Type a coronary-prone behavior pattern and cardiovascular risk factor variables in children and adolescents: The Bogalusa Heart Study

Hunter, Susan; Wolf, Thomas M.; Sklov, Monny C.; Webber, Larry S.; Watson, Rebecca B.; Berenson, Gerald S.

doi:10.1016/0021-9681(82)90013-3

Cited by 59 publications

(30 citation statements)

References 46 publications

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“…An association between eagerness-energy and traditional CHD risk factors has, however, been previously demonstrated. The Bogalusa study showed an association between eagerness-energy and high levels of serum total cholesterol and triglycerides in children aged 10 to 17 years, 19 and in the current Cardiovascular Risk in Young Finns population, eagerness-energy was correlated with LDL-cholesterol, total cholesterol, and blood pressure in 12-, 15-and 18-year-olds. 15 Furthermore, eagerness-energy predicted increasing levels of components of metabolic syndrome over a 3-year follow-up period in adolescence, especially in girls.…”

Section: Discussionmentioning

confidence: 98%

“…Type A behavior was self-rated with the Hunter-Wolf A-B Rating Scale 19,20 in all follow-ups. The scale consists of 23 items and 4 subscales: (1) impatience-aggression (7 items, eg, "I interrupt others", "I lose my temper easily", I find it difficult to wait", "I like to argue" and "I get angry easily"), (2) leadership (6 items, eg, "I like to tell others what to do", "I am always a leader in activities", "I always like to win"), (3) hard-driving (3 items, eg, "I am harddriving and competitive", " I take things seriously"), and (4) eagerness-energy (7 items, eg, "I talk fast", " I eat fast", "I walk fast", "I always feel hurried").…”

Section: Type a Behaviormentioning

confidence: 99%

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Type A Eagerness-Energy Across Developmental Periods Predicts Adulthood Carotid Intima-Media Thickness

Keltikangas‐Järvinen

Hintsa

Kivimäki

et al. 2007

ATVB

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Objective-We examined the Type A behavior across developmental periods as a predictor of adult carotid artery intima-media thickness (IMT). Methods and Results-In this prospective cohort study of 408 men and 606 women, socioeconomic background and biological risk factors of participants were assessed at baseline at age 6 to 18 years of age, Type A behavior (Hunter-Wolf A-B Rating Scale) at the 6-, 9-, and 21-year follow-ups (subjects being 12 to 24, 15 to 27, and 27 to 39 years, respectively), and carotid IMT, adulthood socioeconomic situation, and biological risk factors at the 21-year follow-up when participants were at age 27 to 39 years of age. In men, the eagerness-energy component of Type A behavior, measured at any time point, was associated with thicker carotid IMT (PϽ0.008, PϽ0.04, PϽ0.03, and PϽ0.02 for the first, second, and third assessment, and for the average score, respectively), and this association was independent of early and adult risk factors. In women, the hard-driving component at baseline (PϽ0.04) but not later was independently related to thinner carotid IMT. The other components of Type A behavior (impatience-aggression and leadership) were not associated with IMT. Conclusions-Eagerness-energy component of Type A behavior over different developmental transitions seems to be a robust predictor of IMT in men.

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Section: Discussionmentioning

confidence: 98%

Section: Type a Behaviormentioning

confidence: 99%

Type A Eagerness-Energy Across Developmental Periods Predicts Adulthood Carotid Intima-Media Thickness

Keltikangas‐Järvinen

Hintsa

Kivimäki

et al. 2007

ATVB

View full text Add to dashboard Cite

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“…The general reliability, concurrent and predictive validity of the Type A components has previously been shown to be acceptable [37][38][39][40]. In the present study, the test-retest stability (Spearman's r) of components of Type A behavior over a 3-year period varied from 0.51 for harddriving to 0.61 for leadership, respectively.…”

Section: Type a Behaviormentioning

confidence: 49%

“…Type A behavior was assessed using a modified HunterWolf A-B Rating Scale [37,38] from the original one [39,40], which consisted of 23-items each ranked on a sevenpoint scale of two opposite statements in following illustrative items and was divided into four components: (1) leadership (six items, e.g., "I am always a leader in activities", "I always like to win"), (2) hard-driving (three items, e.g., "I am hard-driving and competitive", "I take things seriously"), (3) eagerness-energy (seven items, e.g., "I talk fast", "I always feel hurried"), and (4) aggression (seven items, e.g., "I get angry easily", "I lose my temper easily"). The general reliability, concurrent and predictive validity of the Type A components has previously been shown to be acceptable [37][38][39][40].…”

Section: Type a Behaviormentioning

confidence: 99%

Leadership Component of Type A Behavior Predicts Physical Activity in Early Midlife

et al. 2010

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“…A Djetary/Exercise Alteration Program Trial (ADAPT) is described in detail. 33 Briefly, ADAPT* was directed toward nutrition education of both parents and children, promotion of dietary modifications, and expanded community availability of low-sodium foods in grocery stores, restaurants, and school lunches. An exercise component consisted of education and implementation, primarily within the school setting.…”

Section: Primary Preventive Treatmentmentioning

confidence: 99%

A model of intervention for prevention of early essential hypertension in the 1980s.

Berenson¹,

Voors²,

Webber³

et al. 1983

Hypertension

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SUMMARY The onset of essential hypertension early in life is indicated by the high tracking of blood pressure during adolescence; intervention in adults with mild hypertension has been found successful. How, then, can high blood pressure levels in children be modified to prevent early hypertensive cardiovascular disease in adulthood? In an entire biracial town (population 9000) we surveyed 1604 (89%) of all children aged 8-18 years for blood pressure and reexamined those in the upper decile of mean blood pressure (for each race, sex, and height) on three additional occasions. On each examination nine blood pressures were taken by trained observers. All children consistently in the top decile were randomly allocated into either a treatment (n = 50) or comparison (n = 50) group. These two groups and an additional midrange blood pressure comparison group (n = 50) were followed regularly using school facilities including community and school programs. Treatment consisted of 1) dietary guidance; 2) modifications of school lunches and snacks with healthy substitutes; 3) parental involvement; 4) a low dose diuretic and /3-antagonist given by usual standards. All study groups were monitored for blood pressure in a blind manner. In 6 months of observation, blood pressure in the treatment group remained 5 and 3 mm Hg (systolic and diastolic) less than controls (p < 0.001 and p < 0.01). An orchestrated community-wide attack on early-stage hypertension is feasible and seems to offer exciting potential for prevention of early hypertensive disease. (Hypertension 5: 41-53, 1983) KEY WORDS • blood pressure • hypertension in children • intervention • risk factors D URING the past 10 years there have been impressive developments in the understanding of the physiologic and biochemical mechanisms of essential hypertension and in its treatment. Significant progress has been made in the treatment of mild hypertension, in particular, and in the reduction of consequent cardiovascular and cerebrovascular disease. Most of this progress, however, has been obtained on adults at a time when organ damage has already occurred. During the past decade we have begun to investigate the early natural history of essential From the

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Type a coronary-prone behavior pattern and cardiovascular risk factor variables in children and adolescents: The Bogalusa Heart Study

Cited by 59 publications

References 46 publications

Type A Eagerness-Energy Across Developmental Periods Predicts Adulthood Carotid Intima-Media Thickness

Type A Eagerness-Energy Across Developmental Periods Predicts Adulthood Carotid Intima-Media Thickness

Leadership Component of Type A Behavior Predicts Physical Activity in Early Midlife

A model of intervention for prevention of early essential hypertension in the 1980s.

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