Document Detail


Perceived stress and biological risk: is the link stronger in Russians than in Taiwanese and Americans?
MedLine Citation:
PMID:  23534869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Allostatic load theory implies a relationship between exposure to psychological stress and multi-system physiological dysregulation. We used data from population-based samples of men and women in Russia (Moscow; n = 1800; age, mean 68.6 years), Taiwan (n = 1036; 65.6 years) and the United States (US; n = 1054; 58.0 years) -- which are likely to vary widely with respect to levels of stress exposure and biological markers -- to determine the magnitude of the association between perceived stress and physiological dysregulation. The measure of overall dysregulation was based on 15 markers including standard cardiovascular/metabolic risk factors as well as markers of inflammation and neuroendocrine activity. Subjective psychological stress was measured by the perceived stress scale. Only the Moscow sample demonstrated a positive association with overall dysregulation in both sexes. In the US, we found an association among women but not men. Among the Taiwanese, who report the lowest perceived stress, there was no association in women but an unexpected inverse relationship in men. The effects also varied across system-level subscores: the association with perceived stress was most consistent for standard cardiovascular/metabolic factors. Perceived stress was associated with inflammation and neuroendocrine activity in some samples. Although the evidence that perceived stress is the primary source of physiological dysregulation is generally modest, it was stronger in Russia where the level of perceived stress was particularly high. For Russia only, we had information about heart function based on a 24 h ambulatory electrocardiogram; perceived stress was consistently associated with heart rate dysregulation in Russian men and women.
Authors:
Dana A Glei; Noreen Goldman; Vladimir M Shkolnikov; Dmitri Jdanov; Maria Shkolnikova; James W Vaupel; Maxine Weinstein
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2013-05-03
Journal Detail:
Title:  Stress (Amsterdam, Netherlands)     Volume:  16     ISSN:  1607-8888     ISO Abbreviation:  Stress     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-06-17     Completed Date:  2014-01-21     Revised Date:  2014-07-02    
Medline Journal Info:
Nlm Unique ID:  9617529     Medline TA:  Stress     Country:  England    
Other Details:
Languages:  eng     Pagination:  411-20     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Allostasis / physiology*
Asian Continental Ancestry Group / psychology*
Biological Markers
Cardiovascular System / physiopathology
Creatinine / metabolism
Cross-Sectional Studies
European Continental Ancestry Group / psychology*
Female
Heart Rate
Humans
Hydrocortisone / blood
Inflammation / physiopathology
Male
Middle Aged
Moscow / epidemiology
Neurosecretory Systems / physiology
Perception / physiology*
Risk Factors
Sex Factors
Stress, Psychological / physiopathology*
Taiwan / epidemiology
United States / epidemiology
Grant Support
ID/Acronym/Agency:
1UL1RR025011/RR/NCRR NIH HHS; M01-RR00865/RR/NCRR NIH HHS; M01-RR023942/RR/NCRR NIH HHS; P01 AG020166/AG/NIA NIH HHS; P01 AG020166/AG/NIA NIH HHS; P01-AG020166/AG/NIA NIH HHS; R01 AG016661/AG/NIA NIH HHS; R01 AG016790/AG/NIA NIH HHS; R01 AG026786/AG/NIA NIH HHS; R01 AG16661/AG/NIA NIH HHS; R01 AG16790/AG/NIA NIH HHS; R01AG026786/AG/NIA NIH HHS; R01AG16661/AG/NIA NIH HHS; R01AG16790/AG/NIA NIH HHS; R24 HD047879/HD/NICHD NIH HHS; R24HD047879/HD/NICHD NIH HHS; UL1 TR000427/TR/NCATS NIH HHS
Chemical
Reg. No./Substance:
0/Biological Markers; AYI8EX34EU/Creatinine; WI4X0X7BPJ/Hydrocortisone
Comments/Corrections

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