ABC | Volume 112, Nº3, March 2019

Original Article Muniz et al Ideal cardiovascular health and job strain Arq Bras Cardiol. 2019; 112(3):260-268 Table 5 – Association between job demand or job control with cardiovascular health factors Demand Control n (%) Adjusted Odds Ratio (95% CI) p n (%) Adjusted Odds Ratio (95% CI)* p Poor physical activity Low demand 99 (39) Ref - High control 121 (49) Ref - High demand 141 (59) 1.34 (0.90-1.98) 0.15 Low control 126 (51) 1.03 (0.68-1.56) 0.88 Poor diet Low demand 160 (61) Ref - High control 123 (47) Ref - High demand 103 (39) 1.21 (0.82-1.80) 0.34 Low control 140 (53) 1.70 (1.12-2.58) 0.012 BMI > 30 kg/m 2 Low demand 45 (44) Ref - High control 59 (58) Ref - High demand 58 (56) 1.49 (0.93-2.41) 0.1 Low control 43 (42) 1.50 (0.91-2.49) 0.12 Smoking Low demand 18 (55) Ref - High control 18 (54) Ref - High demand 15 (45) 1.98 (0.91-4.29) 0.085 Low control 15 (45) 1.17 (0.52-2.65) 0.71 Hypertension Low demand 31 (61) Ref - High control 17 (32) Ref - High demand 20 (39) 0.70 (0.37-1.35) 0.29 Low control 36 (68) 0.78 (0.38-1.60) 0.5 Dyslipidemia Low demand 74 (64) Ref - High control 62 (52) Ref - High demand 42 (36) 1.00 (0.62-1.59) 0.99 Low control 58 (48) 0.83 (0.51-1.34) 0.44 Diabetes Low demand 19 (63) Ref - High control 14 (44) Ref - High demand 11 (37) 1.01 (0.19-1.16) 0.98 Low control 18 (56) 1.21 (0.52-2.79) 0.66 CI: confidence interval; BMI: body mass index; *Adjusted for age, sex, income, education and profession. employees responded the questionnaire (still representative of our community as most people invited to participate responded to the questionnaire). Moreover, unmeasured and residual confounding of the relationship between change job stress and CV health could not be completely addressed by multivariate modeling. Finally, as the design of the study is cross-sectional, only associations can be established. A further study with a longitudinal design would explore causality between job strain and CV health factors. Conclusion The findings of high prevalence of poor CV health provide important information to public health officials in middle‑income countries. Furthermore, a trend to worse CV health in high strain jobs is of interest as these factors could potentially worsen overtime with poor working conditions in developing countries. Strategies for promoting healthy behaviors such as healthier foods offered on campus restaurants, fitness projects, education campaigns, in conjunction with good primary care on campus could potentially have a great impact on life expectancy and improved CV health in this population. Author contributions Conception and design of the research: Muniz DD, Siqueira KS, Muniz PT, Silvestre OM; acquisition of data: Muniz DD, Siqueira KS, Muniz PT; analysis and interpretation of the data: Muniz DD, Cornell CT, Silva MMF, Silvestre OM; statistical analysis: Silva MMF, Silvestre OM; writing of the manuscript: Muniz DD, Cornell CT, Silvestre OM; critical revision of the manuscript for intellectual content: Muniz DD, Siqueira KS, Cornell CT, Silva MMF, Muniz PT, Silvestre OM. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. 266