Dean Baker

Publications of Dean Baker

• Disparities of Metabolic Syndrome Prevalence by Age, Gender and Occupation among Korean Adult Workers.

  Authors: Jun-Pyo Myong, Hyoung-Ryoul Kim, Kyunghee Jungchoi, Dean Baker, Bongkyoo Choi

  Industrial health. 02/2012;

  Occupation can influence the prevalence of metabolic syndrome. Age and gender could interact with the association between occupation and metabolic syndrome. This study aimed to investigate theOccupation can influence the prevalence of metabolic syndrome. Age and gender could interact with the association between occupation and metabolic syndrome. This study aimed to investigate the prevalence of metabolic syndrome among the Korean working population and determine whether the prevalence differed according to occupation, age and gender. We conducted a cross-sectional study in Korean adults using the Third Korean National Health and Nutrition Examination Survey (KNHANES III). The analysis included 3,288 workers over 19 yr old. The prevalence odds ratios (PORs) of metabolic syndrome among representative types of occupations were estimated after stratification for age and gender by logistic regression. Female manual workers had a higher prevalence of metabolic syndrome than female non-manual workers among those younger than age 50 (POR=1.95, 95% CI=1.12-3.40). However, female manual workers aged 50 and older had a lower prevalence of metabolic syndrome than female non-manual workers (POR=0.36, 95%CI=0.22-0.59). Manual occupations can be a risk factor for metabolic syndrome, but this correlation is limited to younger female workers. The effects of occupation on the prevalence of metabolic syndrome were different between older and younger workers, which could be due to longitudinal transition of socio-cultural structure.

• Blood cadmium and moderate-to-severe glomerular dysfunction in Korean adults: analysis of KNHANES 2005-2008 data.

  Authors: Jun-Pyo Myong, Hyoung-Ryoul Kim, Dean Baker, Bongkyoo Choi

  International archives of occupational and environmental health. 01/2012;

  PURPOSE: The objective of this study was to evaluate the association between blood cadmium (Cd) and moderate-to-severe glomerular dysfunction in a Korean population using a representative sample.PURPOSE: The objective of this study was to evaluate the association between blood cadmium (Cd) and moderate-to-severe glomerular dysfunction in a Korean population using a representative sample. METHODS: A cross-sectional study was used to evaluate the association between blood Cd and glomerular dysfunction. Based on the Korean National Health and Nutrition Examination Survey (2005-2008), individual blood Cd was measured in 2,992 adults, aged between 20 and 65. RESULTS: After adjusting for survey years, age, sociodemographic factors, and health behaviors, the odds ratio for moderate-to-severe glomerular dysfunction (<60 mL/min per 1.73 m(2)) was 1.97 (95% CI: 1.28-3.07) when comparing the highest with the lowest blood Cd quartile in Korean women. However, in Korean men, there was no association between blood Cd and moderate-to-severe glomerular dysfunction. CONCLUSIONS: These findings support the consideration of Cd as a risk factor for glomerular dysfunction in the female population. Furthermore, environmental heavy metal monitoring and an institutional strategy should be implemented to reduce Cd exposure in the general population.

• Sedentary work, low physical job demand, and obesity in US workers.

  Authors: BongKyoo Choi, Peter L Schnall, Haiou Yang, Marnie Dobson, Paul Landsbergis, Leslie Israel, Robert Karasek, Dean Baker

  American journal of industrial medicine. 11/2010; 53(11):1088-101.

  Little is known about the role of low physical activity at work (sedentary work or low physical job demand) in the increasing prevalence of obesity of US workers. This cross-sectional and secondaryLittle is known about the role of low physical activity at work (sedentary work or low physical job demand) in the increasing prevalence of obesity of US workers. This cross-sectional and secondary data analysis included 1,001 male and 1,018 female workers (age range: 32-69) from the National Survey of Midlife Development in the United States (MIDUS) II study (2004-2006). Sedentary work and physical job demand were measured by questionnaire items. Total obesity (based on body mass index) and central obesity (based on waist circumference) were defined using WHO criteria. After controlling for covariates (socio-demographic, psychosocial working conditions, health status, and health behaviors), sedentary work, low physical job demand, or their combination increased the risk for total and central obesity in male workers, particularly when they worked longer than 40 hr per week. Sedentary work marginally increased the risk for total and central obesity in female workers. Low physical activity at work is a significant risk factor for total and central obesity in middle-aged US male workers.

• Psychosocial working conditions and active leisure-time physical activity in middle-aged us workers.

  Authors: Bongkyoo Choi, Peter L Schnall, Haiou Yang, Marnie Dobson, Paul Landsbergis, Leslie Israel, Robert Karasek, Dean Baker

  International journal of occupational medicine and environmental health. 10/2010; 23(3):239-53.

  This study was to examine whether psychosocial work characteristics such as job control, psychological job demands, and their combinations are associated with leisure-time physical activity (LTPA) inThis study was to examine whether psychosocial work characteristics such as job control, psychological job demands, and their combinations are associated with leisure-time physical activity (LTPA) in US workers. 2019 workers (age range: 32 to 69) from the National Survey of Midlife Development in the United States (MIDUS) II study (2004-2006) were chosen for this cross-sectional study. Job control and job demands were measured by standard questionnaire items. Active LTPA was defined as "moderate or vigorous" level of physical activity. After controlling for covariates (e.g., age, race, education, income, physical effort at work, obesity, and alcohol consumption), high job control was associated with active LTPA. Active jobs (high control and low demands) and low-strain jobs (high control and high demands), compared to passive jobs (low control and low demands), increased the odds for active LTPA. The associations varied by sex and education level. Job demands alone were not associated with active LTPA. Having on-the-job learning opportunities and decision authority on their tasks may be conducive to active LTPA in middle-aged US workers.

