Low stress resilience in late adolescence and risk of hypertension in adulthood

Heart
Casey CrumpKristina Sundquist

Abstract

Greater blood pressure reactivity to psychological stress has been associated with higher risk of developing hypertension. We hypothesised that low stress resilience based on psychological assessment early in life is associated with hypertension in adulthood. National cohort study of 1,547,182 military conscripts in Sweden during 1969-1997 (97-98% of all 18-year-old males) without prior history of hypertension, who underwent standardised psychological assessment by trained psychologists for stress resilience (1-9 scale), and were followed up for hypertension identified from outpatient and inpatient diagnoses during 1969-2012 (maximum age 62). 93,028 men were diagnosed with hypertension in 39.4 million person-years of follow-up. Adjusting for body mass index (BMI), family history and socioeconomic factors, low stress resilience at age 18 was associated with increased risk of hypertension in adulthood (lowest vs highest quintile: HR 1.43; 95% CI 1.40 to 1.46; p < 0.001; incidence rates, 278.7 vs 180.0 per 100,000 person-years), including a strong linear trend across the full range of stress resilience (p(trend) < 0.0001). We also found a positive additive interaction between stress resilience and BMI (p < 0.001), indicating that ...Continue Reading

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Citations

Jan 16, 2018·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·A JayediS Shab-Bidar
Aug 10, 2017·Journal of Epidemiology and Community Health·Beatrice KennedyKatja Fall
Oct 20, 2018·The British Journal of Dermatology·J SmirnovaS Montgomery
Feb 6, 2019·Journal of Epidemiology and Community Health·Beatrice KennedyKatja Fall
May 3, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Chen QiuXiaoying Zang
Aug 15, 2020·Epidemiology and Psychiatric Sciences·Laura D KubzanskyMartin E P Seligman
Oct 28, 2017·Wiener medizinische Wochenschrift·Rita Fuchs-Strizek, Thomas Berger

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