BACKGROUND: Theories of stress-induced metabolic syndrome predict that job strain would increase risk. Few studies have evaluated this association. OBJECTIVE: To evaluate the association between job strain and the risk of metabolic syndrome. METHODS: We investigated associations between job strain and incident metabolic syndrome adjusted for sociodemographic factors, health behaviors, and depressive symptoms over 5 years among 2966 black and white men and women in the Coronary Artery Risk Development in Young Adults study. Job strain was categorized by Karasek's model: high demands/low control; high demands/high control; low demands/low control; and low demands/high control. RESULTS: Compared with persons in low-strain jobs, men in active jobs (adjusted hazards ratio, 2.7; 95% confidence interval, 1.5 to 4.9) and women in high strain jobs (adjusted hazards ratio, 2.2; 95% confidence interval, 1.0 to 4.6) had significantly increased risk of metabolic syndrome. CONCLUSION: Job strain may be a modifiable risk factor for metabolic syndrome and subsequent cardiovascular disease.
BACKGROUND: Theories of stress-induced metabolic syndrome predict that job strain would increase risk. Few studies have evaluated this association. OBJECTIVE: To evaluate the association between job strain and the risk of metabolic syndrome. METHODS: We investigated associations between job strain and incident metabolic syndrome adjusted for sociodemographic factors, health behaviors, and depressive symptoms over 5 years among 2966 black and white men and women in the Coronary Artery Risk Development in Young Adults study. Job strain was categorized by Karasek's model: high demands/low control; high demands/high control; low demands/low control; and low demands/high control. RESULTS: Compared with persons in low-strain jobs, men in active jobs (adjusted hazards ratio, 2.7; 95% confidence interval, 1.5 to 4.9) and women in high strain jobs (adjusted hazards ratio, 2.2; 95% confidence interval, 1.0 to 4.6) had significantly increased risk of metabolic syndrome. CONCLUSION: Job strain may be a modifiable risk factor for metabolic syndrome and subsequent cardiovascular disease.
Authors: Danielle L Beatty Moody; Yuefang Chang; Charlotte Brown; Joyce T Bromberger; Karen A Matthews Journal: Psychosom Med Date: 2018-01 Impact factor: 4.312