All studies were cohort studies; no randomised controlled trials covering this topic were found. All

studies included were in English. For details of the literature search, see Fig. 1 (flowchart). Twenty cohorts were described ICG-001 manufacturer in the selected 26 publications. Some of these 26 publications included more than one exposure model, or more than one outcome, or results were gender-stratified. Thus, 40 different analyses were described (see Tables 1, 2, 3) and considered within the following systematic evaluation. Table 1 Characteristics and results of studies using the demand–control model First author/publication year Cohorta/study Country Level of evidenceb Participants (n) Age Cases (n) follow-up duration Outcomec Risk estimate (95% CI) Confounders in minimal modeld Risk estimate (95% CI) Confoundersd, e in fully adjusted model Kuper (2003) Whitehall UK 2++ 10,308 35–55 years 921 cases 11 years CHD, morbidity and mortality f + m 1.57 (1.26–1.96) Age, sex f + m 1.38 (1.1–1.75) Age, sex, employment grade, coronary risk factors Chandola (2008)f Whitehall UK 2+ 10,308 35–55 years 522 cases 12 years CHD, morbidity and mortality   Isostrain f + m 1.33 (1.04–1.69)

Age, sex, biological and behavioural risk factors, employment grade Netterstrøm (2006) MONICA II Denmark 2+ 659 30–60 years 47 cases 13 years CHD, morbidity and mortality Job strain m 2.4 (1.0–5.6) age Job strain m 2.4 (1.0–5.7) Age, biological and behavioural risk factors, R788 ic50 social status De Baquer (2005) Belstress/JACE Belgium 2+ 14,337 35–59 years 87 cases 3 years CHD, morbidity and mortality Job strain m 1.35 (0.73–2.49) Isostrain m 1.91 (1.07–3.41) Age, ISCO code Job strain m 1.26 (0.66–2.41) Isostrain m 1.92 (1.05–3.54) Age, ISCO code, BMI, smoking, company Eaker (2004) Framingham offspring USA 2+ 3,039 18–77 years 149 cases 10 years CHD, morbidity and mortality   Job strain m 0.85 (0.5–1.45)

f 1.63 (0.57–4.67) Age, SBP, smoking, diabetes André-Petersson et al. (2007) Malmö cancer and diet study Sweden 2+ 7,770 47–73 years 291 cases 7.8 years CVD, morbidity and mortality Job strain MI f 1.29 (0.44–3.85) second m 1.17 (0.53–2.99) Stroke f 1.16 (0.56–2.40) m 1.03 (0.53–2.99) No adjustment Isostrain MI or stroke f 1.51 (0.7–3.27) m 1.11 (0.6–2.06) Age, diabetes, anti-hypertensive medication, smoking, low physical activity Kivimäki (2002) Valmet Finland 2+ 812 18 to >47 years 73 cases 25.6 years CVD mortality Job strain f + m 2.2 (1.16–4.17) Age, sex Job strain f + m 2.22 (1.04–4.73) Age, sex, behavioural and biological risk factors Kivimäki (2008) WOLF Sweden 2+ 3,160 19–55 years 93 cases 9.5 years CVD, morbidity and mortality Job strain m 1.76 (1.05–2.95) Age, sex   AR-13324 Kornitzer (2006) JACE Spain, France, Belgium, Sweden 2+ 20,435 35–59 years 129 cases 3.