SynthesisInternational archives of occupational and environmental health2018
Work-related stress as a cardiovascular risk factor in police officers: a systematic review of evidence.
Synthesis in International archives of occupational and environmental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- Risk factors for adverse health in military and law enforcement personnel; an umbrella review.BMC public health · 2024Pooled it
- Work-related factors among people with diabetes and the risk of cardiovascular diseases: A systematic review.Journal of occupational health · 2021Pooled it
- Obstacles and Future Prospects: Considerations on Health Promotion Activities for Older Workers in Europe.International journal of environmental research and public health · 2018Pooled it
- "We [have] to Get Them Coming Back to Work … Make The Offer, Make It Available, Make It Meaningful:" Returning to Work at a Canadian Municipal Police Service.Journal of occupational rehabilitation · 2026Article
- Functional near-infrared spectroscopy identifies neural biomarkers of burnout in active-duty Police officers.Scientific reports · 2026Article
- Environmental Influences on Food Addiction and Cardiometabolic Profiles in Law Enforcement Officers.International journal of environmental research and public health · 2026Article
- Occupational stress, cardiovascular vulnerability and sudden cardiac death in police officers: mechanisms and the protective role of structured exercise.Frontiers in public health · 2026Review
- Coping under pressure: police-specific stressors and mental health in Catalonia police forces.Frontiers in psychiatry · 2026Article
- Implementation and evaluation of a psychological first aid program to manage post-traumatic stress injuries among Canadian police officers.Implementation science communications · 2025Article
- Police Fitness: An International Perspective on Current and Future Challenges.Sports (Basel, Switzerland) · 2025Review
- Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) study: a seven- and twelve-year prospective analysis of occupational exposures and health outcomes among police officers.International archives of occupational and environmental health · 2025Article
- Stress among police officials in Kerala, India: an analysis of organizational and operational factors.BMC psychology · 2025Article
- Development of standard job classification codes for building a job-exposure matrix for police officers.Annals of occupational and environmental medicine · 2025Article
- The Effects of Self-Monitoring Using a Smartwatch and Smartphone App on Stress Awareness, Self-Efficacy, and Well-Being-Related Outcomes in Police Officers: Longitudinal Mixed Design Study.JMIR mHealth and uHealth · 2025Article
- Behavioral dysregulation at work: A moderated mediation analysis of sleep impairment, work-related stress, and substance use.AIMS public health · 2025Article
- Association Between Employment Factors and Prevalence of Cardiovascular Disease in US Law Enforcement Workers: The National Health Interview Survey, 2006-2018.American journal of industrial medicine · 2025Article
- Impact of Obesity on Cardiac Autonomic System Functioning in Military Police Officers.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2024Article
- Age-Related Declines in Health and Fitness among Law Enforcement Officers Compared to Population Norms.Healthcare (Basel, Switzerland) · 2024Article
- Psychosocial risks and their consequences on health and job satisfaction among Spanish police officers.Anales del sistema sanitario de Navarra · 2024Article
- Developing a clinical-pathological framework of long COVID-related fatigue applied to public safety workers.Frontiers in medicine · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeveral studies suggest that work-related stress in police officers may be associated with an increased risk of cardiovascular diseases. A systematic review of studies is, however, still lacking.
methodAccording to PRISMA statement, a systematic search of PubMed, ISI Web of Science, Cinahl and PsychInfo electronic databases was undertaken. Studies published in English between 1/1/2000 and 31/12/2016 were included. A studies quality assessment was performed using the Newcastle Ottawa scale (NOS).
resultsThe preliminary search retrieved 752 records. After selection, 16 studies (total population 17,698) were retrieved. The average quality of studies was low. Exposure to stress in cross-sectional studies was inconstantly associated with hypertension, obesity, dyslipidaemia, and impaired glucose metabolism. In addition, there was a prevalence of positive studies showing an association between stress and cardiovascular disease morbidity. Studies of higher quality, such as longitudinal studies on large sample size, were more supportive of a significant positive association between stress and cardiovascular risk factors. Results were, however, often conflicting and inconsistent with regard to definitions and measurement of stress, features of individual study design, study conduct, and conclusions drawn.
conclusionsA sound precautionary principle would be to adopt worksite health promotion programs designed to implement stress management strategies in this category of workers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.