Stress system dysfunction revealed by integrating reactivity of stress pathways to psychological stress in lean and overweight/obese men

2021 ◽  
Author(s):  
Sisitha Udara Jayasinghe ◽  
Sarah Janet Hall ◽  
Susan Jane Torres ◽  
Anne Isabella Turner
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Psychological Stress ◽  
Hpa Axis ◽  
Social Stress ◽  
Blood Pressure Response ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Stress System

While the patterns of response within the sympatho-adrenal medullary (SAM) system and hypothalamo-pituitary adrenal (HPA) axis are interesting and important in their own accord, the overall response to acute psychological stress involves reactivity of both pathways We tested the hypothesis that consideration of the integrated response of these pathways may reveal dysregulation of the stress systems that is not evident when considering either system alone. Age matched lean and overweight/obese men were subjected to a Trier Social Stress Test and reactivity of the SAM system (salivary alpha amylase, systolic blood pressure, diastolic blood pressure and heart rate) and the HPA axis (salivary cortisol) were measured. Relative reactivity of SAM system and HPA axis was calculated as the ratio between the measures from each pathway. While analysis of reactivity of individual stress pathways showed no evidence of dysfunction in overweight/obese compared with lean men, analysis of HPA/SAM reactivity revealed significantly lower cortisol over systolic blood pressure (CoSBP) and cortisol over diastolic blood pressure (CoDBP) reactivity in overweight/obese compared with lean men. Other measures of HPA/SAM reactivity and all measures of SAM/HPA reactivity were unaltered in overweight/obese compared with lean men. These findings suggest that the cortisol response per unit of blood pressure response is blunted in men with elevated adiposity. Further, these findings support a notion of a coordinated overall approach to activation of the stress pathways with the degree of activation in one pathway being related to the degree of activation of the other.

scholarly journals Acute Response of Stress System in Multiple Sclerosis

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Ahmadreza Askari Ashtiani ◽  
Vahid Shaygannejad ◽  
Foad Ghobadi ◽  
Roozbeh Bathaie ◽  
Shima Shahyad ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Hpa Axis ◽  
Social Stress ◽  
Acute Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Stress System ◽  
Rate Variation ◽  
Healthy Individuals ◽  
Related Disorder

Background: It has long been suspected that exposure to stress is a major factor that can increase the risk of Multiple Sclerosis (MS) and exacerbate it, as a stress-related disorder. Therefore, we conducted this study to investigate the response of the hypothalamic-pituitary-adrenal (HPA) axis and sympathetic-adrenal-medullar (SAM) system to acute social stress. Methods: A total of 46 MS patients and 23 age-sex-matched healthy controls were recruited in the study. The Trier Social Stress Test (TSST) was used to induce acute psychosocial stress. We measured salivary cortisol (SC) to evaluate the HPA axis. In addition, electrocardiography (ECG) was recorded to evaluate the SAM system based on the linear and non-linear features of Heart Rate Variation (HRV). Then, SC and HRV were measured before and after the stress exposure. We also used the Depression Anxiety Stress Scale (DASS) and Emotional Visual Analog Scale (EVAS) to conduct the psychometric assessment and evaluate the perceived stress level, respectively. Results: The mean age of the MS group was 35.38 ± 15 years, with a mean disease duration of 7.4 ± 60. Besides, the HC group's mean age was 35.8 ± 9 years. There were no significant differences in demographic features and DASS scores between the two groups. In response to TSST, both MS and healthy individuals showed a significant increase in the SC levels and EVAS scores, as well as changes in the HRV indices. Notably, significant differences were also found between the two groups regarding the basic and post-stress SC levels, EVAS score, and HRV indices. Unlike the HC group, the SC level returned to its baseline after recovery in the MS group, and the sympathetic tone was more sensitive. Conclusions: Our results indicated that both MS and healthy individuals respond to acute stress regarding neuroendocrine assessment; however, patients with multiple sclerosis show some impairments in this response.

scholarly journals Systolic Blood Pressure Response to Exercise Stress Test and Risk of Stroke

