Abstract 65: Exercise Mitigates Chronic Stress Effects on BMI Trajectories in Girls Aged 10 to 19: Longitudinal Findings from the NHLBI Growth and Health Study.

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Eli Puterman ◽  
Aric A Prather ◽  
Elissa E Epel ◽  
Sheila Loharuka ◽  
Nancy E Adler ◽  
...  

Introduction: Obesity is a leading cause of cardiovascular disease. Adolescence is a period when behavior changes consolidate, setting a trajectory towards obesity. Both poor health behaviors and psychological stress promote obesity. Studies have shown that ongoing stress is related to weight gain while maintaining physical activity mitigates obesity in children as they transition to adulthood. We hypothesized that during childhood, physical activity maintenance would moderate the relationship between chronic stress and BMI increase. Methods: The NHLBI Growth and Health Study enrolled 2,379 Black and White girls aged 9-10 and assessed them annually over ten years. Perceived Stress was measured in years 2, 4, 6, 8, and 10 with the well-validated Perceived Stress Scale, simplified for use in children. The Physical Activity Patterns Questionnaire assessed duration and frequency of activities in and out of school at years 1, 3, 5, and 7-10. Body mass index (BMI; kg/m2) was available all years. Covariates included pubertal timing, race, parental income and education, and nutrient intake. Repeated measurement allows prediction of trajectories of BMI with growth curve modeling, i.e. rate of BMI change over time. Results: On average, baseline BMI was 20.79 and increased 0.63 BMI units/year. Yet, BMI increase varied significantly as a function of stress and physical activity (p = .005). Even when reporting high stress, girls who maintained activity had lower BMI growth than girls who were fairly inactive between ages 10 and 19. An average of two units less in BMI was seen at age 19 in those highly stressed yet active versus highly stressed and less active - a likely clinically significant difference, as the girls in the latter category neared 30 kg/m2 (see Figure). The slowest increase in BMI between ages 10 and 19 was evidenced in girls more active and lower in stress. Conclusion: This study adds to a converging literature showing that physical activity is a modifiable behavior that can limit the harmful health effects of ongoing stress.

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Carmen R Isasi ◽  
Christina M Parrinelo ◽  
Linda C Gallo ◽  
Mercedes R Carnethon ◽  
Orit Birnbaum-Weitzman ◽  
...  

Objectives: Prior studies suggest that high stress levels are associated with obesity. However, few studies distinguish between type, duration or timing of stressful exposures. In this study, we examined the association of chronic and recent stress with excess weight in a diverse sample of Latino adults. Methods: HCHS/SOL is a multicenter cohort study of Latino adults (ages 18-74 years) from 4 US cities (Bronx, Chicago, Miami and San Diego).The Sociocultural Ancillary Study (2009-2011) is a sample of 5,253 participants (61% female) from HCHS/SOL. Overweight was defined as BMI 25-29.9 and Obese as BMI ≥30. Three indicators of stress were studied: chronic stress lasting for at least 6 months (Chronic Burden Scale), lifetime exposure to stressors (Traumatic Stress Schedule), and perceived stress during the last month (past month, Cohen’s Perceived Stress Scale). Odds ratios (OR) were calculated using multinomial regression models to describe the odds of obesity or overweight relative to normal weight; models were adjusted for study sampling design and potential confounders. Results: 37% of participants were overweight and 41% obese. Mean (standard error) scores of chronic stress, traumatic stress and perceived stress were 1.8 (0.04), 2.1 (.04), and 14.9 (0.16), respectively. After adjustment for confounders, the odds of obesity increased with number of chronic stress events. A higher number of traumatic events were associated with overweight but the association was not longer significant after adjustment for confounders (Table). No association between perceived stress with overweight or obesity was observed. Conclusions: Exposure to chronic stressors lasting ≥6 months is more relevant for obesity prevalence than recent exposure (past month) in Hispanics. As high stress and obesity are important problems among Hispanics, stress management techniques may need to be incorporated in obesity prevention and treatment programs for this population.


2020 ◽  
Vol 5 (04) ◽  
pp. 291-296
Author(s):  
B. Shashi Preetham ◽  
Aditya Upadhyayula ◽  
Madhuri Taranikanti ◽  
M. Aswin Kumar ◽  
Farheen Fatima ◽  
...  

