Original Articles
8 April 2025
Vol. 37 No. 1 (2015)

[Arterial pressure in workers exposed to urban stressors]

Pressione arteriosa in lavoratori esposti a stressors urbani

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The aim of this study is to evaluate whether occupational exposure to urban stressors could cause alterations of systolic and diastolic blood pressure in "outdoor" workers. The research was conducted on a sample of 101 municipal policemen. The sample was divided in 2 groups according to length of service: group A (length of service between 1 and 15 years) and group B (length of service > 15 years). Group A and Group B were matched for age, overall length of service, cigarette smoking habit and consumption of alcohol and spirits. Group A was then divided into: Al (length of service between 1 and 7 years) and A2 (length of service between 7 and 15 years). The mean values of systolic and diastolic blood pressure at rest showed statistically significant differences with increased values in group B compared to both groups Al (p<0.05) and A2 (p<0.05). The study suggests that occupational exposure to urban stressors affects the blood pressure regulating system enhancing the risk of blood hypertension.

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1) Beelen R, Hoek G, van den Brandt PA, Goldbohm RA, Fischer P, Schouten LJ, Jerrett M, Hughes E, Armstrong B, Brunekreef B. Long-Term Effects of Traffic-Related Air Pollution on Mortality in a Dutch Cohort (NLCS-AIR Study). Environ Health Perspect 2008; 116: 196-202. DOI: https://doi.org/10.1289/ehp.10767
2) Mills NL, Törnqvist H, Gonzalez MC, Vink E, Robinson SD, Söderberg S, Boon NA, Donaldson K, Sandström T, Blomberg A, Newby DE. Ischemic and thrombotic effects of dilute diesel-exhaust inhalation in men with coronary heart disease. N Engl J Med 2007; 357(11): 1075-1082. DOI: https://doi.org/10.1056/NEJMoa066314
3) Sancini A, Caciari T, Di Pastena C, Sinibaldi F, Scala B, Fiaschetti M, De Sio S, Maurizi D, Nardone N, Scimitto L, Miracco P, Tomei F, Tomei G, Ciarrocca M. Meta-analysis: cardiovascular effects in workers occupationally exposed to urban pollution. Prevent Res 2011; 1 (1): 87-100.
4) Brook RD, Rajagopalan S, Pope III CA, Brook JR, Bhatnagar A, Diez-Roux AV, Holguin F, Hong Y, Luepker RV, Mittleman MA, Peters A, Siscovick D, Smith SC, Whitsel JL, Kaufman JD. Particulate Matter Air Pollution and Cardiovascular Disease: An Update to the Scientific Statement From the American Heart Association. Circulation 2010; 121: 2331-2378. DOI: https://doi.org/10.1161/CIR.0b013e3181dbece1
5) Brook RD. Cardiovascular effects of air pollution. Clin Sci (Lond) 2008; 115(6): 175-87. DOI: https://doi.org/10.1042/CS20070444
6) Törnqvist H, Mills NL, Gonzalez M, Miller MR, Robinson SD, Megson IL, MacNee W, Donaldson K, Söderberg S, Newby DE, Sandström T, Blomberg A. Persistent endothelial dysfunction in humans after diesel exhausts inhalation. Am J Respir Crit Care Med 2007; 176(4): 395-400. DOI: https://doi.org/10.1164/rccm.200606-872OC
7) Brook RD, Rajagopalan S. Particulate matter, air pollution, and blood pressure. J Am Soc Hypertens 2009; 3(5): 332-350. DOI: https://doi.org/10.1016/j.jash.2009.08.005
8) Nogueira JB. Air pollution and cardiovascular disease. Rev Port Cardiol 2009; 28: 715-733.