Stroke ◽  
2001 ◽  
Vol 32 (9) ◽  
pp. 2036-2041 ◽  
Author(s):  
S. Kurl ◽  
J.A. Laukkanen ◽  
R. Rauramaa ◽  
T.A. Lakka ◽  
J. Sivenius ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Blood Pressure Response ◽  
Stress Test ◽  
Exercise Stress Test ◽  
Pressure Response ◽  
Exercise Stress ◽  
Response To Exercise

scholarly journals Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial

2017 ◽  
Author(s):  
Emily K Lindsay ◽  
Shinzen Young ◽  
Joshua M Smyth ◽  
Kirk Warren Brown ◽  
J. David Creswell
Keyword(s):  
Blood Pressure ◽  
Emotion Regulation ◽  
Social Stress ◽  
Stress Reactivity ◽  
Controlled Trial ◽  
Stress Test ◽  
Mindfulness Training ◽  
Trier Social Stress Test ◽  
Present Moment ◽  
Regulation Mechanism

Objective: Mindfulness interventions, which train practitioners to monitor their present-moment experience with a lens of acceptance, are known to buffer stress reactivity. Little is known about the active mechanisms driving these effects. We theorize that acceptance is a critical emotion regulation mechanism underlying mindfulness stress reduction effects. Method: In this three-arm parallel trial, mindfulness components were dismantled into three structurally equivalent 15-lesson smartphone-based interventions: (1) training in both monitoring and acceptance (Monitor+Accept), (2) training in monitoring only (Monitor Only), or (3) active control training (Coping control). 153 stressed adults (mean age = 32 years; 67% female; 53% white, 21.5% black, 21.5% Asian, 4% other race) were randomly assigned to complete one of three interventions. After the intervention, cortisol, blood pressure, and subjective stress reactivity were assessed using a modified Trier Social Stress Test. Results: As predicted, Monitor+Accept training reduced cortisol and systolic blood pressure reactivity compared to Monitor Only and control trainings. Participants in all three conditions reported moderate levels of subjective stress.Conclusions: This study provides the first experimental evidence that brief smartphone mindfulness training can impact stress biology, and that acceptance training drives these effects. We discuss implications for basic and applied research in contemplative science, emotion regulation, stress and coping, health, and clinical interventions.

scholarly journals Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial

2017 ◽  
Author(s):  
Emily K Lindsay ◽  
Shinzen Young ◽  
Joshua M Smyth ◽  
Kirk Warren Brown ◽  
J. David Creswell
Keyword(s):  
Blood Pressure ◽  
Emotion Regulation ◽  
Social Stress ◽  
Stress Reactivity ◽  
Controlled Trial ◽  
Stress Test ◽  
Mindfulness Training ◽  
Trier Social Stress Test ◽  
Present Moment ◽  
Regulation Mechanism

Objective: Mindfulness interventions, which train practitioners to monitor their present-moment experience with a lens of acceptance, are known to buffer stress reactivity. Little is known about the active mechanisms driving these effects. We theorize that acceptance is a critical emotion regulation mechanism underlying mindfulness stress reduction effects. Method: In this three-arm parallel trial, mindfulness components were dismantled into three structurally equivalent 15-lesson smartphone-based interventions: (1) training in both monitoring and acceptance (Monitor+Accept), (2) training in monitoring only (Monitor Only), or (3) active control training (Coping control). 153 stressed adults (mean age = 32 years; 67% female; 53% white, 21.5% black, 21.5% Asian, 4% other race) were randomly assigned to complete one of three interventions. After the intervention, cortisol, blood pressure, and subjective stress reactivity were assessed using a modified Trier Social Stress Test. Results: As predicted, Monitor+Accept training reduced cortisol and systolic blood pressure reactivity compared to Monitor Only and control trainings. Participants in all three conditions reported moderate levels of subjective stress.Conclusions: This study provides the first experimental evidence that brief smartphone mindfulness training can impact stress biology, and that acceptance training drives these effects. We discuss implications for basic and applied research in contemplative science, emotion regulation, stress and coping, health, and clinical interventions.

scholarly journals Kinetics and Interrelations of the Renin Aldosterone Response to Acute Psychosocial Stress: A Neglected Stress System

