Effects of work stress and home stress on autonomic nervous function in Japanese male workers.
Autonomic imbalance is one of the important pathways through which psychological stress contributes to cardiovascular diseases/sudden death. Although previous studies have focused mainly on stress at work (work stress), the association between autonomic function and stress at home (home stress) is still poorly understood. The purpose was to clarify the effect of work/home stress on autonomic function in 1,809 Japanese male workers. We measured corrected QT (QTc) interval and QT index on the electrocardiogram along with blood pressure and heart rate. Participants provided self-reported information about the presence/absence of work/home stress and the possible confounders affecting QT indicators. Home stress was related positively to QT index (p=0.040) after adjusting for the possible confounders, though work stress did not show a significant relation to QTc interval or QT index. The odds ratio of home stress to elevated QT index (≥105) was 2.677 (95% CI, 1.050 to 6.822). Work/home stress showed no significant relation to blood pressure or heart rate. These findings suggest that autonomic imbalance, readily assessed by QT indicators, can be induced by home stress in Japanese workers. Additional research is needed to identify different types of home stress that are strongly associated with autonomic imbalance.
Department of Environmental Health Sciences, Akita University Graduate School of Medicine, Japan; Department of Public Health, Graduate School of Medicine, The University of Tokyo, Japan; Research Fellow of Japan Society for the Promotion of Science, Japan.
Eri
E
Maeda
Toyoto
T
Iwata
Katsuyuki
K
Murata
D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology*; D001794:Blood Pressure; D004562:Electrocardiography; D005195:Family Relations / Q000523:psychology*; D006339:Heart Rate; D006801:Humans; D007564:Japan; D008019:Life Style; D008297:Male; D008875:Middle Aged; D018986:Motor Vehicles; D013315:Stress, Psychological / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D017132:Workplace / Q000523:psychology; D055815:Young Adult