Nearly all past research
linking long work hours and high blood pressure
has been done among Asian workers, Dr. Haiou
Yang of the University of California in Irvine
and colleagues note in their report in the
journal Hypertension.
Interest in the topic began in Japan, they
add, where a notoriously high-pressure work
culture has given rise to a phenomenon known
as Karoshi, or "sudden death from overwork."
Today, Americans work longer hours than do
Japanese, the researchers add.
To investigate whether more time on the job
could drive up hypertension risk among Westerners,
the researchers looked at a representative
sample of 24,305 California adults who worked
11 hours or more each week.
The likelihood of having high blood pressure
rose steadily with the number of hours worked,
the researchers found, and persisted even
after adjusting for factors such as socioeconomic
status and body weight.
Those who worked 40 hours per week were 14
percent more likely to have high blood pressure
than people who worked 39 hours or less. Hypertension
risk was 17 percent greater in those working
41 to 50 hours weekly, and 29 percent higher
in those working 51 hours or more.
The researchers also found that hypertension
was more common among clerical and unskilled
workers than among professionals. This "suggests
that occupations requiring more challenging
and mentally active work may have a protective
effect against hypertension," Yang and his
colleagues write.
Almost all of the developed world has legislation
limiting work hours, except for the United
States, the researchers note.
SOURCE: Hypertension: Journal of the
American Heart Association, online
August 28, 2006.