2019 ◽  
Vol 105 (3) ◽  
pp. e762-e773 ◽  
Author(s):  
Angelina Gideon ◽  
Christine Sauter ◽  
Judy Fieres ◽  
Thilo Berger ◽  
Britta Renner ◽  
...  
Keyword(s):  
Psychosocial Stress ◽  
Social Stress ◽  
Stress Test ◽  
Plasma Aldosterone ◽  
Trier Social Stress Test ◽  
Control Group ◽  
Placebo Control ◽  
Stress System ◽  
Stress Induction ◽  
Acute Psychosocial Stress

Abstract Context The renin-angiotensin-aldosterone system (RAAS) plays an important role in cardiovascular homeostasis and its dysfunction relates to negative health consequences. Acute psychosocial stress seems to activate the RAAS in humans, but stress kinetics and interrelations of RAAS parameters compared with a nonstress control group remain inconclusive. Objective We systematically investigated in a randomized placebo-controlled design stress kinetics and interrelations of the reactivity of RAAS parameters measured in plasma and saliva to standardized acute psychosocial stress induction. Methods 58 healthy young men were assigned to either a stress or a placebo control group. The stress group underwent the Trier Social Stress Test (TSST), while the control group underwent the placebo TSST. We repeatedly assessed plasma renin, and plasma and salivary aldosterone before and up to 3 hours after stress/placebo. We simultaneously assessed salivary cortisol to validate successful stress induction and to test for interrelations. Results Acute psychosocial stress induced significant increases in all endocrine measures compared with placebo-stress (all P ≤ .041). Highest renin levels were observed 1 minute after stress, and highest aldosterone and cortisol levels 10 and 20 minutes after stress, with salivary aldosterone starting earlier at 1 minute after stress. Renin completed recovery at 10 minutes, cortisol at 60 minutes, salivary aldosterone at 90 minutes, and plasma aldosterone at 180 minutes after stress. Stress increase scores of all endocrine measures related to each other, as did renin and cortisol areas under the curve with respect to increase (AUCi) and salivary and plasma aldosterone AUCi (all P ≤ .047). Conclusions Our findings suggest that in humans acute psychosocial stress induces a differential and interrelated RAAS parameter activation pattern. Potential implications for stress-related cardiovascular risk remain to be elucidated.

scholarly journals Measuring stress reactivity in the home: Preliminary findings from a version of the Trier Social Stress Test (TSST-H) appropriate for field-based research

2019 ◽  
Author(s):  
Meriah Lee DeJoseph ◽  
Eric D. Finegood ◽  
Cybele Raver ◽  
Clancy B. Blair
Keyword(s):  
Blood Pressure ◽  
Social Stress ◽  
Stress Reactivity ◽  
Stress Test ◽  
High Stress ◽  
Preliminary Evidence ◽  
Trier Social Stress Test ◽  
Alpha Amylase ◽  
Autonomic Response ◽  
Initial Assessment

Stress induction paradigms are essential tools for studies investigating psychobiological mechanisms linking stress reactivity with mental and physical health outcomes, especially among youth growing up in high-stress contexts such as poverty. However, standardized stress paradigms aimed at measuring stress reactivity are limited to laboratory settings and have mostly been conducted in small samples of convenience. The aim of the current study is to present a version of the Trier Social Stress Test (TSST) adapted for administration in participants’ homes appropriate for administration in large-scale, population-based samples. We address issues related to the feasibility of administration and present preliminary evidence of the validity of the home-based TSST (TSST-H) in a subsample (n = 100) of adolescents (12-13 years) participating in the Family Life Project (N = 1,292). Measures of stress physiology included salivary cortisol, alpha amylase, and blood pressure, assessed at baseline, 5 minutes post, 20 minutes post, and 40 minutes post task. Importantly, administration of the TSST-H procedure was successful among 93% of our sample after accounting for participant refusals and significant distractions in the home. We also found preliminary evidence that the TSST-H elicited an autonomic response, reflected by statistically significant increases in salivary alpha amylase and diastolic blood pressure post task. Our initial assessment indicates that the TSST-H can be effectively implemented in field based settings with hard to reach populations.

