Landsbergis, Paul

Landsbergis, Paul

Biography

MA, Psychology, New York University; EdD, Labor Studies, Rutgers University; MPH, PhD, Epidemiology, Columbia University

Institutional profile

Dr. Landsbergis is an Associate Professor in the Department of Environmental and Occupational Health Sciences. He holds a PhD in Epidemiology from Columbia University and an EdD in Labor Studies from Rutgers University. He has extensive experience conducting research, teaching and public education on socioeconomic position, work organization, lean production, work stress, the changing nature of work, hypertension, cardiovascular disease, psychological disorders and musculoskeletal disorders, and on interventions to reduce job stress and improve worker health. He has led international study groups in conducting research and publishing on these topics. He also has expertise in the measurement of blood pressure while employees are working as a biological marker of job stress. 'While working" blood pressure measurements help to identify individuals with “masked hypertension” (who are at high risk for cardiovascular disease), a potentially large group of individuals with normal clinic blood pressure but elevated blood pressure while at work. Sources of stress at work are risk factors for masked hypertension. His related research and teaching interests include occupational health psychology, occupational health and safety, occupational epidemiology, ergonomics, social epidemiology and reducing health disparities. He is Deputy Editor of the American Journal of Industrial Medicine.

Publication Search Results

Now showing 1 - 10 of 54

Open Access
Snoring and Obstructive Sleep Apnea Among Former World Trade Center Rescue Workers and Volunteers
(Ovid Technologies (Wolters Kluwer Health), 2010-01) de la Hoz, Rafael E.; Aurora, Rashmi N.; Landsbergis, Paul; Bienenfeld, Laura A.; Afilaka, Aboaba A.; Herbert, Robin
Background: Snoring is a common symptom among workers with adverse health effects from their World Trade Center (WTC) occupational exposures. Rhinitis and upper airway disease are highly prevalent among these workers. Rhinitis has been associated with snoring and, in some studies, with obstructive sleep apnea (OSA). We examined the association of WTC exposure and findings on nocturnal polysomnogram, as well as known predictors of OSA in this patient population. Methods: One hundred participants with snoring underwent a polysomnogram to exclude OSA. Comorbidities had been previously evaluated and treated. The apnea-hypopnea index (AHI) defined and categorized the severity of OSA. Age, sex, body mass index (BMI), and WTC exposure variables were examined in bivariate and multiple regression analyses. Results: Our study sample had a similar prevalence of five major disease categories, as we previously reported. OSA was diagnosed in 62% of the patients and was not associated with any of those disease categories. A trend toward increasing AHI with increasing WTC exposure duration failed to reach the statistical significance (P = 0.14) in multiple regression analysis. An elevated AHI was associated with BMI (P = 0.003) and male sex (P < 0.001). Conclusions: OSA was associated with BMI and male sex but not with occupational WTC exposure indicators in this patient population.
Open Access
CORONARY HEART DISEASE MORTALITY IN RUSSIA AND EASTERN EUROPE
(American Public Health Association, 2003-11) Landsbergis, Paul; Klumbiene, Jurate
Open Access
Job Strain and Ambulatory Blood Pressure: A Meta-Analysis and Systematic Review
(American Public Health Association, 2013-03) Landsbergis, Paul A.; Dobson, Marnie; Koutsouras, George; Schnall, Peter
We reviewed evidence of the relationship between job strain and ambulatory blood pressure (ABP) in 29 studies (1985-2012). We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulative exposure to job strain, and 3 longitudinal studies. Single exposure to job strain in cross-sectional studies was associated with higher work systolic and diastolic ABP. Associations were stronger in men than women and in studies of broad-based populations than those with limited occupational variance. Biases toward the null were common, suggesting that our summary results underestimated the true association. Job strain is a risk factor for blood pressure elevation. Workplace surveillance programs are needed to assess the prevalence of job strain and high ABP and to facilitate workplace cardiovascular risk reduction interventions.
Open Access
The Authors Respond
(Ovid Technologies (Wolters Kluwer Health), 2018-11) Choi, BongKyoo; Juárez-Garcia, Arturo; Landsbergis, Paul
Open Access
Associations of Work Hours, Job Strain, and Occupation With Endothelial Function
(Ovid Technologies (Wolters Kluwer Health), 2014-11) Charles, Luenda E.; Fekedulegn, Desta; Landsbergis, Paul; Burchfiel, Cecil M.; Baron, Sherry; Kaufman, Joel D.; Stukovsky, Karen Hinckley; Fujishiro, Kaori; Foy, Capri G.; Andrew, Michael E.; Diez Roux, Ana V.