9) Akinaga LM, Lichtenfels AJ, Carvalho-Oliveira R, Caldini EG, Dolhnikoff M, Silva LF, Bueno HM, Pereira LA, Saldiva PH, Garcia ML. Effects of chronic exposure to air pollution from Sao Paulo city on coronary of Swiss mice, from birth to adulthood. Toxicol Pathol 2009; 37(3): 306-14. DOI: https://doi.org/10.1177/0192623309332994
10) Soares SR, Carvalho-Oliveira R, Ramos-Sanchez E, Catanozi S, da Silva LF, Mauad T, Gidlund M, Goto H, Garcia ML. Air pollution and antibodies against modified lipoproteins are associated with atherosclerosis and vascular remodeling in hyperlipemic mice. Atherosclerosis 2009; 207(2): 368-73. DOI: https://doi.org/10.1016/j.atherosclerosis.2009.04.041
11) Martins LC, Pereira LA, Lin CA, Santos UP, Prioli G, Luiz Odo C, Saldiva PH, Braga AL. The effects of air pollution on cardiovascular diseases: lag structures. Rev Saude Publica 2006; 40(4): 677-83. 12) Vogel CF, Sciullo E, Wong P, Kuzmicky P, Kado N, Matsumura F. Induction of proinflammatory cytokines and C-reactive protein in human macrophage cell line U937 exposed to air pollution particulates. Environ Health Perspect 2005; 113(11), 1536-1541. DOI: https://doi.org/10.1289/ehp.8094
13) Fang SC, Cassidy A, Christiani DC. A Systematic Review of Occupational Exposure to Particulate Matter and Cardiovascular Disease. Int J Environ Res Public Health 2010: 7: 1773-1806. DOI: https://doi.org/10.3390/ijerph7041773
14) Chiarelli PS, Pereira LAA, Saldiva PHN, Ferreira Filho C, Garcia MLB, Braga ALF, Martins LC. The association between air pollution and blood pressure in traffic controllers in Santo André, São Paulo, Brazil. Environ Res 2011; 111(5): 650-655. DOI: https://doi.org/10.1016/j.envres.2011.04.007
15) de Paula Santos U, Braga AL, Giorgi DM, Pereira LA, Grupi CJ, Lin CA, Bussacos MA, Zanetta DM, do Nascimento Saldiva PH, Filho MT. Effects of air pollution on blood pressure and heart rate variability: a panel study of vehicular traffic controllers in the city of São Paulo, Brazil. Eur Heart J 2005; 26(2): 193-200. DOI: https://doi.org/10.1093/eurheartj/ehi035
16) Arayasiri M, Mahidol C, Navasumrit P, Autrup H, Ruchirawat M. Biomonitoring of benzene and 1,3-butadiene exposure and early biological effects in traffic policemen. Sci Total Environ 2010; 408: 4855-4862. DOI: https://doi.org/10.1016/j.scitotenv.2010.06.033
17) Cattaneo A, Taronna M, Consonni D, Angius S, Costamagna P, Cavallo DM. Personal exposure of traffic police officers to particulate matter, carbon monoxide, and benzene in the city of Milan, Italy. J Occup Environ Hyg 2010; 7: 342-351. DOI: https://doi.org/10.1080/15459621003729966
18) Fustinoni S, Buratti M, Giampiccolo R, Colombi A. Biological and environmental monitoring of exposure to airborne benzene and other aromatic hydrocarbons in Milan traffic wardens. Toxicol Lett 2005; 77: 387-392. DOI: https://doi.org/10.1016/0378-4274(95)03322-X
19) Maître A, Soulat JM, Masclet P, Stoklov M, Marquès M, de Gaudemaris R. Exposure to carcinogenic air pollutants among policemen working close to traffic in an urban area. Scand J Work Environ Health 2002; 28: 402-410. DOI: https://doi.org/10.5271/sjweh.692
