Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study
BackgroundWork stress is considered as a risk factor for coronary heart disease, but its link with heart rate variability (HRV) among heart attack survivors is unknown yet. The aim of this study was to investigate associations between baseline work stress and the changes of HRV over one-year after o...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-03-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1336065/full |
| _version_ | 1797244875272355840 |
|---|---|
| author | Zhao Hu Xingyu Cao Pan Jing Bangying Zhang Yunke Shi Johannes Siegrist Jian Li Min Zhang |
| author_facet | Zhao Hu Xingyu Cao Pan Jing Bangying Zhang Yunke Shi Johannes Siegrist Jian Li Min Zhang |
| author_sort | Zhao Hu |
| collection | DOAJ |
| description | BackgroundWork stress is considered as a risk factor for coronary heart disease, but its link with heart rate variability (HRV) among heart attack survivors is unknown yet. The aim of this study was to investigate associations between baseline work stress and the changes of HRV over one-year after onset of acute coronary syndrome (ACS).MethodsHundred and twenty-two patients with regular paid work before their first ACS episode were recruited into this hospital-based longitudinal cohort study. During hospitalization (baseline), all patients underwent assessments of work stress by job strain (JS) and effort-reward imbalance (ERI) models, and were assigned into low or high groups; simultaneously, sociodemographic and clinical data, as well depression, anxiety, and job burnout, were collected. Patients were followed up 1, 6, and 12 months after discharge, with HRV measurements at baseline and each follow-up point. Generalized estimating equations were used to analyze the effects of baseline work stress on HRV over the following 1 year.ResultsAfter adjusting for baseline characteristics and clinical data, anxiety, depression, and burnout scores, high JS was not associated with any HRV measures during follow-up (all p > 0.10), whereas high ERI was significantly related to slower recovery of 5 frequency domain HRV measures (TP, HF, LF, VLF, and ULF) (all p < 0.001), and marginally associated with one time domain measure (SDNN) (p = 0.069). When mutually adjusting for both work stress models, results of ERI remained nearly unchanged.ConclusionWork stress in terms of ERI predicted lower HRV during the one-year period after ACS, especially frequency domain measures. |
| first_indexed | 2024-04-24T19:17:57Z |
| format | Article |
| id | doaj.art-e454c2d7e4784304a2582bdab55abb91 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-24T19:17:57Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-e454c2d7e4784304a2582bdab55abb912024-03-26T04:53:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-03-011210.3389/fpubh.2024.13360651336065Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort studyZhao Hu0Xingyu Cao1Pan Jing2Bangying Zhang3Yunke Shi4Johannes Siegrist5Jian Li6Min Zhang7Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, ChinaCardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, ChinaCardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, ChinaCardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, ChinaCardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, ChinaInstitute of Medical Sociology, Centre for Health and Society, Faculty of Medicine, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyDepartments of Environmental Health Sciences and Epidemiology, Fielding School of Public Health, School of Nursing, University of California, Los Angeles, Los Angeles, CA, United StatesCardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, ChinaBackgroundWork stress is considered as a risk factor for coronary heart disease, but its link with heart rate variability (HRV) among heart attack survivors is unknown yet. The aim of this study was to investigate associations between baseline work stress and the changes of HRV over one-year after onset of acute coronary syndrome (ACS).MethodsHundred and twenty-two patients with regular paid work before their first ACS episode were recruited into this hospital-based longitudinal cohort study. During hospitalization (baseline), all patients underwent assessments of work stress by job strain (JS) and effort-reward imbalance (ERI) models, and were assigned into low or high groups; simultaneously, sociodemographic and clinical data, as well depression, anxiety, and job burnout, were collected. Patients were followed up 1, 6, and 12 months after discharge, with HRV measurements at baseline and each follow-up point. Generalized estimating equations were used to analyze the effects of baseline work stress on HRV over the following 1 year.ResultsAfter adjusting for baseline characteristics and clinical data, anxiety, depression, and burnout scores, high JS was not associated with any HRV measures during follow-up (all p > 0.10), whereas high ERI was significantly related to slower recovery of 5 frequency domain HRV measures (TP, HF, LF, VLF, and ULF) (all p < 0.001), and marginally associated with one time domain measure (SDNN) (p = 0.069). When mutually adjusting for both work stress models, results of ERI remained nearly unchanged.ConclusionWork stress in terms of ERI predicted lower HRV during the one-year period after ACS, especially frequency domain measures.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1336065/fullacute coronary syndromeeffort-reward imbalanceheart rate variabilityjob strainwork stress |
| spellingShingle | Zhao Hu Xingyu Cao Pan Jing Bangying Zhang Yunke Shi Johannes Siegrist Jian Li Min Zhang Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study Frontiers in Public Health acute coronary syndrome effort-reward imbalance heart rate variability job strain work stress |
| title | Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study |
| title_full | Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study |
| title_fullStr | Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study |
| title_full_unstemmed | Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study |
| title_short | Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study |
| title_sort | work stress and changes in heart rate variability among employees after first acute coronary syndrome a hospital based longitudinal cohort study |
| topic | acute coronary syndrome effort-reward imbalance heart rate variability job strain work stress |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1336065/full |
| work_keys_str_mv | AT zhaohu workstressandchangesinheartratevariabilityamongemployeesafterfirstacutecoronarysyndromeahospitalbasedlongitudinalcohortstudy AT xingyucao workstressandchangesinheartratevariabilityamongemployeesafterfirstacutecoronarysyndromeahospitalbasedlongitudinalcohortstudy AT panjing workstressandchangesinheartratevariabilityamongemployeesafterfirstacutecoronarysyndromeahospitalbasedlongitudinalcohortstudy AT bangyingzhang workstressandchangesinheartratevariabilityamongemployeesafterfirstacutecoronarysyndromeahospitalbasedlongitudinalcohortstudy AT yunkeshi workstressandchangesinheartratevariabilityamongemployeesafterfirstacutecoronarysyndromeahospitalbasedlongitudinalcohortstudy AT johannessiegrist workstressandchangesinheartratevariabilityamongemployeesafterfirstacutecoronarysyndromeahospitalbasedlongitudinalcohortstudy AT jianli workstressandchangesinheartratevariabilityamongemployeesafterfirstacutecoronarysyndromeahospitalbasedlongitudinalcohortstudy AT minzhang workstressandchangesinheartratevariabilityamongemployeesafterfirstacutecoronarysyndromeahospitalbasedlongitudinalcohortstudy |