Chronic distress and acute vascular stress responses associated with ambulatory blood pressure in low-testosterone African men: the SABPA Study
It is known that low testosterone (T) and high cortisol levels are associated with hypertension as well as with chronic stress, linking stress with elevated blood pressure (BP). However, the association between acute stress-, chronic stress responses and BP is not clear in Africans. Therefore, we ex...
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| Veröffentlicht in: | Journal of human hypertension 2014-06, Vol.28 (6), p.393-398 |
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| creator | Malan, N T Stalder, T Schlaich, M P Lambert, G W Hamer, M Schutte, A E Huisman, H W Schutte, R Smith, W Mels, C M C van Rooyen, J M Malan, L |
| description | It is known that low testosterone (T) and high cortisol levels are associated with hypertension as well as with chronic stress, linking stress with elevated blood pressure (BP). However, the association between acute stress-, chronic stress responses and BP is not clear in Africans. Therefore, we examined the association between cortisol, psychological distress and BP responses in low- and high-T male subgroups. Beat-to-beat and ambulatory blood pressure (ABPM) and electrocardiogram measures were obtained. Serum samples were collected and analyzed for sex hormones and cortisol. Chronic psychological distress was verified with the General Health Questionnaire and acute stress with the cold pressor test. More chronic psychological distress was observed in both low- and high-T Africans compared with the Caucasians. The low-T Africans tended to have more ischemic events (
P
=0.06) and ABPM values (
P
⩽0.01) than any of the other groups. Both chronic distress (cortisol) and acute stress (total peripheral resistance cold pressor responses) were associated with ABPM in the low-T African group. Acute and chronic stress may contribute to increased BP in low-T African men. Their cortisol and vascular responses supported a tendency for ischemia, increasing their risk for coronary artery disease. |
| doi_str_mv | 10.1038/jhh.2013.124 |
| format | Article |
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P
=0.06) and ABPM values (
P
⩽0.01) than any of the other groups. Both chronic distress (cortisol) and acute stress (total peripheral resistance cold pressor responses) were associated with ABPM in the low-T African group. Acute and chronic stress may contribute to increased BP in low-T African men. Their cortisol and vascular responses supported a tendency for ischemia, increasing their risk for coronary artery disease.</description><identifier>ISSN: 0950-9240</identifier><identifier>EISSN: 1476-5527</identifier><identifier>DOI: 10.1038/jhh.2013.124</identifier><identifier>PMID: 24284381</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/378/1689/1831 ; 631/443/163/812 ; 692/420 ; 692/699/75/243 ; Acute Disease ; Adult ; African Continental Ancestry Group ; Aged ; Blood pressure ; Blood Pressure Monitoring, Ambulatory - methods ; Cardiovascular disease ; Causality ; Chronic Disease ; Cohort Studies ; Comorbidity ; Confidence Intervals ; Coronary artery ; Cortisol ; Demographic aspects ; EKG ; Epidemiology ; European Continental Ancestry Group ; Health Administration ; Heart diseases ; Hormones ; Humans ; Hydrocortisone ; Hydrocortisone - blood ; Hypertension ; Hypertension - blood ; Hypertension - ethnology ; Hypertension - physiopathology ; Ischemia ; Linear Models ; Logistic Models ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate Analysis ; original-article ; Physiological aspects ; Prognosis ; Prospective Studies ; Public Health ; Risk Assessment ; Sex hormones ; South Africa ; Stress (Physiology) ; Stress response ; Stress, Psychological - blood ; Stress, Psychological - ethnology ; Testosterone ; Testosterone - blood ; Testosterone - deficiency ; Vascular Resistance - physiology</subject><ispartof>Journal of human hypertension, 2014-06, Vol.28 (6), p.393-398</ispartof><rights>Macmillan Publishers Limited 2014</rights><rights>COPYRIGHT 2014 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jun 2014</rights><rights>Macmillan Publishers Limited 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-85e63ba519e6d578cbba9336cd37143c185afb1bca514e775f108c6fb78effbd3</citedby><cites>FETCH-LOGICAL-c516t-85e63ba519e6d578cbba9336cd37143c185afb1bca514e775f108c6fb78effbd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/jhh.2013.124$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/jhh.2013.124$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24284381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malan, N