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01.01.2016 | Original Article

Is aerobic workload positively related to ambulatory blood pressure? A cross-sectional field study among cleaners

verfasst von: Mette Korshøj, Els Clays, Mark Lidegaard, Jørgen H. Skotte, Andreas Holtermann, Peter Krustrup, Karen Søgaard

Erschienen in: European Journal of Applied Physiology | Ausgabe 1/2016

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Abstract

Purpose

Cardiovascular disease is prevalent among workers with high levels of occupational physical activity. The increased risk may be due to a high relative aerobic workload, possibly leading to increased blood pressure. However, studies investigating the relation between relative aerobic workload and ambulatory blood pressure (ABP) are lacking. The aim was to explore the relationship between objectively measured relative aerobic workload and ABP.

Methods

A total of 116 cleaners aged 18–65 years were included after informed consent was obtained. A portable device (Spacelabs 90217) was mounted for 24-h measurements of ABP, and an Actiheart was mounted for 24-h heart rate measurements to calculate relative aerobic workload as percentage of relative heart rate reserve. A repeated-measure multi-adjusted mixed model was applied for analysis.

Results

A fully adjusted mixed model of measurements throughout the day showed significant positive relations (p < 0.001): a 1 % increase in mean relative aerobic workload was associated with an increase of 0.42 ± 0.05 mmHg (95 % CI 0.32–0.52 mmHg) in systolic ABP and 0.30 ± 0.04 mmHg (95 % CI 0.22–0.38 mmHg) in diastolic ABP. Correlations between relative aerobic workload and ABP were significant.

Conclusions

Because workers may have an elevated relative aerobic workload for several hours each working day, this relationship may elucidate a mechanism behind the increased risk for cardiovascular disease among workers exposed to high levels of occupational physical activity.

Åstrand I, Guharay A, Wahren J (1968) Circulatory responses to arm exercise with different arm positions. J Appl Physiol 25:528–532PubMed

Barreira TV, Kang M, Caputo JL, Farley RS, Renfrow MS (2009) Validation of the Actiheart monitor for the measurement of physical activity. Int J Exerc Sci 2:60–71

Baumgart P, Kamp J (1998) Accuracy of the SpaceLabs medical 90217 ambulatory blood pressure monitor. Devices Technol 3:303–307

Bonjer FH (1971) Energy expenditure. In: Parmeggiana L (ed) Encyclopedia of occupational health and safety, 2nd edn. International Labour Organisation, Geneva, pp 458–460

Brage S, Brage N, Franks PW, Ekelund U, Wong MY, Andersen LB, Froberg K, Wareham NJ (2004) Branched equation modeling of simultaneous accelerometry and heart rate monitoring improves estimate of directly measured physical activity energy expenditure. J Appl Physiol 96:343–351PubMedCrossRef

Brage S, Brage N, Franks PW, Ekelund U, Wareham NJ (2005) Reliability and validity of the combined heart rate and movement sensor Actiheart. Eur J Clin Nutr 59:561–570PubMedCrossRef

Canoy D (2008) Distribution of body fat and risk of coronary heart disease in men and women. Curr Opin Cardiol 23:591–598PubMedCrossRef

Clays E, Leynen F, De Bacquer D, Kornitzer M, Kittel F, Karasek R, De Backer G (2007) High job strain and ambulatory blood pressure in middle-aged men and women from the Belgian Job Stress Study. J Occup Environ Med 49:360–367PubMedCrossRef

Clays E, De BD, Van HK, De BG, Kittel F, Holtermann A (2012) Occupational and leisure time physical activity in contrasting relation to ambulatory blood pressure. BMC Publ Health 12:1002CrossRef

Current Controlled Trials (2014) Current controlled trials. http://www.controlled-trials.com/ISRCTN86682076. Accessed 12-12-2014

Hansen TW, Kikuya M, Thijs L, Bjørklund-Bodegård K, Kuznetsova T, Ohkubo T, Richart T, Torp-Pedersen C, Lind L, Jeppesen J, Ibsen H, Imai Y, Staessen JA (2007) Prognostic superiority of daytime ambulatory over conventional blood pressure in four populations: a meta-analysis of 7030 individuals. J Hypertens 25:1554–1564PubMedCrossRef

He J, Whelton PK (1999) Elevated systolic blood pressure and risk of cardiovascular and renal disease: overview of evidence from observational epidemiologic studies and randomized controlled trials. Am Heart J 138:S211–S219CrossRef

Holtermann A, Mortensen OS, Burr H, Søgaard K, Gyntelberg F, Suadicani P (2009) The interplay between physical activity at work and during leisure time—risk of ischemic heart and all-cause mortality in middle-aged Caucasian men. Scand J Work Environ Health 35:466–474PubMedCrossRef

Holtermann A, Burr H, Hansen JV, Krause N, Søgaard K, Mortensen OS (2011) Occupational physical activity and mortality among Danish workers. Int Arch Occup Environ Health

Karvonen MJ, Kentala E, Mustala O (1957) The effects of training on heart rate; a longitudinal study. Ann Med Exp Biol Fenn 35:307–315PubMed

Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J (2005) Global burden of hypertension: analysis of worldwide data. Lancet 365:217–223PubMedCrossRef

Kilbom Å (1978) Circulatory and ventilatory effects of combined static and dynamic activities. Scand J Rehabil Med 1978:99–104

