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[Cardiovascular hyperreactivity to physical stress predicts high blood pressure in working populations: 4 years
Sandra Santana López1, María del Carmen Perdomo Hernández2, Rolando Montero Díaz3
1Medicina Interna, Instituto Nacional de Salud de los Trabajadores Asistencia Médica, La Habana, Cuba.
Insights
Cardiovascular hyperreactivity (CVHR) to physical stress predicts high blood pressure (HBP) in working populations. This finding allows for stratification of workers to implement preventive health actions against future hypertension.
Area of Science:
- Occupational health
- Cardiovascular research
- Epidemiology
Context:
- High blood pressure (HBP) is a significant health concern and a risk factor for atherosclerosis.
- Cardiovascular hyperreactivity (CVHR) has been identified as a predictor for HBP.
- Understanding predictors of HBP in working populations is crucial for public health initiatives.
Purpose:
- To investigate whether cardiovascular hyperreactivity (CVHR) to physical stress predicts the development of high blood pressure (HBP).
- To assess the predictive value of CVHR in a working population cohort.
Summary:
- A four-year cohort study involving 88 participants (48 with CVHR, 40 with normal reactivity) utilized the Sustained Weight test.
- Survival analysis, including the chi-squared test and hazard ratio, was employed to analyze the prediction of HBP.
- Results indicate that CVHR, as measured by the Sustained Weight test, is a significant predictor of HBP.
Impact:
- The findings enable stratification of working populations based on cardiovascular reactivity.
- This stratification facilitates the implementation of targeted preventive health strategies for modifiable cardiovascular risk factors.
- Early identification of individuals at risk for hypertension in the workplace can lead to improved long-term health outcomes.
Introduction:
High blood pressure (HBP) is a disease, and as well as a risk factor for other diseases, such as atherosclerosis. Cardiovascular hyperreactivity (CVHR) is a predictor for this disease. The aim of this study was to demonstrate if CVHR to physical stress predicts HBP in working populations.
Methods:
A four year (2008-2012) cohort study was conducted on two population groups: CVHR (48), and normal cardiovascular reactivity (40) after applying the Sustained Weight test. A survival analysis was used to predict HBP, and the χ(2) test and hazard ratio, with a confidence interval of 95%, were used for the statistical analysis.
Conclusions:
The CVHR is a predictor of HBP, determined by the Sustained Weight test. The working populations can be stratified according to cardiovascular reactivity in order to introduce preventive health actions on the modifiable cardiovascular risk factors of future hypertensives in the workplace.
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