AUTHOR=Auer Alisa , Semmer Norbert K. , von Känel Roland , Thomas Livia , Zuccarella-Hackl Claudia , Wiest Roland , Wirtz Petra H. 

TITLE=Taking appreciation to heart: appreciation at work and cardiovascular risk in male employees

JOURNAL=Frontiers in Public Health

VOLUME=Volume 12 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1284431

DOI=10.3389/fpubh.2024.1284431

ISSN=2296-2565

ABSTRACT=Introduction: While perceived appreciation at work has been associated with self-reported health and well-being, studies considering biological health markers are lacking. Here, we investigated whether appreciation at work would relate to coronary heart disease (CHD) risk as well as the specificity of this proposed association.
Methods: Our study comprised a total of 103 male participants including apparently healthy, medication-free, non-smoking men in the normotensive to hypertensive range (n=70), as well as medicated hypertensive and CHD patients (n=33). CHD risk was assessed by blood pressure (mean arterial pressure, MAP), the diabetes marker glycated hemoglobin A1c (HbA1c), blood lipids (total cholesterol (TC)/high density lipoprotein-cholesterol (HDL-C) ratio), coagulation activity (D-dimer and fibrinogen) and inflammation (interleukin (IL)-6, tumor necrosis factor alpha (TNF-α), and C-reactive protein (CRP)). Perceived appreciation at work as well as potentially confounding psychological factors (social support, self-esteem, work strain due to lack of appreciation) were measured by self-report questionnaires. 
Results: We found higher appreciation at work to relate to lower overall composite CHD risk (p’s≤.011) and in particular to lower MAP (p’s≤.007) and lower blood lipids (p’s≤.031) in medication-free participants as well as all participants. This overall association was independent of confounding factors, including related psychological factors (p’s≤ .049).  
Discussion: Our findings indicate that appreciation at work might be an independent health-promoting resource in terms of CHD risk. Implications include that encouraging appreciation at work may help to reduce development and progression of CHD.