Kilbom Å, Åstrand I (1971) Physical training with submaximal intensities in women. Scand J Clin Lab Invest 28:163–175PubMedCrossRef

Klabunde RE (2005) Cardiovascular physiology concepts. Lippincott Williams & Wilkins, Philadelphia

Korshøj M, Krustrup P, Jørgensen MB, Prescott E, Hansen AM, Kristiansen J, Skotte JH, Mortensen OS, Søgaard K, Holtermann A (2012) Cardiorespiratory fitness, cardiovascular workload and risk factors among cleaners; a cluster randomized worksite intervention. BMC Public Health 12:645PubMedPubMedCentralCrossRef

Korshøj M, Krustrup P, Jespersen T, Søgaard K, Skotte JH, Holtermann A (2013) A 24-h assessment of physical activity and cardio-respiratory fitness among female hospital cleaners: a pilot study. Ergonomics 56:935–943PubMedCrossRef

Korshøj M, Lidegaard M, Skotte JH, Krustrup P, Krause N, Søgaard K, Holtermann A (2015) Does aerobic exercise improve or impair cardiorespiratory fitness and health among cleaners? A cluster randomized controlled trial. Scand J Work Environ Health 41:140–152. doi:10.5271/sjweh.3475 PubMedCrossRef

Krause N (2010) Physical activity and cardiovascular mortality—disentangling the roles of work, fitness, and leisure. Scand J Work Environ Health 36(5):349–355PubMedCrossRef

Krause N, Brand RJ, Kaplan GA, Kauhanen J, Malla S, Tuomainen TP, Salonen JT (2007) Occupational physical activity, energy expenditure and 11-year progression of carotid atherosclerosis. Scand J Work Environ Health 33:405–424PubMedCrossRef

Krause N, Brand RJ, Arah OA, Kauhanen J (2015) Occupational physical activity and 20-year incidence of acute myocardial infarction: results from the Kuopio Ischemic Heart Disease Risk Factor Study. Scand J Work Environ Health 41:124–139PubMedCrossRef

Kristiansen J, Korshøj M, Skotte JH, Jespersen T, Søgaard K, Mortensen OS, Holtermann A (2011) Comparison of two systems for long-term heart rate variability monitoring in free-living conditions—a pilot study. Biomed Eng Online 10:27PubMedPubMedCentralCrossRef

Krüger D, Louhevaara V, Nielsen J, Schneider T (eds) (1997) Risk assesment and preventive strategies in cleaning work, 1st edn. Bremerhaven, Wirtschaftsverlag NW

Lewington S, Clarke R, Qizilbash N, Peto R, Collins R (2002) Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 360(9349):1903–1913

Li J, Loerbroks A, Angerer P (2013) Physical activity and risk of cardiovascular disease: what does the new epidemiological evidence show? Curr Opin Cardiol 28:575–583PubMedCrossRef

Nes BM, Janszky I, Wisloff U, Stoylen A, Karlsen T (2013) Age-predicted maximal heart rate in healthy subjects: The HUNT fitness study. Scand J Med Sci Sports 23:697–704PubMedCrossRef

O´Brien E, Waeber B, Parati G, Staessen J, Myers M (2001) Blood pressure measuring devices: recommendations of the European Society of Hypertension. Br J Sports Med 322:531–536

Quan H, Chen G, Walker RL, Wielgosz A, Dai S, Tu K, Campbell NR, Hemmelgarn BR, Hill MD, Johansen H, McAlister FA, Khan N (2013) Incidence, cardiovascular complications and mortality of hypertension by sex and ethnicity. Heart 99:715–721PubMedCrossRef

Skotte J, Korshøj M, Kristiansen J, Hanisch C, Holtermann A (2014) Detection of physical activity types using triaxial accelerometers. J Phys Act Health 11:76–84PubMedCrossRef

Søgaard K, Blangsted AK, Herod A, Finsen L (2006) Work design and the labouring body: examining the impacts of work organization on Danish cleaners’ health. Antipode 38:579–602CrossRef

Tanaka H, Monahan KD, Seals DR (2001) Age-predicted maximal heart rate revisited. J Am Coll Cardiol 37:153–156PubMedCrossRef

Twisk J, de BM, de VW, Heymans M (2013) Multiple imputation of missing values was not necessary before performing a longitudinal mixed-model analysis. J Clin Epidemiol 66: 1022–1028

Unge J, Ohlsson K, Nordander C, Hansson GA, Skerfving S, Balogh I (2007) Differences in physical workload, psychosocial factors and musculoskeletal disorders between two groups of female hospital cleaners with two diverse organizational models. Int Arch Occup Environ Health 81:209–220PubMedCrossRef

White IR, Carpenter J, Horton NJ (2012) Including all individuals is not enough: lessons for intention-to-treat analysis. Clin Trials 9:396–407PubMedPubMedCentralCrossRef

Wu HC, Wang MJJ (2002) Relationship between maximum acceptable work time and physical workload. Ergonomics 45:280–289PubMedCrossRef

Titel: Is aerobic workload positively related to ambulatory blood pressure? A cross-sectional field study among cleaners
verfasst von: Mette Korshøj
Els Clays
Mark Lidegaard
Jørgen H. Skotte
Andreas Holtermann
Peter Krustrup
Karen Søgaard
Publikationsdatum: 01.01.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Applied Physiology / Ausgabe 1/2016
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-015-3259-9

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Abstract

Purpose

Methods

Results

Conclusions

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