Asymmetry of salivary cortisol and α-amylase responses to psychosocial stress in anorexia nervosa but not in bulimia nervosa

2011 ◽  
Vol 41 (9) ◽  
pp. 1963-1969 ◽  
Author(s):  
P. Monteleone ◽  
P. Scognamiglio ◽  
B. Canestrelli ◽  
I. Serino ◽  
A. M. Monteleone ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Stress Response ◽  
Bulimia Nervosa ◽  
Hpa Axis ◽  
Salivary Cortisol ◽  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Enzyme Linked Immunosorbent Assay ◽  
First Time

BackgroundThe stress response involves the activation of the hypothalamic–pituitary–adrenal (HPA) axis and the sympathetic nervous system (SNS). As a role for stress in determining of the onset and the natural course of eating disorders (EDs) has been proposed, the study of the psychobiology of the stress response in patients with anorexia nervosa (AN) and bulimia nervosa (BN) should be helpful in understanding the pathophysiology of these disorders. The two neurobiological components of the stress response can be easily explored in humans by the measurement of salivary cortisol and α-amylase response to a stressor. Therefore, we assessed salivary cortisol and α-amylase responses to the Trier Social Stress Test (TSST) in symptomatic patients with AN and BN compared to healthy controls.MethodSeven AN women, eight BN women and eight age-matched healthy females underwent the TSST between 1530 and 1700 h. Salivary cortisol and α-amylase levels were measured by an enzyme-linked immunosorbent assay (ELISA).ResultsCompared to healthy women, AN patients showed a normal cortisol response to the TSST, although this occurred at significantly increased hormone levels, and an almost complete absence of response of α-amylase. BN women, however, exhibited enhanced pre-stress levels of salivary α-amylase but a normal response of the enzyme and cortisol to the TSST.ConclusionsThese findings demonstrate, for the first time, the occurrence of an asymmetry between the HPA axis and SNS components of the stress response in the acute phase of AN but not in BN. The pathophysiological significance of this asymmetry remains to be determined.

scholarly journals Copeptin concentrations during psychological stress: the PsyCo study

2014 ◽  
Vol 171 (6) ◽  
pp. 737-742 ◽  
Author(s):  
Judith Siegenthaler ◽  
Carla Walti ◽  
Sandrine Andrea Urwyler ◽  
Philipp Schuetz ◽  
Mirjam Christ-Crain
Keyword(s):  
Healthy Volunteers ◽  
Psychological Stress ◽  
Social Stress ◽  
Stress Component ◽  
Stress Test ◽  
Test Period ◽  
Trier Social Stress Test ◽  
Stress Effects ◽  
Lower Baseline ◽  
Post Test

ObjectiveThe prognostic/diagnostic biomarker copeptin, an arginine vasopressin surrogate, reflects physical stress. Whether copeptin concentration increases upon psychological stress is unknown. We investigated psychological stress effects on copeptin secretion in healthy volunteers and patients with central diabetes insipidus (DI).DesignA prospective observational study was conducted to study the relation between copeptin concentration and psychological stress.MethodsA total of 20 healthy adults (ten female) and eight patients with central DI (four female) underwent the Trier Social Stress Test including, in order, 30-min waiting period, 10-min anticipation period, 10-min test period and 40-min recovery. Serum copeptin and cortisol concentrations and self-rated stress component feelings were determined in the pre-/post-anticipation period, post-test period and twice post-recovery.ResultsIn healthy volunteers, the median (25th–75th percentile) copeptin concentration peaked immediately during the post-test period at 5.1 (3.2–7.0) pmol/l, vs 3.7 (2.6–5.4) pmol/l at baseline. Over the measurement course, copeptin concentration significantly elevated (coefficient; 95% CI) (0.14; 0.06–0.23, P=0.002). The important predictors of increase in copeptin concentration were feelings of tension (0.06; 0.04–0.08, P<0.001) and avoidance (0.07; 0.04–0.10; P<0.001). Copeptin and cortisol levels were associated (0.43; 0.13–0.72, P<0.005). Patients with DI had lower baseline concentrations (1.55 (1.2–3.1) pmol/l) when compared with healthy volunteers, P=0.006. Patients with DI showed no increase upon psychological stress (peak 2.15 pmol/l (1.5–2.28), P=0.79). By contrast, cortisol values were similar in patients and volunteers.ConclusionsIn healthy volunteers, copeptin levels significantly increased after psychological stress testing; this response was blunted in patients with DI.

scholarly journals Physiological responses to psychological stress: importance of adiposity in men aged 50–70 years

