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Demanding physical work associated with an increased risk of cardiovascular disease
Date:4/17/2013

rict access to the healthcare system.

A second study reported here from investigators in Belgium and Denmark also supports the view that physically demanding work is a risk factor for coronary heart disease, even when leisure-time activity is taken into account.(2)

This was a cohort study of more than 14,000 middle-aged men who were free of coronary disease at the outset of the study in 1994-1998. Standardised questionnaires were used to assess socio-demographic factors, job strain and the level of physical activity at work and during leisure time. Classical coronary risk factors were also measured through clinical examinations and questionnaires.

The incidence of coronary events was monitored during a mean follow-up time of 3.15 years, with statistical modelling applied to assess the association between physical activity and coronary disease. Again, adjustments were made for age, education, occupational class, job strain, body mass index, smoking, alcohol consumption, diabetes, blood pressure, and cholesterol.

Results during follow-up showed an overall beneficial effect of leisure time physical activity, but an adverse effect of demanding physical work. However, Dr Els Clays, from the Department of Public Health at the University of Ghent, Belgium, added that an "interaction effect" was also evident in the results: while moderate-to-high physical activity during leisure time was associated with a 60% reduced risk of coronary events in men with low occupational physical activity (a statistically significant hazard rate of 0.40), this protective effect was not observed in those workers who were also exposed to high physical work demands (HR 1.67).

Dr Clays added that, after adjusting for socio-demographic and well established coronary risk factors, men with high physical job demands were more than four times likely to have coronary heart disease when they also engaged in physical activity during leisure time (HR 4.77). <
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Contact: Jacqueline Partarrieu
press@escardio.org
33-492-947-756
European Society of Cardiology
Source:Eurekalert

Page: 1 2 3

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