Document Detail


Chronic stress influences ambulatory blood pressure in adolescents.
MedLine Citation:
PMID:  16472042     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: High ambulatory blood pressure (ABP) predicts cardiovascular events, even after controlling for clinic BP and other established risk factors. PURPOSE: This study examined whether chronic or discrete stress in the past year was associated with greater ABP in adolescents. METHOD: Participants were 217 male and female Black and White adolescents who wore ABP monitors on 2 consecutive school days and completed a survey of life events. RESULTS: Report of discrete, negative events was not associated with ABP. Adolescents experiencing greater numbers of chronic, negative life events exhibited greater systolic blood pressure (SBP), independent of ethnicity; sex; body mass index; and location, position, physical activity, and consumption of food/caffeine/nicotine at time of measurement. Greater numbers of chronic, negative events were associated with greater diastolic blood pressure (DBP) among boys. When resting clinic BP was introduced into the model, the main effect of chronic, negative life events on ambulatory SBP became nonsignificant, whereas the effect of chronic, negative life events on male adolescents' DBP persisted. CONCLUSIONS: Chronic stress is associated with greater ambulatory SBP among male and female adolescents and with greater ambulatory DBP among male adolescents. The latter association persisted after controlling for clinic BP, suggesting that males may be more vulnerable to chronic stress as a determinant of BP regulation than females early in life.
Authors:
Sonya S Brady; Karen A Matthews
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine     Volume:  31     ISSN:  0883-6612     ISO Abbreviation:  Ann Behav Med     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-13     Completed Date:  2006-05-09     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8510246     Medline TA:  Ann Behav Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  80-8     Citation Subset:  IM    
Affiliation:
University of Pittsburgh, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Chronic Disease
Female
Humans
Hypertension / epidemiology*
Life Change Events
Male
Monitoring, Ambulatory
Questionnaires
Stress, Psychological / psychology*
Grant Support
ID/Acronym/Agency:
HL065111/HL/NHLBI NIH HHS; HL065112/HL/NHLBI NIH HHS; HL25767/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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