T</creatorcontrib><creatorcontrib>Stalder, T</creatorcontrib><creatorcontrib>Schlaich, M P</creatorcontrib><creatorcontrib>Lambert, G W</creatorcontrib><creatorcontrib>Hamer, M</creatorcontrib><creatorcontrib>Schutte, A E</creatorcontrib><creatorcontrib>Huisman, H W</creatorcontrib><creatorcontrib>Schutte, R</creatorcontrib><creatorcontrib>Smith, W</creatorcontrib><creatorcontrib>Mels, C M C</creatorcontrib><creatorcontrib>van Rooyen, J M</creatorcontrib><creatorcontrib>Malan, L</creatorcontrib><title>Chronic distress and acute vascular stress responses associated with ambulatory blood pressure in low-testosterone African men: the SABPA Study</title><title>Journal of human hypertension</title><addtitle>J Hum Hypertens</addtitle><addtitle>J Hum Hypertens</addtitle><description>It is known that low testosterone (T) and high cortisol levels are associated with hypertension as well as with chronic stress, linking stress with elevated blood pressure (BP). However, the association between acute stress-, chronic stress responses and BP is not clear in Africans. Therefore, we examined the association between cortisol, psychological distress and BP responses in low- and high-T male subgroups. Beat-to-beat and ambulatory blood pressure (ABPM) and electrocardiogram measures were obtained. Serum samples were collected and analyzed for sex hormones and cortisol. Chronic psychological distress was verified with the General Health Questionnaire and acute stress with the cold pressor test. More chronic psychological distress was observed in both low- and high-T Africans compared with the Caucasians. The low-T Africans tended to have more ischemic events (
P
=0.06) and ABPM values (
P
⩽0.01) than any of the other groups. Both chronic distress (cortisol) and acute stress (total peripheral resistance cold pressor responses) were associated with ABPM in the low-T African group. Acute and chronic stress may contribute to increased BP in low-T African men. Their cortisol and vascular responses supported a tendency for ischemia, increasing their risk for coronary artery disease.</description><subject>631/378/1689/1831</subject><subject>631/443/163/812</subject><subject>692/420</subject><subject>692/699/75/243</subject><subject>Acute Disease</subject><subject>Adult</subject><subject>African Continental Ancestry Group</subject><subject>Aged</subject><subject>Blood pressure</subject><subject>Blood Pressure Monitoring, Ambulatory - methods</subject><subject>Cardiovascular disease</subject><subject>Causality</subject><subject>Chronic Disease</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Confidence Intervals</subject><subject>Coronary artery</subject><subject>Cortisol</subject><subject>Demographic aspects</subject><subject>EKG</subject><subject>Epidemiology</subject><subject>European Continental Ancestry Group</subject><subject>Health Administration</subject><subject>Heart diseases</subject><subject>Hormones</subject><subject>Humans</subject><subject>Hydrocortisone</subject><subject>Hydrocortisone - blood</subject><subject>Hypertension</subject><subject>Hypertension - blood</subject><subject>Hypertension - ethnology</subject><subject>Hypertension - physiopathology</subject><subject>Ischemia</subject><subject>Linear Models</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>original-article</subject><subject>Physiological aspects</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Public Health</subject><subject>Risk Assessment</subject><subject>Sex hormones</subject><subject>South Africa</subject><subject>Stress (Physiology)</subject><subject>Stress response</subject><subject>Stress, Psychological - blood</subject><subject>Stress, Psychological - ethnology</subject><subject>Testosterone</subject><subject>Testosterone - blood</subject><subject>Testosterone - deficiency</subject><subject>Vascular Resistance - 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methods</topic><topic>Cardiovascular disease</topic><topic>Causality</topic><topic>Chronic Disease</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Confidence Intervals</topic><topic>Coronary artery</topic><topic>Cortisol</topic><topic>Demographic aspects</topic><topic>EKG</topic><topic>Epidemiology</topic><topic>European Continental Ancestry Group</topic><topic>Health Administration</topic><topic>Heart diseases</topic><topic>Hormones</topic><topic>Humans</topic><topic>Hydrocortisone</topic><topic>Hydrocortisone - blood</topic><topic>Hypertension</topic><topic>Hypertension - blood</topic><topic>Hypertension - ethnology</topic><topic>Hypertension - physiopathology</topic><topic>Ischemia</topic><topic>Linear