Stress resilience and physical fitness in adolescence and risk of coronary heart disease in middle age

Heart
Cecilia BerghScott Montgomery

Abstract

Psychosocial stress is a suggested risk for coronary heart disease (CHD). The relationship of stress resilience in adolescence with subsequent CHD risk is underinvestigated, so our objective was to assess this and investigate the possible mediating role of physical fitness. In this register-based study, 237,980 men born between 1952 and 1956 were followed from 1987 to 2010 using information from Swedish registers. Stress resilience was measured at a compulsory military conscription examination using a semistructured interview with a psychologist. Some 10,581 diagnoses of CHD were identified. Cox regression estimated the association of stress resilience with CHD, with adjustment for established cardiovascular risk factors. Low-stress resilience was associated with increased CHD risk. The association remained after adjustment for physical fitness and other potential confounding and mediating factors, with adjusted HRs (and 95% CIs) of 1.17 (1.10 to 1.25), with some evidence of mediation by physical fitness. CHD incidence rates per 1000 person-years (and 95% CIs) for low-stress, medium-stress and high-stress resilience were 2.61 (2.52 to 2.70), 1.97 (1.92 to 2.03) and 1.59 (1.53 to 1.67) respectively. Higher physical fitness was i...Continue Reading

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Citations

Jan 14, 2016·Diabetologia·Casey CrumpKristina Sundquist
Nov 26, 2015·Neuroscience and Biobehavioral Reviews·Juan F Codocedo, Nibaldo C Inestrosa
Nov 22, 2016·International Journal of Obesity : Journal of the International Association for the Study of Obesity·C CrumpK Sundquist
Apr 4, 2017·Cancer Epidemiology·Ayako HiyoshiScott Montgomery
Dec 3, 2016·Revista latino-americana de enfermagem·Isabela Gonzales CarvalhoDaniele Alcalá Pompeo
Oct 20, 2017·European Journal of Public Health·Carren MelinderScott Montgomery
Aug 29, 2017·Stress : the International Journal on the Biology of Stress·Dejana PopovicRoss Arena
Aug 3, 2017·European Journal of Preventive Cardiology·Cecilia BerghScott Montgomery
Jan 13, 2018·Frontiers in Psychology·Berit ØsteråsMonika Haga
Aug 10, 2017·Journal of Epidemiology and Community Health·Beatrice KennedyKatja Fall
Oct 20, 2018·The British Journal of Dermatology·J SmirnovaS Montgomery
Sep 26, 2017·JDR Clinical and Translational Research·J M BurgetteR G Rozier
Feb 6, 2019·Journal of Epidemiology and Community Health·Beatrice KennedyKatja Fall
Feb 18, 2019·Anatomia, histologia, embryologia·Elena ColombinoMaria Teresa Capucchio
Nov 20, 2018·European Heart Journal·Christoph Herrmann-Lingen
Nov 24, 2020·Journal of Religion and Health·Rodrigo de Eston ArmondCintia Leci Rodrigues
Jul 6, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Mary F LoveJennifer E S Beauchamp
Aug 4, 2021·Proceedings of the National Academy of Sciences of the United States of America·Kristen M NishimiLaura D Kubzansky

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