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Occupational Risk Factors for Cardiovascular Disease: A Comprehensive Review
Seung Yeon Jeon1, Chan Young Lee1, Yun-Hee Lee2,3
1Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Insights
Occupational factors like job stress and long hours significantly increase cardiovascular disease (CVD) risk. Reducing workplace hazards is crucial for preventing CVD in individuals and populations.
Area of Science:
- Occupational Health
- Cardiovascular Medicine
- Public Health
Background:
- Cardiovascular disease (CVD) is a major global health concern.
- Occupational factors are increasingly recognized as significant, modifiable risk factors for CVD.
Purpose of the Study:
- To comprehensively review the association between various occupational exposures and CVD risk.
- To assess the strength of evidence for identified occupational risk factors using the GRADE framework.
Main Methods:
- Systematic literature review evaluating occupational exposures.
- GRADE framework applied to assess the strength of evidence for each risk factor.
Main Results:
- Moderate evidence links job stress, long working hours, night shift work, and carbon monoxide exposure to increased CVD risk.
- Limited evidence connects occupational noise, air pollutants, and extreme temperatures to CVD risk.
- Inconclusive findings for physical activity at work and toxic metal exposure due to study limitations.
Conclusions:
- Occupational exposures are critical for identifying and managing individuals at elevated cardiovascular risk.
- Workplace interventions and policies should target job stress, long hours, and hazardous exposures to prevent CVD.
- Reducing occupational risk factors is essential for both individual and population-level CVD prevention efforts.
Purpose Of Review:
Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality worldwide, with occupational factors emerging as significant yet modifiable risk factors. This comprehensive review evaluates the association between various occupational exposures-including job stress, long working hours, shift work, physical activity at work, and exposure to hazardous substances-and CVD risk. Using the GRADE framework, we assessed the strength of evidence for each risk factor.
Recent Findings:
Job stress, long working hours, night shift work, and carbon monoxide exposure demonstrated moderate evidence linking them to increased CVD risk, while occupational noise, air pollutants, and extreme temperatures had limited evidence. Physical activity at work and exposure to toxic metals showed inconclusive findings due to inconsistencies and indirectness in study populations. This review suggests that evaluating occupational exposures is essential for the early identification and management of individuals at elevated cardiovascular risk, and emphasizes that workplace interventions and health policies should prioritize reducing specific risk factors-such as job stress, long working hours, and hazardous exposures-to prevent CVD at both individual and population levels.
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