Objective: To investigate associations of work hours, job control, job demands, job strain, and occupational category with brachial artery flow-mediated dilation (FMD) in 1499 Multi-Ethnic Study of Atherosclerosis participants. Methods: Flow-mediated dilation was obtained using high-resolution ultrasound. Mean values of FMD were examined across categories of occupation, work hours, and the other exposures using regression analyses. Results: Occupational category was significantly associated with FMD overall, with blue-collar workers showing the lowest mean values-management/professional = 4.97 ± 0.22%; sales/office = 5.19 ± 0.28%; services = 4.73 ± 0.29%; and blue-collar workers = 4.01 ± 0.26% (adjusted P < 0.001). There was evidence of effect modification by sex (interaction P = 0.031)-significant associations were observed among women (adjusted P = 0.002) and nearly significant results among men (adjusted P = 0.087). Other exposures were not significantly associated with FMD. Conclusions: Differences in endothelial function may account for some of the variation in cardiovascular disease across occupational groups.
Open Access
¿Qué se debe hacer para prevenir los riesgos psicosociales en el trabajo?
(2008) Landsbergis, Paul
Open Access
Evaluation and management of chronic work-related musculoskeletal disorders of the distal upper extremity
(Wiley, 2000-01) Piligian, George; Herbert, Robin; Hearns, Michael; Dropkin, Jonathan; Landsbergis, Paul; Cherniack, Martin
This clinical review will describe the epidemiology, clinical presentation, and management of the following work-related musculoskeletal disorders (WMSDs) of the distal upper extremity: deQuervain's disease, extensor and flexor forearm tendinitis/tendinosis, lateral and medial epicondylitis, cubital tunnel syndrome, and hand-arm vibration syndrome (HAVS). These conditions were selected for review either because they were among the most common WMSDs among patients attending the New York State Occupational Health Clinics (NYSOHC) network, or because there is strong evidence for work-relatedness in the clinical literature. Work-related carpal tunnel syndrome is discussed in an accompanying paper. In an attempt to provide evidence-based treatment recommendations, literature searches on the treatment of each condition were conducted via Medline for the years 1985-1999. There was a dearth of studies evaluating the efficacy of specific clinical treatments and ergonomic interventions for WMSDs. Therefore, many of the treatment recommendations presented here are based on a consensus of experienced public health-oriented occupational medicine physicians from the NYSOHC network after review of the pertinent literature. A summary table of the clinical features of the disorders is presented as a reference resource.
Open Access
COVID-19 Pandemic
(Ovid Technologies (Wolters Kluwer Health), 2021-01-28) Faghri, Pouran D.; Dobson, Marnie; Landsbergis, Paul; Schnall, Peter L.
Open Access
Is job strain a major source of cardiovascular disease risk?
(Scandinavian Journal of Work, Environment and Health, 2004-04) Belkic, Karen; Landsbergis, Paul A; Schnall, Peter L; Baker, Dean
Empirical studies on job strain and cardiovascular disease (CVD), their internal validity, and the likely direction of biases were examined. The 17 longitudinal studies had the highest validity ratings. In all but two, biases towards the null dominated. Eight, including several of the largest, showed significant positive results; three had positive, nonsignificant findings. Six of nine case-control studies had significant positive findings; recall bias leading to overestimation appears to be fairly minimal. Four of eight cross-sectional studies had significant positive results. Men showed strong, consistent evidence of an association between exposure to job strain and CVD. The data of the women were more sparse and less consistent, but, as for the men, most of the studies probably underestimated existing effects. Other elements of causal inference, particularly biological plausibility, corroborated that job strain is a major CVD risk factor. Additional intervention studies are needed to examine the impact of ameliorating job strain upon CVD-related outcomes.
Open Access
The Influence of Domestic Overload on the Association between Job Strain and Ambulatory Blood Pressure among Female Nursing Workers
(MDPI AG, 2013-11-27) Portela, Luciana; Rotenberg, Lucia; Almeida, Ana; Landsbergis, Paul; Griep, Rosane
Evidence suggests that the workplace plays an important etiologic role in blood pressure (BP) alterations. Associations in female samples are controversial, and the domestic environment is hypothesized to be an important factor in this relationship. This study assessed the association between job strain and BP within a sample of female nursing workers, considering the potential role of domestic overload. A cross-sectional study was conducted in a group of 175 daytime workers who wore an ambulatory BP monitor for 24 h during a working day. Mean systolic and diastolic BP were calculated. Job strain was evaluated using the Demand-Control Model. Domestic overload was based on the level of responsibility in relation to four household tasks and on the number of beneficiaries. After adjustments no significant association between high job strain and BP was detected. Stratified analyses revealed that women exposed to both domestic overload and high job strain had higher systolic BP at home. These results indicate a possible interaction between domestic overload and job strain on BP levels and revealed the importance of domestic work, which is rarely considered in studies of female workers.