Vital exhaustion increases the risk of ischemic stroke in women but not in men: results from the Copenhagen City Heart Study.

Journal of Psychosomatic Research
Henriette KornerupEva Prescott

Abstract

Several studies have indicated an association between depression and the development of stroke, but few studies have focused on gender differences, although both depression and stroke are more common in women than in men. The aim of the present study was to describe whether vital exhaustion, a measure of fatigue and depression, prospectively predicts ischemic and hemorrhagic strokes in a large cohort, with particular focus on gender differences. The cohort was composed of 5219 women and 3967 men without cardiovascular disease who were examined in the Copenhagen City Heart Study in 1991-1994. Subjects were followed for 6-9 years. Fatal and nonfatal strokes were ascertained from the Danish National Register of Patients. Cox proportional hazards model was used to describe vital exhaustion as a potential risk factor for stroke. Four hundred nine validated strokes occurred. A dose-response relationship between vital exhaustion score and the risk of stroke was found in women reaching a hazard ratio (HR) of 2.27 (95% confidence interval: 1.42-3.62) for the group with the highest score. HR was only slightly attenuated by multivariate adjustment. There was no association between vital exhaustion score and stroke in men. HR was strongest...Continue Reading

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Citations

Mar 12, 2013·Stress and Health : Journal of the International Society for the Investigation of Stress·Trynke HoekstraJos W R Twisk
Oct 31, 2015·Stroke; a Journal of Cerebral Circulation·Oh Young BangJong S Kim
May 27, 2017·Stroke; a Journal of Cerebral Circulation·Janice L HinkleUNKNOWN American Heart Association Council on Cardiovascular and Stroke Nursing and Stroke Council
Jun 12, 2012·Psychosomatic Medicine·Anette EkmannKirsten Avlund
Mar 27, 2019·Annals of Clinical and Translational Neurology·Adrienne N DulaUNKNOWN LESION Investigators
Mar 5, 2020·Stroke; a Journal of Cerebral Circulation·Genevieve BarlasPhyo K Myint
Nov 23, 2011·Journal of Occupational and Environmental Medicine·Poul SuadicaniFinn Gyntelberg
Feb 7, 2021·Ageing Research Reviews·V KnoopUNKNOWN Gerontopole Brussels Study group
May 21, 2021·Anxiety, Stress, and Coping·Courtney S TintzmanNeha A John-Henderson

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