Abstract Background Psychosocial stress in women is an emerging problem that is by and large unnoticed. Workplaces are being stressful places for women, but the degree of the stress as perceived by them is highly subjective. Aim To evaluate the stress using the 10-item perceived stress scale (PSS-10) and dividing the participants into low, moderate, and severe stress groups based on the scores. To objectively assess the cardiovascular risk using heart rate variability (HRV) as an index. Methods After obtaining informed and written consent, a mixed population of 50 women working at various levels in the hospital, and home-makers were included in the study. PSS-10 questionnaires were administered and scores were obtained. Electrocardiogram was obtained from lead II at rest for 10 minutes, and HRV was estimated using the LabChart Pro software (ADInstruments). Results Of the participants, 72% were in the moderate perceived stress group. Mean PSS scores were 10.33 ± 0.82, 19.72 ± 3.4, and 29.3 ± 2.3 in low, moderate, and high stress groups, respectively. Frequency-domain measures showed very significant difference across the groups. Very low frequency (VLF) was reduced (p = 0.04) and low frequency (LF) was higher (p = 0.01) in the high stress group. Conclusions Reduced VLF in the high perceived stress group is an indicator of higher cardiovascular mortality risk, which also signifies posttraumatic stress disorder. High LF and reduced high-low frequency powers signify autonomic imbalance in these women. Their perceptions of the stress were also more toward the inability to contain positive emotions when compared with having negative emotions related to stress.


Author(s):  
Suzanne V Arnold ◽  
Kim G Smolderen ◽  
Donna M Buchanan ◽  
Yan Li ◽  
John A Spertus

Background: Chronic stress is associated with adverse prognosis in cardiovascular disease, but little is known about its link with health status. We studied the association between chronic stress and health status following acute myocardial infarction (AMI). Methods: In the 24 center US TRIUMPH registry, 4204 AMI patients completed the Perceived Stress Scale-4 (scores range 0-16) during hospitalization. Moderate/high stress over the prior month was defined as scores in the top 2 quintiles (scores=6-16). Patients were assessed at 1 year for disease-specific health status with the Seattle Angina Questionnaire (SAQ) and for generic health status with a Visual Analog Scale (VAS) and the SF-12. Multivariable logistic regression evaluated the independent association between moderate/high stress and poor health status (defined as SAQ angina frequency <100; SAQ physical limitations <75; SAQ QOL <75; VAS <65; SF-12 physical <35; and SF-12 mental <45). Results: After extensive adjustment for demographic, socio-economic and clinical characteristics (including depressive symptoms), AMI patients with moderate/high stress had a greater likelihood of angina and poor disease-specific and generic health status (Figure; p<0.01 for all). Conclusion: Moderate/high stress at the time of an AMI is associated with poor post-AMI health status, even after adjustment for important confounders. Future studies need to examine whether stress mediates observed racial and socio-economic disparities, and whether novel interventions targeting chronic stress can improve post-AMI health status.


2007 ◽  
Vol 104 (3) ◽  
pp. 722-724
Author(s):  
Wenhao Liu

Self-administered Physical Activity Checklist and portable rod-and-frame test were administered to 47 black and 66 white adolescents in a middle school. One-way multivariate analysis of variance indicated that, relative to the group of white adolescents, the black adolescent group scored significantly more field-dependent and reported significantly fewer minutes of physical activity participation, although no significant difference was noticed on three other physical activity variables. This group of black adolescents' relatively field-dependent scores were weakly associated with fewer mean total minutes of physical activity.


2021 ◽  
Vol 40 (1) ◽  
Author(s):  
S. K. Roy ◽  
Khurshid Jahan ◽  
Nurul Alam ◽  
Rumana Rois ◽  
Ambrina Ferdaus ◽  
...  

Abstract Background WHO estimated 20% of adolescents (10–19 years) have mental health problems. We examined the prevalence and associated risk predictors of overweight/obesity and perceived stress using eating behaviors and physical activity among school-and-college-going urban adolescents in Bangladesh. Methods A cross-sectional study with a multistage sampling technique was employed to select 4609 adolescent students, aged 13–19 years, from all eight Bangladesh divisions during January–June 2019. Data were collected using a self-administered questionnaire containing Turconi Physical Activity Questionnaire (PAQ), Adolescent Stress Questionnaire (ASQ), Dutch Eating Behavior Questionnaire (DEBQ), and Anthropometric measurements. Logistic regression and different association measures assessed relationships among adolescent characteristics. Results The major 61.5% of adolescents were in moderate-to-extremely-severe levels of stress, 28.2% were overweight/obese, only 2.7% had a very active lifestyle, and 30.5% had a sedentary lifestyle. Perceived stress was positively and significantly correlated with eating behaviors and body mass index, whereas physical activity was significantly associated with the prevalence of overweight/obesity and high stress. The prevalence of overweight/obesity (53.8%) and high stress (52.5%) was higher in males. Adolescents’ obesity was 2.212 times more likely who had a sedentary lifestyle (95% CI 1.377–3.552), 1.13 times more likely for those who had experienced stress due to school/leisure conflict (95% CI 1.051–1.222), and 1.634 times more likely for those who were tempted by restrained eating behavior (95% CI 1.495–1.786). Conclusion Stress on secondary school-and-college-going students needs to be recognized, and strategies need to be developed to improve adolescents’ mental health.


