SERUM-LIPIDS, NEUROENDOCRINE, AND CARDIOVASCULAR-RESPONSES TO STRESS IN MEN AND WOMEN WITH MILD HYPERTENSION

被引:24
作者
BURKER, EJ
FREDRIKSON, M
RIFAI, N
SIEGEL, W
BLUMENTHAL, JA
机构
[1] KAROLINSKA INST,DEPT PSYCHIAT & PSYCHOL,DIV MED PSYCHOL,S-10401 STOCKHOLM 60,SWEDEN
[2] CHILDRENS HOSP MED CTR,DEPT LAB MED,BOSTON,MA 02115
[3] HARVARD UNIV,SCH MED,BOSTON,MA 02115
[4] NEW ENGLAND DEACONESS HOSP,DEPT MED,BOSTON,MA 02215
[5] DUKE UNIV,MED CTR,DEPT PSYCHIAT,DURHAM,NC 27710
关键词
CARDIOVASCULAR DISEASE; HYPERTENSION; LIPOPROTEINS; NEUROENDOCRINE RESPONSES; SERUM LIPIDS; STRESS;
D O I
10.1080/08964289.1994.9935186
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
In this study, we examined the relation between serum lipid levels, gender, and cardiovascular and neuroendocrine stress reactivity in patients with mild hypertension. Ninety-nine individuals (62 men, 37 women) with mild hypertension performed four mental stress tasks: mental arithmetic, public speaking, cold stress, and a computer videogame. Cardiovascular reactivity scores were computed by subtracting the minimum resting blood pressure (BP) and heart rate (HR) values from the maximum values obtained during each task. Neuroendocrine reactivity was calculated as the change from epinephrine and norepinephrine values from mean rest to mean task. High and low reactors were identified on the basis of median splits of reactivity scores, averaged across all four stressors. High systolic blood pressure reactors had higher levels of total (TC), low-density lipoprotein cholesterol (LDL-C), and apo-B than did low reactors. High diastolic blood pressure reactors had lower levels of high-density lipoprotein cholesterol (HDL-C) and higher levels of LDL-C and apo-B than did low reactors. High HR reactors had higher apo-AI:apo-AII ratios than low reactors. Lipid levels were not different for high and low epinephrine and norepinephrine reactors. Although women were noted to have more favorable lipid profiles than men, both male and female hypertensive patients who were high reactors had less favorable lipid profiles than low reactors.
引用
收藏
页码:155 / 161
页数:7
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