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Job strain variations in relation to plasma testosterone fluctuations in working men--a longitudinal study
T Theorell1, R A Karasek, P Eneroth
1National Institute of Psychosocial Factors and Health, Stockholm, Sweden.
Journal of Internal Medicine
|January 1, 1990
Summary
Job strain, characterized by high demands and low decision latitude, impacts energy and anabolic activity. Total plasma testosterone levels increased as job strain decreased in sedentary work, with notable effects in those with a hypertension history.
Area of Science:
- Occupational Health
- Endocrinology
- Psychosomatic Medicine
Background:
- Job strain, defined as high psychological demands and low decision latitude, is theorized to increase energy expenditure and decrease anabolic processes.
- Previous research indicated that job strain correlates with increased systolic blood pressure, an indicator of energy mobilization.
Purpose of the Study:
- To investigate the relationship between job strain and plasma testosterone levels, a marker of anabolic activity.
- To examine how job strain influences testosterone levels in different work environments and in individuals with a predisposition to hypertension.
Main Methods:
- Four repeated observations were conducted every three months on 44 men across six diverse occupations.
- Self-reported job demands and decision latitude scores were calculated for each participant.
- Plasma testosterone levels were measured and compared between periods of high and low job strain.
Main Results:
- Total plasma testosterone levels increased when job strain decreased in sedentary work, but not in physically demanding work.
- Free testosterone levels did not show a significant association with job strain.
- Individuals with a family history of hypertension exhibited a more pronounced decrease in testosterone levels as job strain increased.
Conclusions:
- Job strain may influence anabolic activity, specifically total plasma testosterone, in a manner dependent on work type and individual health history.
- The findings suggest a complex interplay between occupational stress, physical activity, and hormonal regulation.