Testing the Associations Between State and Trait Anxiety, Anger, Sadness, and Ambulatory Blood Pressure and Whether Race Impacts These Relationships

2021 ◽  
Author(s):  
Larisa Gavrilova ◽  
Matthew J Zawadzki
Keyword(s):  
Blood Pressure ◽  
Trait Anxiety ◽  
Ambulatory Blood Pressure ◽  
Cardiovascular Health ◽  
Negative Emotions ◽  
Anxiety And Depression ◽  
Negative Effects ◽  
Conditional Effects ◽  
Potential Risk Factors ◽  
Ecological Momentary

Abstract Background Anxiety, anger, and sadness are related to elevated ambulatory blood pressure (ABP), yet it is unclear whether each emotion exerts unique effects. Moreover, an understanding of who might be most susceptible to the negative effects of these emotions is limited, with the trait tendency to experience them or one’s race as potential moderators. Purpose The study examined the potential for differential effects of momentary anxiety, anger, and sadness on ABP. The study assessed whether a trait tendency to experience these negative emotions and/or race (Black vs. non-Black) would moderate these relationships. Methods Participants (n = 153) completed trait anxiety, anger, and depressive symptoms measures at baseline. ABP was collected over two 24-hour periods 3–4 months apart. Momentary measures of anxiety, anger, and sadness were assessed via ecological momentary assessment (EMA) after each ABP reading. Results Momentary anxiety consistently predicted diastolic blood pressure but not systolic blood pressure. Momentary anger and sadness did not predict blood pressure (BP). Conditional effects were found with momentary anxiety and anger predicting elevated BP in those individuals with trait anxiety/anger at its mean. Trait anxiety and depression consistently predicted heightened BP in Black participants. Trait anger did not moderate the relationships between negative emotions and ABP. Conclusions Findings suggest that momentary anxiety and anger should be given attention as potential risk factors for hypertension and highlight the unique perspective of EMA methods. Black participants who were more anxious and depressed experienced heightened BP, with anxiety and depression providing possible intervention targets in improving racial disparities in cardiovascular health.

P4392A systematic review and meta-analysis of the cardiovascular effects of e-cigarette

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A S Antonopoulos ◽  
G Skotsimara ◽  
E Oikonomou ◽  
N Ioakeimidis ◽  
C V Mistakidi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Tobacco Smoking ◽  
Fixed Effects ◽  
Cardiovascular Health ◽  
Meta Analysis ◽  
Cardiovascular Effects ◽  
Fixed Effects Model ◽  
Negative Effects ◽  
Safe Alternative

Abstract Background Electronic cigarette (EC) is marketed as a safe alternative to tobacco smoking, but EC cardiovascular effects remains largely unknown. Purpose To systematically review and meta-analyse published literature to investigate the cardiovascular effects and associated risk from EC use. Methods We searched PubMed from January 2000 until November 2017 for published studies assessing the cardiovascular effects of EC. For each eligible study we used the mean difference (MD) with 95% confidence intervals (CIs) for SBP, DBP and HR. The pooled MDs for each outcome of interest were calculated by using a fixed effects model. The presence of heterogeneity among studies was evaluated by the I2 statistic. Results We report conflicting evidence on the effects of EC on heart rate and blood pressure, which is mainly based on non-randomized clinical studies of moderate quality. In a meta-analysis of 14 studies (n=441 participants), that despite the negative effects of EC on heart rate (pooled MD=2.27, 95% CI: 1.64 to 2.89, p<0.001), diastolic (DBP, pooled MD=2.01mmHg, 95% CI: 0.62 to 3.39, p=0.004) and systolic blood pressure (SBP, pooled MD=2.02mmHg, 95% CI: 0.07 to 3.97, p=0.042), benefits may be observed in terms of blood pressure regulation when switching from tobacco smoking to EC (SBP pooled MD=−7.00, 95% CI: −9.63 to −4.37, p<0.001; DBP pooled MD=−3.65, 95% CI: −5.71 to −1.59, p=0.001). Evidence suggests that EC negatively affects endothelial function, arterial stiffness and the long-term risk for coronary events, but these findings are derived from single study reports and have not been confirmed in additional studies. Conclusions We report adverse effects of EC use on heart rate and blood pressure. Unless supported by stronger evidence, EC should not be labelled as cardiovascular safe products. Future studies should delineate whether EC use is less hazardous to cardiovascular health than conventional cigarette smoking.

scholarly journals Negative emotions in community-dwelling adults with prediabetes and hypertension

