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Behavioural and psychosocial correlates of nondipping blood pressure pattern among middle-aged men and women at work

Els Clays (UGent) , Koen Van Herck (UGent) , Marc De Buyzere (UGent) , M Kornitzer, F Kittel, Gui De Backer (UGent) and Dirk De Bacquer (UGent)
(2012) JOURNAL OF HUMAN HYPERTENSION. 26(6). p.381-387
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Abstract
The underlying pathogenetic mechanisms of nondipping blood pressure (BP) pattern are not completely understood. Especially the role of psychosocial correlates remains unclear. The aim was to assess the association between nondipping BP pattern, behavioural and psychosocial factors in a sample of working men and women. The study sample included 167 working men and women aged 40-64 years from the BELSTRESS cohort. Socio-demographic, behavioural and psychosocial factors were assessed by self-administered questionnaires. Participants were medically examined and underwent an ambulatory BP monitoring during 24 h. Nondipping was defined when the average nocturnal decline in BP was <10%. The prevalence of nondipping for both systolic and diastolic BP was 7.8%. Nondipping was not significantly related to smoking, alcohol consumption and leisure time physical activity. A crude significant association was observed between nondipping and sleep problems. After adjusting for gender, education and body mass index, the risk for nondipping was associated with job strain, living alone, being unsatisfied about the contact with one's children, depressive symptoms and vital exhaustion. Nondipping BP pattern was consistently related to psychosocial factors in this study: positive associations were observed with measures of job strain, poor private life support (living alone and being unsatisfied about the contact with one's children) and mental health problems (depressive symptoms and vital exhaustion).
Keywords
nondipping, blood pressure, psychosocial, ESSENTIAL HYPERTENSIVE PATIENTS, SLEEP DURATION, ORGAN DAMAGE, JOB STRESS, IMPACT, BELSTRESS, LIFE, PREVALENCE, SUPPORT, DECLINE

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Chicago
Clays, Els, Koen Van Herck, Marc De Buyzere, M Kornitzer, F Kittel, Gui De Backer, and Dirk De Bacquer. 2012. “Behavioural and Psychosocial Correlates of Nondipping Blood Pressure Pattern Among Middle-aged Men and Women at Work.” Journal of Human Hypertension 26 (6): 381–387.
APA
Clays, Els, Van Herck, K., De Buyzere, M., Kornitzer, M., Kittel, F., De Backer, G., & De Bacquer, D. (2012). Behavioural and psychosocial correlates of nondipping blood pressure pattern among middle-aged men and women at work. JOURNAL OF HUMAN HYPERTENSION, 26(6), 381–387.
Vancouver
1.
Clays E, Van Herck K, De Buyzere M, Kornitzer M, Kittel F, De Backer G, et al. Behavioural and psychosocial correlates of nondipping blood pressure pattern among middle-aged men and women at work. JOURNAL OF HUMAN HYPERTENSION. 2012;26(6):381–7.
MLA
Clays, Els, Koen Van Herck, Marc De Buyzere, et al. “Behavioural and Psychosocial Correlates of Nondipping Blood Pressure Pattern Among Middle-aged Men and Women at Work.” JOURNAL OF HUMAN HYPERTENSION 26.6 (2012): 381–387. Print.
@article{2016663,
  abstract     = {The underlying pathogenetic mechanisms of nondipping blood pressure (BP) pattern are not completely understood. Especially the role of psychosocial correlates remains unclear. The aim was to assess the association between nondipping BP pattern, behavioural and psychosocial factors in a sample of working men and women. The study sample included 167 working men and women aged 40-64 years from the BELSTRESS cohort. Socio-demographic, behavioural and psychosocial factors were assessed by self-administered questionnaires. Participants were medically examined and underwent an ambulatory BP monitoring during 24 h. Nondipping was defined when the average nocturnal decline in BP was {\textlangle}10\%. The prevalence of nondipping for both systolic and diastolic BP was 7.8\%. Nondipping was not significantly related to smoking, alcohol consumption and leisure time physical activity. A crude significant association was observed between nondipping and sleep problems. After adjusting for gender, education and body mass index, the risk for nondipping was associated with job strain, living alone, being unsatisfied about the contact with one's children, depressive symptoms and vital exhaustion. Nondipping BP pattern was consistently related to psychosocial factors in this study: positive associations were observed with measures of job strain, poor private life support (living alone and being unsatisfied about the contact with one's children) and mental health problems (depressive symptoms and vital exhaustion).},
  author       = {Clays, Els and Van Herck, Koen and De Buyzere, Marc and Kornitzer, M and Kittel, F and De Backer, Gui and De Bacquer, Dirk},
  issn         = {0950-9240},
  journal      = {JOURNAL OF HUMAN HYPERTENSION},
  keyword      = {nondipping,blood pressure,psychosocial,ESSENTIAL HYPERTENSIVE PATIENTS,SLEEP DURATION,ORGAN DAMAGE,JOB STRESS,IMPACT,BELSTRESS,LIFE,PREVALENCE,SUPPORT,DECLINE},
  language     = {eng},
  number       = {6},
  pages        = {381--387},
  title        = {Behavioural and psychosocial correlates of nondipping blood pressure pattern among middle-aged men and women at work},
  url          = {http://dx.doi.org/10.1038/jhh.2011.42},
  volume       = {26},
  year         = {2012},
}

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