Occupational physical activity showed sex-specific associations with systolic blood pressure, with OPA linked to elevated systolic BP in males with insufficient leisure-time physical activity and lower systolic BP in females regardless of LTPA levels.
Key Findings
Results
Among males with insufficient leisure-time physical activity, occupational physical activity was significantly associated with higher systolic blood pressure.
β = 1.944, P = 0.004 for the association between OPA and systolic BP in males with insufficient LTPA
No significant association between OPA and systolic BP was observed in males with sufficient LTPA
This suggests LTPA moderates the relationship between OPA and BP in males
The study used linear regression analyses accounting for sex differences and LTPA levels
Results
Among females, occupational physical activity was significantly associated with lower systolic blood pressure regardless of LTPA status.
β = -1.133, P = 0.048 for the association between OPA and systolic BP in females
The negative association was observed irrespective of LTPA levels
Authors describe this as a 'potential protective effect of OPA on systolic BP in females'
This contrasts with the direction of association seen in males
Results
No significant associations were found between occupational physical activity and diastolic blood pressure in either sex.
The null finding for diastolic BP applied to both males and females
Significant associations were only detected for systolic BP outcomes
Linear regression analyses were conducted to examine interactions with both systolic and diastolic BP
Methods
The study analyzed 3,909 adults from the Korea National Health and Nutrition Examination Survey using propensity score matching to balance covariates between groups.
Total sample size was 3,909 adults
Data source was the Korea National Health and Nutrition Examination Survey
Propensity score matching was employed to balance covariates between groups
Linear regression analyses were conducted to examine interactions between OPA and blood pressure outcomes
Conclusions
The findings underscore the need to consider sex, occupational physical activity, and leisure-time physical activity collectively when developing blood pressure management strategies.
Sex-specific associations between OPA and BP were revealed
LTPA was identified as a moderating factor specifically in males but not females
Authors suggest these results support 'the development of tailored BP management strategies within occupational health contexts'
The study highlights that the direction of OPA's effect on systolic BP differs by sex
Kim S, Cho S, Kim H, Park W. (2026). Occupational Physical Activity and Blood Pressure: The Role of Leisure Time Physical Activity and Sex Differences.. Journal of Korean medical science. https://doi.org/10.3346/jkms.2026.41.e94