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BMC Public Health. 2015 Aug 14;15:780. doi: 10.1186/s12889-015-2112-8.

Self-perceived stress is associated with adiposity and atherosclerosis. The GEA Study.

Author information

1
Department of Endocrinology, National Institute of Cardiology "Ignacio Chavez", Juan Badiano No. 1 Col. Seccion XVI, Tlalpan, 14080, Mexico City, Mexico. janis_boly@hotmail.com.
2
Department of Endocrinology, National Institute of Cardiology "Ignacio Chavez", Juan Badiano No. 1 Col. Seccion XVI, Tlalpan, 14080, Mexico City, Mexico. cposadasr@yahoo.com.
3
Department of Endocrinology, National Institute of Cardiology "Ignacio Chavez", Juan Badiano No. 1 Col. Seccion XVI, Tlalpan, 14080, Mexico City, Mexico. mayte1190@yahoo.com.mx.
4
Department of Endocrinology, National Institute of Cardiology "Ignacio Chavez", Juan Badiano No. 1 Col. Seccion XVI, Tlalpan, 14080, Mexico City, Mexico. aidaxm@yahoo.com.
5
Department of Endocrinology, National Institute of Cardiology "Ignacio Chavez", Juan Badiano No. 1 Col. Seccion XVI, Tlalpan, 14080, Mexico City, Mexico. gccardosos@yahoo.com.
6
Department of Endocrinology, National Institute of Cardiology "Ignacio Chavez", Juan Badiano No. 1 Col. Seccion XVI, Tlalpan, 14080, Mexico City, Mexico. esjoga@yahoo.com.mx.
7
Department of Endocrinology, National Institute of Cardiology "Ignacio Chavez", Juan Badiano No. 1 Col. Seccion XVI, Tlalpan, 14080, Mexico City, Mexico. rossy_posadas_s@yahoo.it.

Abstract

BACKGROUND:

A growing body of evidence suggests that psychological stress is an independent cardiovascular risk factor. Obesity prevalence shows accelerating trends worldwide, and is known to be associated with a range of comorbidities and survival. The aim of this study was to assess the relationship between self-perceived psychological stress with parameters of adiposity, metabolic syndrome, and subclinical atherosclerosis in Mexican participants.

METHODS:

Metabolic Syndrome was defined using the Adult Treatment Panel III criteria, obesity was defined as BMI >30, subclinical atherosclerosis disease was determined by computed tomography, and carotid intima media thickness was determined by ultrasonography. Self-perceived psychological stress was assessed using a single-item questionnaire.

RESULTS:

A total of 1243 control subjects were included in the sample, mean age 54.2 ± 9 years old; the prevalence of chronic self-perceived psychological stress (>5 years) was 10.13 %, female gender (62.7 %), obesity prevalence (48.4 %), and self-reporting sedentary lifestyle (56.3 %). The chronic stressed cohort presented higher subcutaneous abdominal fat content (285 vs 319 cm(2)), and carotid intima media thickness (0.63 vs 0.66 mm; p < 0.01 for both). However, after adjustment for lifestyle/social covariates (Model 1) and biological mediators (Model 2), chronic self-perceived stress was independently associated with obesity in men (OR 2.85, 95 % CI 1.51 - 5.40) and carotid atherosclerosis in women (OR 2.262, 95 % CI 1.47 - 4.67; p < 0.01 for both).

CONCLUSION:

Our study suggests that self-reported chronic stress is an independent risk factor for obesity in men. In addition, carotid atherosclerosis was also found to be an independent risk factor in women in a Mexican population sample.

PMID:
26271468
PMCID:
PMC4535384
DOI:
10.1186/s12889-015-2112-8
[Indexed for MEDLINE]
Free PMC Article

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