2014 ◽  
Vol 3 (3) ◽  
pp. 110-119 ◽  
Author(s):  
S U Jayasinghe ◽  
S J Torres ◽  
C A Nowson ◽  
A J Tilbrook ◽  
A I Turner
Keyword(s):  
Psychological Stress ◽  
Salivary Cortisol ◽  
Social Stress ◽  
Stress Test ◽  
Area Under The Curve ◽  
Peak Height ◽  
Trier Social Stress Test ◽  
Alpha Amylase ◽  
Percentage Body Fat ◽  
Salivary Alpha Amylase

We tested the hypothesis that overweight/obese men aged 50–70 years will have a greater salivary cortisol, salivary alpha amylase and heart rate (HR) responses to psychological stress compared with age matched lean men. Lean (BMI=20–25 kg/m2; n=19) and overweight/obese (BMI=27–35 kg/m2; n=17) men (50–70 years) were subjected to a well-characterised psychological stress (Trier Social Stress Test, TSST) at 1500 h. Concentrations of cortisol and alpha amylase were measured in saliva samples collected every 7–15 min from 1400 to 1700 h. HR was recorded using electrocardiogram. Body weight, BMI, percentage body fat, resting systolic and diastolic blood pressure and mean arterial pressure were significantly higher (P<0.05) in overweight/obese men compared with lean men. Both groups responded to the TSST with a substantial elevation in salivary cortisol (372%), salivary alpha amylase (123%) and HR (22%). These responses did not differ significantly between the groups (time×treatment interaction for salivary cortisol, salivary alpha amylase and HR; P=0.187, P=0.288, P=0.550, respectively). There were no significant differences between the groups for pretreatment values, peak height, difference between pretreatment values and peak height (reactivity) or area under the curve for salivary cortisol, salivary alpha amylase or HR (P>0.05 for all). The results showed that, for men with a moderate level of overweight/obesity who were otherwise healthy, the response of salivary cortisol, salivary alpha amylase and HR to acute psychological stress was not impaired.

Childhood Trauma and Cortisol Response to the Trier Social Stress Test in Symptomatic Patients with Eating Disorders

2017 ◽  
Vol 41 (S1) ◽  
pp. S91-S91
Author(s):  
F. Marciello ◽  
V.-M. Buonomenna ◽  
V. Caivano ◽  
G. Cascino ◽  
G. D’Agostino ◽  
...  
Keyword(s):  
Childhood Trauma ◽  
Hpa Axis ◽  
Childhood Maltreatment ◽  
Social Stress ◽  
Stress Test ◽  
Trauma Exposure ◽  
Trier Social Stress Test ◽  
Cortisol Response ◽  
History Of Childhood ◽  
History Of

IntroductionChildhood trauma exposure is associated with the risk of eating disorders (EDs) in adulthood. The biological basis of this link may involve a persistent dysregulation of the endogenous stress response system, in particular the hypothalamic-pituitary-adrenal (HPA) axis, as a consequence of early life maltreatment.ObjectiveAdult patients with EDs and history of childhood trauma may have a dysregulation of the HPA axis that could be different from EDs patients without childhood trauma exposure.AimsIn order to assess the effects of childhood trauma experiences on HPA-axis activity in EDs, we compared the salivary cortisol response to the Trier Social Stress Test (TSST) of adult patients with EDs according to their history of childhood trauma.MethodTwenty-seven EDs patients and 13 healthy women participated in the study. Salivary cortisol responses during exposure to the TSST was measured. Participants also completed the childhood trauma questionnaire (CTQ) and eating-related psychopathological rating scales.ResultsAccording to CTQ, 15 individuals with EDs reported childhood maltreatment whereas 12 EDs patients and all the healthy women did not experience childhood maltreatment. Compared with the control group, non-maltreated EDs patient group exhibited a slightly enhanced cortisol response to TSST, whereas the group of non-maltreated EDs patients showed a normal cortisol response. Moreover, EDs patients with childhood maltreatment exhibited statistically significant blunting of cortisol compared to non-maltreated ones.ConclusionsThe present findings support the evidence that, in patients with EDs, there is a dysregulation of HPA-axis activity and that childhood trauma exposure may contribute to this dysregulation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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