Models</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>original-article</topic><topic>Physiological aspects</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Public Health</topic><topic>Risk Assessment</topic><topic>Sex hormones</topic><topic>South Africa</topic><topic>Stress (Physiology)</topic><topic>Stress response</topic><topic>Stress, Psychological - blood</topic><topic>Stress, Psychological - ethnology</topic><topic>Testosterone</topic><topic>Testosterone - blood</topic><topic>Testosterone - deficiency</topic><topic>Vascular Resistance - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malan, N T</creatorcontrib><creatorcontrib>Stalder, T</creatorcontrib><creatorcontrib>Schlaich, M P</creatorcontrib><creatorcontrib>Lambert, G W</creatorcontrib><creatorcontrib>Hamer, M</creatorcontrib><creatorcontrib>Schutte, A E</creatorcontrib><creatorcontrib>Huisman, H W</creatorcontrib><creatorcontrib>Schutte, R</creatorcontrib><creatorcontrib>Smith, W</creatorcontrib><creatorcontrib>Mels, C M C</creatorcontrib><creatorcontrib>van Rooyen, J M</creatorcontrib><creatorcontrib>Malan, L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of human hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malan, N T</au><au>Stalder, T</au><au>Schlaich, M P</au><au>Lambert, G W</au><au>Hamer, M</au><au>Schutte, A E</au><au>Huisman, H W</au><au>Schutte, R</au><au>Smith, W</au><au>Mels, C M C</au><au>van Rooyen, J M</au><au>Malan, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic distress and acute vascular stress responses associated with ambulatory blood pressure in low-testosterone African men: the SABPA Study</atitle><jtitle>Journal of human hypertension</jtitle><stitle>J Hum Hypertens</stitle><addtitle>J Hum Hypertens</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>28</volume><issue>6</issue><spage>393</spage><epage>398</epage><pages>393-398</pages><issn>0950-9240</issn><eissn>1476-5527</eissn><abstract>It is known that low testosterone (T) and high cortisol levels are associated with hypertension as well as with chronic stress, linking stress with elevated blood pressure (BP). However, the association between acute stress-, chronic stress responses and BP is not clear in Africans. Therefore, we examined the association between cortisol, psychological distress and BP responses in low- and high-T male subgroups. Beat-to-beat and ambulatory blood pressure (ABPM) and electrocardiogram measures were obtained. Serum samples were collected and analyzed for sex hormones and cortisol. Chronic psychological distress was verified with the General Health Questionnaire and acute stress with the cold pressor test. More chronic psychological distress was observed in both low- and high-T Africans compared with the Caucasians. The low-T Africans tended to have more ischemic events (
P
=0.06) and ABPM values (
P
⩽0.01) than any of the other groups. Both chronic distress (cortisol) and acute stress (total peripheral resistance cold pressor responses) were associated with ABPM in the low-T African group. Acute and chronic stress may contribute to increased BP in low-T African men. Their cortisol and vascular responses supported a tendency for ischemia, increasing their risk for coronary artery disease.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>24284381</pmid><doi>10.1038/jhh.2013.124</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of human hypertension, 2014-06, Vol.28 (6), p.393-398 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | 631/378/1689/1831 631/443/163/812 692/420 692/699/75/243 Acute Disease Adult African Continental Ancestry Group Aged Blood pressure Blood Pressure Monitoring, Ambulatory - methods Cardiovascular disease Causality Chronic Disease Cohort Studies Comorbidity Confidence Intervals Coronary artery Cortisol Demographic aspects EKG Epidemiology European Continental Ancestry Group Health Administration Heart diseases Hormones Humans Hydrocortisone Hydrocortisone - blood Hypertension Hypertension - blood Hypertension - ethnology Hypertension - physiopathology Ischemia Linear Models Logistic Models Male Medicine Medicine & Public Health Middle Aged Multivariate Analysis original-article Physiological aspects Prognosis Prospective Studies Public Health Risk Assessment Sex hormones South Africa Stress (Physiology) Stress response Stress, Psychological - blood Stress, Psychological - ethnology Testosterone Testosterone - blood Testosterone - deficiency Vascular Resistance - physiology |
| title | Chronic distress and acute vascular stress responses associated with ambulatory blood pressure in low-testosterone African men: the SABPA Study |
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