20) Perico A, Gottardi M, Boddi V, Bavazzano P, Lanciotti E. Assessment of exposure to polycyclic aromatic hydrocarbons in police in Florence, Italy, through personal air sampling and biological monitoring of the urinary metabolite 1-hydroxypyrene. Arch Environ Health 2001; 56: 506-512. DOI: https://doi.org/10.1080/00039890109602899
21) Goldberg IJ, Mosca L, Piano MR, Fisher EA. Wine and Your Heart. A Science Advisory for Healthcare Professionals From the Nutrition Committee, Council on Epidemiology and Prevention, and Council on Cardiovascular Nursing of the American Heart Association. Circulation. 2001; 103: 472-475. DOI: https://doi.org/10.1161/01.CIR.103.3.472
22) Rosati MV, Sancini A, Tomei F, Andreozzi G, Scimitto L, Schifano MP, Ponticiello BG, Fiaschetti M, Tomei G. Plasma cortisol concentrations and lifestyle in a population of outdoor workers. Int J Environ Health Res. 2011; 21(1): 62-71. DOI: https://doi.org/10.1080/09603123.2010.506675
23) Brunekreef B, Beelen R, Hoek G, Hoek G, Schouten L, BauschGoldbohm S, Fischer P, Armstrong B, Hughes E, Jerrett M, van den Brandt P. Effects of long-term exposure to traffic-related air pollution on respiratory and cardiovascular mortality in the Netherlands: the NLCS-AIR study. Res Rep Health Eff Inst. 2009; (139): 5-71. 24) Tozawa M, Saori O, Chiho I, Shogo S, Yasushi H, Takeshi T, Yoshiharu I, Kunitoshi I, Koshiro F. Multiple risk factor clustering of hypertension in a screened cohort. J Hypertens 2000; 18(10): 1379-1385. 25) Ely DL, Mostardi RA. The effect of recent life events stress, life assets, and temperament pattern on cardiovascular risk factors for Akron City police officers. J Human Stress 1986; 12: 77-91. DOI: https://doi.org/10.1080/0097840X.1986.9936771
26) Carter JR, Durocher JJ, Kern RP. Neural and cardiovascular responses to emotional stress in human. Am J Pyysiol Regul Integr Comp Physiol 2008; 295: 1898-1903. DOI: https://doi.org/10.1152/ajpregu.90646.2008
27) Casale T, Ciarrocca M, Di Marzio A, Nieto HA, Sacco C, Schifano MP, Capozzella A, Rosati MV, Tomei G, Caciari T, Tomei F. Exposure to cadmium and plasma cortisol in workers exposed to urban stressor. Clin Ter 2013; 164(6): e465-72.
28) Sancini A, Tomei G, Palermo P, Rosati MV, Schifano MP, Samperi I, Fiaschetti M, Cetica C, Ponticiello BG, Scimitto L, Tomei F, De Sio S, Capozzella A, Ciarrocca M. Urban stressors and thyroid hormones. Clin Ter 2011; 162(2): 119-24.
29) Chiovenda P, Pasqualetti P, Zappasodi F, Ercolani M, Milazzo D, Tomei G, Capozzella A, Tomei F, Rossini PM, Tecchio F. Environmental noise-exposed workers: event-related potentials, neuropsychological and mood assessment. Int J Psychophysiol 2007; 65(3): 228-37. 30) Tomei G, Capozzella A, Ciarrocca M, Fiore P, Rosati MV, Fiaschetti M, Casale T, Anzelmo V, Tomei F, Monti C. Plasma dopamine in workers exposed to urban stressor. Toxicol Ind Health 2007; 23(7): 421-7. DOI: https://doi.org/10.1016/j.ijpsycho.2007.04.009
31) Ciarrocca M, Caciari T, Ponticiello BG, Gioffrè PA, Tomei G, Sancini A, Schifano MP, Palermo P, Nardone N, Scimitto L, Fiaschetti M,Tomei F. Follicle-stimulating hormone levels in female workers exposed to urban pollutants. Int J Environ Health Res 2011; 21(6): 391-401. DOI: https://doi.org/10.1080/09603123.2011.560252
32) Tomei G, Ciarrocca M, Fortunato BR, Capozzella A, Rosati MV, Cerratti D, Tomao E, Anzelmo V, Monti C, Tomei F. Exposure to traffic pollutants and effects on 17-beta-estradiol (E2) in female workers. Int Arch Occup Environ Health 2006; 80(1): 70-7. DOI: https://doi.org/10.1007/s00420-006-0105-8