• Elevated blood pressure, decreased heart rate variability and incomplete blood pressure recovery after a 12-hour night shift work.

  Authors: Ta-Chen Su, Lian-Yu Lin, Dean Baker, Peter L Schnall, Ming-Fong Chen, Wen-Chang Hwang, Chen-Fang Chen, Jung-Der Wang

  Journal of occupational health. 01/2008; 50(5):380-6.

  Shift work has been associated with increased risk of cardiovascular disease. This study was designed to determine the hemodynamic effects of 12-hour (12-h) shifts, and changes in blood pressure (BP)Shift work has been associated with increased risk of cardiovascular disease. This study was designed to determine the hemodynamic effects of 12-hour (12-h) shifts, and changes in blood pressure (BP) and heart rate variability (HRV) during 36 h rest time following 12-h shifts. Fifteen male shift workers with a mean age of 32.9 yr were recruited from a semiconductor factory. Ambulatory BP (AmBP) monitoring was performed for a total of 48 h for each participant. Six workers were monitored for 48 h by Holter electrocardiogram on both the day and night shifts. Paired self-comparison was used to estimate the difference between two hourly measurements of 12-h BP, HR, and HRV using the same timetable intra-individually. We also applied mixed models to estimate the effects of 12-h shifts on the delayed recovery of BP and heart rate (HR) in six workers who completed 96-h AmBP monitoring, including a 48-h night shift-rest period and another day shift period. Results showed that 12-h night shift work gave a persistently elevated systolic and diastolic BP (SBP and DBP) and HR, and decreased HRV compared to 12-h day shift work with the corresponding resting time. In addition, there was delayed SBP and DBP recovery on the first 12-h rest time in night shift workers, which was further demonstrated on the second 12-h rest time after adjustment for possible confounders through mixed models. In conclusion, 12-h night shift work may elevate BP and HR and decrease HRV. It is also associated with delayed BP recovery.

• Work hours and self-reported hypertension among working people in California.

  Authors: Haiou Yang, Peter L Schnall, Maritza Jauregui, Ta-Chen Su, Dean Baker

  Hypertension. 11/2006; 48(4):744-50.

  Among the risk factors for hypertension, stress, especially work stress, has drawn increasing attention. Another potential work-related risk factor for hypertension identified in the past few yearsAmong the risk factors for hypertension, stress, especially work stress, has drawn increasing attention. Another potential work-related risk factor for hypertension identified in the past few years is work hours. This article presents an analysis of work hours and self-reported hypertension among the working population in the state of California. The data set used for this study comes from the Public Use File of the 2001 California Health Interview Survey. The logistic regression analysis shows a positive association between hours worked per week and likelihood of having self-reported hypertension. Compared with those working between 11 and 39 hours per week, individuals working 40 hours per week were 14% (95% CI: 1.01 to 1.28) more likely to report hypertension, those who worked between 41 and 50 hours per week were 17% (95% CI: 1.04 to 1.33) more likely to report hypertension, and those who worked >or=51 hours per week were 29% (95% CI: 1.10 to 1.52) more likely to report hypertension after controlling for various potentially confounding variables, including demographic and biological risk factors and socioeconomic status. This analysis provides evidence of a positive association between work hours and hypertension in the California working population.

• Is job strain a major source of cardiovascular disease risk?

  Authors: Karen L Belkic, Paul A Landsbergis, Peter L Schnall, Dean Baker

  Scandinavian journal of work, environment & health. 05/2004; 30(2):85-128.

  Empirical studies on job strain and cardiovascular disease (CVD), their internal validity, and the likely direction of biases were examined. The 17 longitudinal studies had the highest validityEmpirical studies on job strain and cardiovascular disease (CVD), their internal validity, and the likely direction of biases were examined. The 17 longitudinal studies had the highest validity ratings. In all but two, biases towards the null dominated. Eight, including several of the largest, showed significant positive results; three had positive, nonsignificant findings. Six of nine case-control studies had significant positive findings; recall bias leading to overestimation appears to be fairly minimal. Four of eight cross-sectional studies had significant positive results. Men showed strong, consistent evidence of an association between exposure to job strain and CVD. The data of the women were more sparse and less consistent, but, as for the men, most of the studies probably underestimated existing effects. Other elements of causal inference, particularly biological plausibility, corroborated that job strain is a major CVD risk factor. Additional intervention studies are needed to examine the impact of ameliorating job strain upon CVD-related outcomes.

• Work stressors and cardiovascular disease.

  Authors: Paul A Landsbergis, Peter L Schnall, Karen L. Belkić, Dean Baker, Joseph Schwartz, Thomas G Pickering

  Work (Reading, Mass.). 02/2001; 17(3):191-208.

  Over the past 20 years, an extensive body of research evidence has documented that psychosocial work stressors are risk factors for hypertension and cardiovascular disease. These stressors, whichOver the past 20 years, an extensive body of research evidence has documented that psychosocial work stressors are risk factors for hypertension and cardiovascular disease. These stressors, which appear to be increasing in prevalence, include job strain (the combination of psychological job demands and low job control), imbalance between job efforts and rewards, threat-avoidant vigilant work, and long work hours. This article reviews the evidence linking these stressors with hypertension and CVD, and the physiological and social psychological mechanisms underlying the associations. Also described are methods for measuring work stressors and new, more accurate techniques for measuring blood pressure. Finally, strategies for reducing work stressors and preventing hypertension and CVD are reviewed. These include clinical assessment, worksite health promotion, work organization interventions, legal approaches and work site surveillance.