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Both high job strain and effort-reward imbalance increase
cardiovascular mortality. In a 28 year prospective study of workers in
Finland, Kivimäki and colleagues (p 857) found that work stress was
associated with a doubling of the risk of cardiovascular death. High
work stress also predicted increased cholesterol concentrations and
body mass index at follow up. In promoting cardiovascular health, the
traditional advice has been to stop smoking, cut down drinking, eat
less fat, and engage in physical activity. These findings suggest that
additional gains may be achieved from efforts to change work life.

(Credit: CORUS/NEWSCAST)