We did not find BP differences regarding job control. Conclusion: High job strain and high job demands were associated with a greater BP reduction from weekdays to the weekend. Work-related psychosocial factors should be considered when assessing day-to-day BP variation.

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What Happens to Blood Pressure When On-Call?

Cited by 20 publications

References 0 publications

Should public safety shift workers be allowed to nap while on duty?

Should public safety shift workers be allowed to nap while on duty?

Globalization, Work, and Cardiovascular Disease

Association of work-related psychosocial factors and day-to-day home blood pressure variation: the Finn-Home study

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