Occupational Differences in Factors Influencing Onset of Hypertension

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  • 高血圧発症要因は職種によって異なる

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Abstract

<p>　Background: The relationship between job category and the onset of hypertension remains to be clarified. Objectives and Methods: A total of 2,357 employees who were normotensive in 2010 and who had their BP checked in 2020 were enrolled in this study. Age, BMI, uric acid, HbA1c, LDL-C, eGFR, and the results of a stress check were evaluated as factors potentially related to hypertension among office workers (O), station workers (S), engineers (E), and train operators (T). Results: 1) Of the total, 1,879 were normotensive (NT) and 478 hypertensive (HT) in 2020. 2) The rate of new-onset hypertension was 14％ in O, 15.8％ in S, 19％ in E, and 25.2％ in T. 3) Age, delta BMI, and delta UA in O, age in S, and delta BMI and delta UA in T were significantly higher in those who were HT than in those who were NT. 4) Obesity (BMI ≧ 25) and hyperuricemia (UA ≧ 8.0) in T, and obesity in O and S were identified as independent risk factors according to the results of multivariate analysis. 5) A significant correlation between high stress and HT was only found in T. Conclusion: Obesity, hyperuricemia, and high stress were found to be related to new-onset hypertension. Significant differences were found in their level of involvement depending on job category, however.</p>

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