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091841
Author(s):  
Qianling Zhuang ◽  
Lirong Wu ◽  
Wang Ting ◽  
Lin Jie ◽  
Jingying Zou ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Negative Emotions ◽  
Community Dwelling ◽  
Normal Blood ◽  
Current Status ◽  
Anxiety And Depression ◽  
Health Providers ◽  
Glucose Levels ◽  
Adult Men

Objective The purpose of this study was to investigate negative emotions and factors related to the risk of mental disorders in individuals with prediabetes and hypertension. Methods A total of 504 community-dwelling adult men and women in Suzhou, China, were enrolled and questionnaires used to obtain sociodemographic data, anxiety and depression scores, and current status of common metabolic indicators, including blood glucose level and blood pressure. Results Anxiety and depression scores in participants with prediabetes and hypertension were significantly higher than those in participants with normal blood glucose levels and normal blood pressure. Correlation analysis revealed that age, sex, smoking, duration of disease, physical activity, blood pressure and fasting plasma glucose levels were key factors accelerating the progression to both anxiety and depression in all participants. Conclusions More attention should be paid to negative emotions in individuals with prediabetes and hypertension. These findings could help to inform health providers in developing interventions for this population.

Abstract P287: Cardiorespiratory Fitness is Associated With Ambulatory Blood Pressure in Adolescents

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Eunduck Park ◽  
Devin Volding ◽  
Wendell Taylor ◽  
Wenyaw Chan ◽  
Janet Meininger
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cardiorespiratory Fitness ◽  
Ambulatory Blood Pressure ◽  
Cardiovascular Health ◽  
Heart Rate Recovery ◽  
Step Test ◽  
Central Adiposity ◽  
Cross Sectional ◽  
Unit Increase

Introduction: Low cardiorespiratory fitness (fitness) and high levels of adiposity are independently associated with higher levels of blood pressure in adolescents. However, it remains uncertain whether the associations between fitness and blood pressure are due to fitness itself or results from lower levels of adiposity. Moreover, there are no studies that have determined the extent to which adiposity, including central adiposity, moderates the association between fitness and 24-hour ambulatory blood pressure (ABP). Hypotheses: 1. Higher levels of fitness will be associated with lower levels of ambulatory systolic (SBP) and diastolic (DBP) blood pressure after adjusting for adiposity and covariates. 2. With adjustments for covariates, adiposity (body mass index [BMI], waist circumference [WC]) will modify the association between fitness and 24-hour SBP and DBP. Methods: A cross-sectional study was conducted in Houston, TX with a sample of 370 adolescents aged 11-16 years. Demographically, the sample was 54% female, 37% African American, 31% Hispanic, 29% non-Hispanic white, and 3% other ethnic/racial groups. Fitness was assessed by a height-adjusted step test and estimated by heart rate recovery, defined as the difference between peak heart rate during exercise and heart rate two minutes post-exercise. Adiposity was measured using dichotomized values for percentiles of BMI (≥ 85 th ) and WC (≥ 50 th ). Ambulatory SBP and DBP (Spacelabs model 90207) were measured every 30-60 minutes over 24 hours on a school day. Mixed-effects regression analysis was used to test the hypotheses with the following covariates: activity, location, and position at the time of each ABP measurement, height, age, sex, ethnicity, sexual maturation level, and mother’s education level. Results: Hypothesis 1: Each unit increase in fitness was associated with a decrease of SBP (-0.058 mmHg, p = 0.001) and DBP (-0.043 mmHg, p < 0.0001) after adjustment for WC and covariates. Each unit increase in fitness was associated with a decrease in SBP (-0.058 mmHg, p = 0.001) and DBP (-0.045 mmHg, p < 0.0001) after adjustment for BMI and covariates. Hypothesis 2: Fitness and BMI ≥ 85 th percentile (or WC ≥ 50 th percentile) interactions were not significantly associated with ambulatory SBP or DBP after adjustment for covariates. Conclusions: Our findings indicate a small but statistically significant inverse effect of fitness on 24-hour ABP in adolescents, and no evidence of a modifying effect of adiposity on this association. Further research is needed to better understand the protective role of fitness on cardiovascular health in adolescents.

scholarly journals Evaluation of the Depression, Anxiety Levels and Attitudes of Mothers of Children with Celiac Disease

