机构:[1]University of Düsseldorf, Düsseldorf, Germany Institute of Occupational and Social Medicine, Centre for Health and Society, Faculty of Medicine[2]University of Düsseldorf, Düsseldorf, Germany Institute of Medical Sociology, Centre for Health and Society, Faculty of Medicine[3]Kunming Medical University, Kunming, China Department of Cardiology, First Affiliated Hospital内科科室心脏内科昆明医科大学附属第一医院[4]University of Düsseldorf, Düsseldorf, Germany Senior Professorship on Work Stress Research, Life-Science Centre
Though much evidence indicates that work stress increases the risk of incident of coronary heart disease (CHD), little is known about the role of work stress in the development of recurrent CHD events. The objective of this study was to review and synthesize the existing epidemiological evidence on whether work stress increases the risk of recurrent CHD events in patients with the first CHD. A systematic literature search in the PubMed database (January 1990 - December 2013) for prospective studies was performed. Inclusion criteria included: peer-reviewed English papers with original data, studies with substantial follow-up (> 3 years), end points defined as cardiac death or nonfatal myocardial infarction, as well as work stress assessed with reliable and valid instruments. Meta-analysis using random-effects modeling was conducted in order to synthesize the observed effects across the studies. Five papers derived from 4 prospective studies conducted in Sweden and Canada were included in this systematic review. The measurement of work stress was based on the Demand-Control model (4 papers) or the Effort-Reward Imbalance model (1 paper). According to the estimation by meta-analysis based on 4 papers, a significant effect of work stress on the risk of recurrent CHD events (hazard ratio: 1.65, 95% confidence interval: 1.23-2.22) was observed. Our findings suggest that, in patients with the first CHD, work stress is associated with an increased relative risk of recurrent CHD events by 65%. Due to the limited literature, more well-designed prospective research is needed to examine this association, in particular, from other than western regions of the world.
基金:
This review work was partly supported by the National Natural Science Foundation of China (Project No. 81360040) and the Natural Science Foundation of Yunnan Province, China (Project No. 2013FB140). Manager of project: Min Zhang, MD, PhD. J. Siegrist was supported by a Senior Professorship grant from the Faculty of Medicine, University of Düsseldorf, Germany. All authors declare that there is no conflict of interest.
语种:
外文
中科院(CAS)分区:
出版当年[2016]版:
大类|4 区医学
小类|4 区公共卫生、环境卫生与职业卫生
最新[2023]版:
大类|4 区医学
小类|4 区公共卫生、环境卫生与职业卫生
第一作者:
第一作者机构:[1]University of Düsseldorf, Düsseldorf, Germany Institute of Occupational and Social Medicine, Centre for Health and Society, Faculty of Medicine[2]University of Düsseldorf, Düsseldorf, Germany Institute of Medical Sociology, Centre for Health and Society, Faculty of Medicine[*1]Institute of Occupational and Social Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Düsseldorf 40225, Universität Strasse 1, Germany
通讯作者:
通讯机构:[1]University of Düsseldorf, Düsseldorf, Germany Institute of Occupational and Social Medicine, Centre for Health and Society, Faculty of Medicine[2]University of Düsseldorf, Düsseldorf, Germany Institute of Medical Sociology, Centre for Health and Society, Faculty of Medicine[*1]Institute of Occupational and Social Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Düsseldorf 40225, Universität Strasse 1, Germany
推荐引用方式(GB/T 7714):
JIAN LI,MIN ZHANG,ADRIAN LOERBROKS,et al.Work stress and the risk of recurrent coronary heart disease events: A systematic review and meta-analysis(Open Access)[J].International Journal of Occupational Medicine and Environmental Health.2015,28(1):doi:10.2478/s13382-014-0303-7.
APA:
JIAN LI,MIN ZHANG,ADRIAN LOERBROKS,PETER ANGERER&JOHANNES SIEGRIST.(2015).Work stress and the risk of recurrent coronary heart disease events: A systematic review and meta-analysis(Open Access).International Journal of Occupational Medicine and Environmental Health,28,(1)
MLA:
JIAN LI,et al."Work stress and the risk of recurrent coronary heart disease events: A systematic review and meta-analysis(Open Access)".International Journal of Occupational Medicine and Environmental Health 28..1(2015)