Gender Differences in Associations Between Stress and Cardiovascular Risk Factors and Outcomes

Taylor, Jasmine L.; Makarem, Nour; Shimbo, Daichi; Aggarwal, Brooke

doi:10.1177/2470289718820845

Cited by 22 publications

(12 citation statements)

References 51 publications

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“…In contrast to a prior study that reports the influence of stress on sedentary behaviors is stronger among men, 46 we found that women in our sample are more likely to be in the physically inactive group than men. Women likely tend to be physically inactive when ETV is the stressor, and the safety of the neighborhood is of concern.…”

Section: Discussioncontrasting

confidence: 99%

The Longitudinal Association Between Exposure to Violence and Patterns of Health Risk Behaviors Among African American Youth

et al. 2021

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Purpose: We investigate whether exposure to violence (ETV) during adolescence and emerging adulthood predicts engagement in chronic disease-related health risk behaviors years later among African Americans. Design: A longitudinal study following youth from mid-adolescence (mean age = 14.8 years) to young adulthood (mean age = 32.0 years). Setting: Flint, Michigan. Sample: Four hundred forty-two African American (96.2%) and mixed African American and White (3.8%) participants. Measures: Outcomes were diet, smoking, drinking, and physical inactivity. Covariates were ETV, sex, mother’s educational attainment, and substance use by siblings, peers, and parents. Analysis: Latent profile analysis was conducted to identify distinct patterns of adult health risk behaviors and assess the association of youth ETV and identified patterns. Results: Four latent profiles were identified: high substance use (n = 46; 10.41%) , high overall risk (n = 71; 16.06%) , low overall risk ( n = 140; 31.67%) and inactive (n = 185, 41.86%). Relative to the low overall risk profile, ETV was associated with being in the high overall risk profile (b = 0.37, p = 0.04), but not other profiles. Female gender and higher maternal education were associated with being in the inactive profile compared to the low overall risk profile. Peer alcohol and tobacco use were associated with being in the high substance use profile. Conclusion: ETV during adolescence and emerging adulthood increased the risk of engagement in multiple health risk behaviors later in life.

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Section: Discussioncontrasting

confidence: 99%

The Longitudinal Association Between Exposure to Violence and Patterns of Health Risk Behaviors Among African American Youth

et al. 2021

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“…In our sample, the association between stressful life events and cardiovascular problems was comparable in female and male participants. This is supported by other studies showing a significant effect of stress on cardiovascular health in both men and women [44].…”

Section: Discussionsupporting

confidence: 87%

The Interplay between Child Maltreatment and Stressful Life Events during Adulthood and Cardiovascular Problems—A Representative Study

Clemens

Bürgin

Huber‐Lang

et al. 2021

JCM

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Psychological stress is a major risk factor for cardiovascular diseases. While the relevance of early life stress, such as that which is due to child maltreatment (CM), is well known to impact individual stress responses in the long-term, and data on the interplay between CM and stressful events in adulthood on cardiovascular health are sparse. Here, we aimed to assess how stressful life events in adulthood are associated with cardiovascular health infarction in later life and whether this association is independent of CM. In a cross-sectional design, a probability sample of the German population above the age of 14 was drawn using different sampling steps. The final sample included 2510 persons (53.3% women, mean age: 48.4 years). Participants were asked about sociodemographic factors, adult life events, CM, and health conditions in adulthood. Results indicate that the number of experienced adverse life events in adulthood is associated with significantly increased odds for obesity (Odds Ration (OR)women = 1.6 [1.3; 2.0], ORmen = 1.4 [1.1;1.9]), diabetes (ORwomen = 1.5 [1.1; 2.1], ORmen = 1.5 [1.1;2.3]) and myocardial infarction (ORwomen = 2.1[1.0; 4.3], ORmen=1.8[1.1;2.8]). This association is not moderated by the experience of CM, which is associated with cardiovascular problems independently. Taken together, adult stressful life events and CM are significantly and independently associated with cardiovascular health in men and women in the German population in a dose-dependent manner. General practitioners, cardiologists and health policy-makers should be aware of this association between psychosocial stressors during childhood and adulthood and cardiovascular health.

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“…Our results showed that a 13-weeks, aerobic PhE program is able to counteract the effects of estrogen depletion on the CV system, which are considerably associated with the development of arterial stiffness, diastolic dysfunction and heart failure with preserved ejection fraction [ 38 ]. Moreover, we observed an improvement in metabolic profile, especially in terms of HC, leptin, leptin/FM and cortisol, the latter being a causal risk factor for CVD, especially in women [ 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Adherence to Physical Exercise on Cardiometabolic Profile in Postmenopausal Women

Bucciarelli

Bianco

Mucedola

et al. 2021

IJERPH

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Background: Menopause is associated with negative cardiovascular adaptations related to estrogen depletion, which could be counteracted by physical exercise (PhE). However, the impact of total adherence-rate (TA) to PhE and sedentary time (SedT) on cardiometabolic profile in this population has not been elucidated. Methods: For 13-weeks, 43 women (57.1 ± 4.7 years) participated in a 4-days-a-week moderate-intensity walking training. They underwent laboratory, anthropometric and echocardiographic assessment, before and after training (T0–T1). Spontaneous physical activity (PhA) was assessed with a portable multisensory device. The sample was divided according to TA to PhE program: <70% (n = 17) and ≥70% (n = 26). Results: TA ≥ 70% group experienced a significant T1 improvement of relative wall thickness (RWT), diastolic function, VO2max, cortisol, cortisol/dehydroandrostenedione-sulphate ratio and serum glucose. After adjusting for SedT and 10-min bouts of spontaneous moderate-to-vigorous PhA, TA ≥ 70% showed the most significant absolute change of RWT and diastolic function, body mass index, weight and cortisol. TA ≥ 70% was major predictor of RWT and cortisol improvement. Conclusions: In a group of untrained, postmenopausal women, a high TA to a 13-weeks aerobic PhE program confers a better improvement in cardiometabolic profile, regardless of SedT and PhA levels.

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Gender Differences in Associations Between Stress and Cardiovascular Risk Factors and Outcomes

Cited by 22 publications

References 51 publications

The Longitudinal Association Between Exposure to Violence and Patterns of Health Risk Behaviors Among African American Youth

The Longitudinal Association Between Exposure to Violence and Patterns of Health Risk Behaviors Among African American Youth

The Interplay between Child Maltreatment and Stressful Life Events during Adulthood and Cardiovascular Problems—A Representative Study

Effect of Adherence to Physical Exercise on Cardiometabolic Profile in Postmenopausal Women

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