2020 ◽  
Author(s):  
Güzide Doğan ◽  
Şermin Yalın Sapmaz ◽  
Yeliz Çağan Appak ◽  
Masum Öztürk ◽  
Yeşim Yiğit ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Trait Anxiety ◽  
Anxiety And Depression ◽  
Healthy Children ◽  
Gluten Free ◽  
State Trait Anxiety Inventory ◽  
Negative Effects ◽  
Parent Attitude ◽  
Attitude Research ◽  
Anxiety Levels

Objective: In celiac disease, a gluten-free diet is required for lifelong. Difficulties experienced by children with celiac disease can also negatively affect caregivers. The aim of this study is to evaluate the anxiety and depression of mothers having a child with celiac disease, and evaluate mothers’ attitude towards their children. Method: Thirty-six children with celiac disease, their mothers, and 36 healthy controls were included in the study. The Parent Attitude Research Instrument, State–Trait Anxiety Inventory, and the Beck Depression Inventory were completed by all mothers. Results: The mothers of children with celiac disease had significantly higher scores in depression and state-trait anxiety than the mothers of the healthy children. Mothers of children with celiac disease had significantly higher scores in the attitude of overparenting, authoritarian attitude and attitude of hostility and rejection than the mothers of healthy children. Conclusion: This study revealed that having a child with celiac disease might have negative effects on mothers and their attitudes towards their children. Because of psychopathologic risks appropriate psychologic support should be provided for mothers.

Effects of optimism, pessimism, and trait anxiety on ambulatory blood pressure and mood during everyday life.

1999 ◽  
Vol 76 (1) ◽  
pp. 104-113 ◽  
Author(s):  
Katri Räikkönen ◽  
Karen A. Matthews ◽  
Janine D. Flory ◽  
Jane F. Owens ◽  
Brooks B. Gump
Keyword(s):  
Blood Pressure ◽  
Everyday Life ◽  
Trait Anxiety ◽  
Ambulatory Blood Pressure

Effect of Situational Anxiety and Depression on 24-Hour Ambulatory Blood Pressure Monitorization in Patients with Hypertension

2018 ◽  
Vol 30 (1) ◽  
pp. 13-20
Author(s):  
Cennet YILDIZ ◽  
Abdülmelik YILDIZ ◽  
Ahmet KARAKURT ◽  
Gülgün DURAT ◽  
Gümrah Duygu ÇULHACIK
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure ◽  
Anxiety And Depression ◽  
Situational Anxiety

The Effect of Exercise and Distraction on Blood Pressure Recovery Following an Anger-Provoking Stressor in Normotensive Young Adults

2015 ◽  
Vol 29 (2) ◽  
pp. 45-54 ◽  
Author(s):  
Faye S. Routledge ◽  
Judith A. McFetridge-Durdle ◽  
Marilyn Macdonald ◽  
Lynn Breau ◽  
Tavis Campbell
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Health ◽  
Exercise Intervention ◽  
Recovery Period ◽  
Intervention Group ◽  
Exercise Group ◽  
State Anger ◽  
Increased Risk ◽  
Anger Reactivity ◽  
Quiet Sitting

Ruminating about a prior anger provoking event is found to elevate blood pressure (BP) and delay BP recovery. Delayed BP recovery may be associated with increased risk of hypertension. Interventions that improve BP recovery may be beneficial for cardiovascular health. The purposes of this study were to evaluate the influence of rumination and anger on BP reactivity and recovery, to compare the effect of an exercise intervention or distraction intervention on BP recovery and to explore if exercise improved BP recovery by distracting participants from stressor-related rumination and anger. Healthy, normotensive participants (n = 79, mean age 22.2 ± 4.0 years) underwent an anger-recall interview stressor task, 3 min of exercise (walking), distraction (reading) or no-intervention (quiet sitting) and a 15 min recovery period. State anger reactivity was associated with Δ diastolic (D) BP reactivity and approached significance with Δ systolic (S) BP reactivity. Trait rumination was associated with greater SBP during recovery. Δ SBP recovery did not differ between the exercise, distraction and no-intervention groups. Although there were no differences in Δ DBP recovery between the exercise and no-intervention groups, distraction improved Δ DBP recovery compared to the exercise intervention but not the no-intervention. The proportion of anger-related thoughts (state rumination) in the exercise group did not differ from the distraction or no-intervention groups. However, a smaller proportion of participants in the distraction intervention reported an anger-related thought during recovery compared to the no-intervention group with 76% of their thoughts relating to the provided distraction. Overall, post-stressor exercise was not found to improve BP recovery while reading was effective at distracting individuals from angry thoughts (state rumination) but had no effect on BP compared to no-intervention.

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