33) Ciarrocca M, Cerratti D, Capozzella A, Rosati MV, Anzani MF, Bernardini A, Casale T, Pimpinella B, Tomei G, Monti C, Tomao E, Tomei F. Plasma 17-alpha-OH-progesterone in female workers exposed to urban pollutants. Int J Immunopathol Pharmacol 2006; 19(4 Suppl): 49-55. DOI: https://doi.org/10.1016/j.scitotenv.2006.05.015
34) Monti C, Ciarrocca M, Cardella C, Capozzella A, Rosati MV, Cherubini E, Fargnoli S, Casale T, Tomei F, Tomei G. Exposure to urban stressor and effects on luteinizing hormone (LH) in female outdoor workers. J Environ Sci Health A Tox Hazard Subst Environ Eng 2006; 41(8): 1437-48. DOI: https://doi.org/10.1080/10934520600754292
35) Tomei G, Ciarrocca M, Capozzella A, Rosati MV, Vacca D, Ursini A, Cangemi C, Monti C, Tomei F. Effects on androstenedione in male workers exposed to urban stressors. Inhal Toxicol 2006; 18(7): 501-6. 36) Ciarrocca M, Tecchio F, Zappasodi F, Ercolani M,Moffa F, ChiovendaN P, Capozzella A, De Rose E, Perugi F, Cerratti D, Tomao E, Tomei F. Neuro-psychological and emotional profile in workers exposed to urban stressors. G Ital Med Lav Ergon 2006; 28(3): 412-413. 37) Tomei F, Ciarrocca M, Cherubini E, Rosati MV, Monti C, Capozzella A, Tomei G. Prolactin levels in workers exposed to chemical, physical and psycho-social urban stressors. J Occup Health 2006; 48(4): 253-60. 38) De Sio S, Sinibaldi F, Suppi A, Marrocco M, Cappelli L, Giubilati R, Bonomi S, Massimi R, Di Marzio A, Andreozzi G, Rosati MV, Pimpinella B, Tomei F, Sancini A. Blood and urinary nickel from urban pollution and blood pressure. Prev Res 2014; 3(1):1-9. DOI: https://doi.org/10.1080/08958370600596110
39) Caciari T, Sancini A, Fioravanti M, Capozzella A, Casale T, Montuori L, Fiaschetti M, Schifano MP, Andreozzi G, Nardone N, Tomei G, Ciarrocca M, Rosati MV, Tomei F. Cadmium and hypertension in exposed workers: A meta-analysis. Int J Occup Med Environ Health 2013; 26(3): 440-56. DOI: https://doi.org/10.2478/s13382-013-0111-5
40) Tomei G, Sancini A, Tomei F, Vitarelli A, Andreozzi G, Rinaldi G, Di Giorgio V, Samperi I, Fiaschetti M, Tasciotti Z, Cetica C, Capozzella A, Ciarrocca M, Caciari T. Prevalence of systemic arterial hypertension, electrocardiogram abnormalities, and noise-induced hearing loss in agricultural workers. Arch Environ Occup Health 2013; 68(4): 196-203. DOI: https://doi.org/10.1080/19338244.2012.701245
41) Caciari T, Sancini A, Tomei F, Antetomaso L, Tomei G, Scala B, Sinibaldi F, Di Pastena C, Andreozzi G, Nardone N, Schifano MP,Corbosiero P, Capozzella A, De Sio S, Ciarrocca M. Cadmium blood/urine levels and blood pressure in workers occupationally exposed to urban stressor. Ann Ig 2012; 24(5): 417-28.
42) Tomei F, De Sio S, Tomao E, Anzelmo V, Baccolo TP, Ciarrocca M, Cherubini E, Valentini V, Capozzella A, Rosati MV. Occupational exposure to noise and hypertension in pilots. Int J Environ Health Res 2005; 15(2): 99-106. DOI: https://doi.org/10.1080/09603120500061534

How to Cite



[Arterial pressure in workers exposed to urban stressors]: Pressione arteriosa in lavoratori esposti a stressors urbani. (2025). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 37(1), 20-25. https://doi.org/10.4081/gimle.674