Cortisol Responses to Mental Stress and the Progression of Coronary Artery Calcification in Healthy Men and Women
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{"title"=>"Cortisol responses to mental stress and the progression of coronary artery calcification in healthy men and women", "type"=>"journal", "authors"=>[{"first_name"=>"Mark", "last_name"=>"Hamer", "scopus_author_id"=>"8502496600"}, {"first_name"=>"Romano", "last_name"=>"Endrighi", "scopus_author_id"=>"53063529000"}, {"first_name"=>"Shreenidhi M.", "last_name"=>"Venuraju", "scopus_author_id"=>"25227044000"}, {"first_name"=>"Avijit", "last_name"=>"Lahiri", "scopus_author_id"=>"7102451406"}, {"first_name"=>"Andrew", "last_name"=>"Steptoe", "scopus_author_id"=>"7102289942"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"364206608", "sgr"=>"84856680069", "issn"=>"19326203", "pmid"=>"22328931", "scopus"=>"2-s2.0-84856680069", "doi"=>"10.1371/journal.pone.0031356", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)"}, "id"=>"a5abcf9d-0f2d-39d5-bde1-07ca3b613b6b", "abstract"=>"BACKGROUND: Psychosocial stress is a risk factor for coronary heart disease (CHD). The mechanisms are incompletely understood, although dysfunction of the hypothalamic pituitary adrenal (HPA) axis might be involved. We examined the association between cortisol responses to laboratory-induced mental stress and the progression of coronary artery calcification (CAC).\\n\\nMETHODS AND RESULTS: Participants were 466 healthy men and women (mean age = 62.7±5.6 yrs), without history or objective signs of CHD, drawn from the Whitehall II epidemiological cohort. At the baseline assessment salivary cortisol was measured in response to mental stressors, consisting of a 5-min Stroop task and a 5-min mirror tracing task. CAC was measured at baseline and at 3 years follow up using electron beam computed tomography. CAC progression was defined as an increase >10 Agatston units between baseline and follow up. 38.2% of the sample demonstrated CAC progression over the 3 years follow up. There was considerable variation in the cortisol stress response, with approximately 40% of the sample responding to the stress tasks with an increase in cortisol of at least 1 mmol/l. There was an association between cortisol stress reactivity (per SD) and CAC progression (odds ratio = 1.27, 95% CI, 1.02-1.60) after adjustments for age, sex, pre-stress cortisol, employment grade, smoking, resting systolic BP, fibrinogen, body mass index, and use of statins. There was no association between systolic blood pressure reactivity and CAC progression (odds ratio per SD increase = 1.03, 95% CI, 0.85-1.24). Other independent predictors of CAC progression included age, male sex, smoking, resting systolic blood pressure, and fibrinogen.\\n\\nCONCLUSION: Results demonstrate an association between heightened cortisol reactivity to stress and CAC progression. These data support the notion that cortisol reactivity, an index of HPA function, is one of the possible mechanisms through which psychosocial stress may influence the risk of CHD.", "link"=>"http://www.mendeley.com/research/cortisol-responses-mental-stress-progression-coronary-artery-calcification-healthy-men-women-1", "reader_count"=>69, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>3, "Researcher"=>14, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>4, "Student > Master"=>17, "Other"=>4, "Student > Bachelor"=>9, "Lecturer"=>2, "Professor"=>4}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>3, "Researcher"=>14, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>4, "Student > Master"=>17, "Other"=>4, "Student > Bachelor"=>9, "Lecturer"=>2, "Professor"=>4}, "reader_count_by_subject_area"=>{"Engineering"=>6, "Unspecified"=>8, "Nursing and Health Professions"=>1, "Agricultural and Biological Sciences"=>5, "Medicine and Dentistry"=>29, "Neuroscience"=>2, "Business, Management and Accounting"=>2, "Sports and Recreations"=>1, "Physics and Astronomy"=>1, "Psychology"=>12, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>6}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>29}, "Neuroscience"=>{"Neuroscience"=>2}, "Social Sciences"=>{"Social Sciences"=>2}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>12}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Unspecified"=>{"Unspecified"=>8}}, "reader_count_by_country"=>{"Canada"=>1, "Denmark"=>1, "South Africa"=>1, "Israel"=>1, "Germany"=>1}, "group_count"=>1}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/685786"], "description"=>"<p>Filled bars designate CAC scores at follow up. Coronary artery calcification scores of 100–400, 400–999, and ≥1000 predict up to 4-, 7-, and 11-fold increases in future CVD risk, respectively, compared with patients with no detectable CAC. There was a significant increase in log Agatston score between baseline and follow up (2.25 vs 2.65, p<0.001), and 38.2% had progression of CAC as defined by an increase in >10 Agatston units.</p>", "links"=>[], "tags"=>["progression", "cac", "years"], "article_id"=>356264, "categories"=>["Biochemistry", "Cell Biology", "Mental Health", "Biotechnology"], "users"=>["Mark Hamer", "Romano Endrighi", "Shreenidhi M. Venuraju", "Avijit Lahiri", "Andrew Steptoe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0031356.g001", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_progression_of_CAC_over_3_years_follow_up_n_8202_8202_466_/356264", "title"=>"The progression of CAC over 3 years follow up (n = 466).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 09:19:22"}
  • {"files"=>["https://ndownloader.figshare.com/files/685877"], "description"=>"<p>*Effect estimates are mutually adjusted for all presented variables and follow up time.</p>†<p>per SD increase.</p>", "links"=>[], "tags"=>["factors", "cac", "progression", "agatston", "units"], "article_id"=>356361, "categories"=>["Biochemistry", "Cell Biology", "Mental Health", "Biotechnology"], "users"=>["Mark Hamer", "Romano Endrighi", "Shreenidhi M. Venuraju", "Avijit Lahiri", "Andrew Steptoe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0031356.t002", "stats"=>{"downloads"=>6, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_factors_for_CAC_progression_of_gt_10_Agatston_units_N_8202_8202_466_/356361", "title"=>"Risk factors for CAC progression of >10 Agatston units (N = 466).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 09:19:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/685956"], "description"=>"<p>*CAC progression defined as an increase >10 Agatston units between baseline and follow up.</p><p>Values are means ± SD.</p>", "links"=>[], "tags"=>["baseline", "cac", "progression"], "article_id"=>356443, "categories"=>["Biochemistry", "Cell Biology", "Mental Health", "Biotechnology"], "users"=>["Mark Hamer", "Romano Endrighi", "Shreenidhi M. Venuraju", "Avijit Lahiri", "Andrew Steptoe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0031356.t001", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_study_population_at_baseline_in_relation_to_CAC_progression_N_8202_8202_466_/356443", "title"=>"Characteristics of the study population at baseline in relation to CAC progression (N = 466).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 09:20:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/685916"], "description"=>"<p>*Effect estimates are adjusted for age and sex.</p>†<p>per SD increase.</p><p>BP – Blood pressure; HbA1c - glycated haemoglobin; AUC - Area under the curve.</p>", "links"=>[], "tags"=>["factors", "cac", "changes"], "article_id"=>356400, "categories"=>["Biochemistry", "Cell Biology", "Mental Health", "Biotechnology"], "users"=>["Mark Hamer", "Romano Endrighi", "Shreenidhi M. Venuraju", "Avijit Lahiri", "Andrew Steptoe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0031356.t003", "stats"=>{"downloads"=>4, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_factors_for_relative_CAC_changes_over_follow_up_N_8202_8202_466_/356400", "title"=>"Risk factors for relative CAC changes over follow up (N = 466).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 09:20:04"}

PMC Usage Stats | Further Information

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Relative Metric

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