European Heart Journal Advance Access originally published online on April 2, 2009
European Heart Journal 2009 30(11):1305-1306; doi:10.1093/eurheartj/ehp131
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org
Adverse social factors can predict hypertension—but how?
Lund University, Department of Clinical Sciences, University Hospital, S-205 02 Malmo, Sweden
Corresponding author. Email address: Peter.Nilsson@med.lu.se
This editorial refers to Socioeconomic status, blood pressure progression, and incident hypertension in a prospective cohort of female health professionals
, by D. Conen et al., on page 1378
| The first 10% of the full text of this article appears below. |
It is well documented that cardiovascular disease and risk factors, including hypertension, tend to cluster in people from lower social classes, with lower incomes and with less education.1 It is, however, less obvious why this is the case, and several explanations have been proposed. Adverse social factors are often associated with a poor lifestyle including less healthy diet, less exercise, more smoking, and therefore an increased preponderance to abdominal obesity and the so-called metabolic syndrome.2 This will increase the risk of developing hypertension in susceptible individuals, but other explanations have also been proposed. The influence of psychosocial stress on blood pressure regulation has been studied in various settings. In one population-based study from Sweden it was shown that job strain at the workplace could influence blood pressure increase, but more so
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- Socioeconomic status, blood pressure progression, and incident hypertension in a prospective cohort of female health professionals
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EHJ 2009 30: 1378-1384.[Abstract] [Full Text]