Author(s):  
Dagmara Budnik-Przybylska ◽  
Radosław Laskowski ◽  
Paulina Pawlicka ◽  
Paulina Anikiej-Wiczenbach ◽  
Ariadna Łada-Maśko ◽  
...  

Background: Physical activity reduces psychosocial stress in pregnant women. Stress levels might be self-reported (psychosocial) or measured with biomarkers, one of which is hair cortisol concentration (HCC). Additionally, personality has been associated with stress and physical activity. Methods: The first aim of our study was to explore the differences in self-reported stress assessed by the Perceived Stress Scale (PSS) and in HCC with regard to physical activity level in pregnant (N = 29) and non-pregnant (N = 21) women. The second aim was to analyze the correlations among perceived stress, HCC, frequency of exercise and personality in the two groups separately. Results: There was a significant difference in frequency of exercise and self-reported stress between the two groups, with a lower level in pregnant women, but no differences in HCC and in personality were found. In the group of pregnant women, there was a significant negative correlation between HCC and frequency of exercise sessions, with the latter correlating positively with openness to experience. In the group of non-pregnant women, perceived stress negatively correlated with extraversion, agreeableness and emotional stability. HCC correlated negatively with conscientiousness. Conclusions: Our findings indicate the importance of physical activity programs dedicated to pregnant women for their life quality.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Huijie Lei ◽  
Yasuhiro Mochizuki ◽  
Chong Chen ◽  
Kosuke Hagiwara ◽  
Masako Hirotsu ◽  
...  

AbstractThe neurobiological literature implicates chronic stress induced decision-making deficits as a major contributor to depression and anxiety. Given that females are twice as likely to suffer from these disorders, we hypothesized the existence of sex difference in the effects of chronic stress on decision-making. Here employing a decision-making paradigm that relies on reinforcement learning of probabilistic predictive relationships, we show female volunteers with a high level of perceived stress in the past month are more likely to make suboptimal choices than males. Computational characterizations of this sex difference suggest that while under high stress, females and males differ in their weighting but not learning of the expected uncertainty in the predictive relationships. These findings provide a mechanistic account of the sex difference in decision-making under chronic stress and may have important implications for the epidemiology of sex difference in depression and anxiety.


2020 ◽  
Vol 2 (117) ◽  
Author(s):  
Daiva Vizbaraitė ◽  
Gintarė Stanionytė ◽  
Zbigniew Ossowsky

Background. It is becoming obvious that healthy lifestyle of students in higher education institutions is an important factor contributing to the duration of their professional career as well as for general health (Bolotin & Bakayev, 2015). High academic expectations increase tension and pose a threat to physical and mental health of students (Shamsuddin et al., 2013). During studies young people are more vulnerable to developing harmful habits, they do not follow proper nutrition, and do not look after their health (Tarejeva, Žagminas, & Serapinas, 2015), therefore, it is important to understand the association between lifestyle of a young person and daily perceived stress.Methods. The study included 155 students of the Lithuanian Sports University. In order to establish nutrition and harmful habits among students, the analysis of nutrition and harmful habits questionnaire was used. Physical activity of students was evaluated using the short version of the International Physical Activity Questionnaire (IPAQ-LT). The analysis of stress was based on the questionnaire using the Stress in Academic Life Scale. The results were processed using methods of mathematical statistics. The statistical analysis of the data was performed using the SPSS software version 23.0.Results. Statistically significant difference of physical activity was determined between genders – females were more active than males (p < .05). The frequency of the consumption of breakfast, sweets, meat, beer, and wine statistically significantly differed between females and males (p < .05). Perceived stress of students was associated with physical activity, consumption of cereal grains, sweets, carbonated beverages, and smoking (p < .05).Conclusions. The majority of students were sufficiently physically active. Females more frequently had breakfast, consumed sweets, while males more frequently consumed meat. Regular breakfast consumption was reported by 88.6% of females and 73.1% of males. Males more frequently had intake of beer, while females – wine. Significant relationship between perceived stress and physical activity among students was determined in the study. Keywords: students, stress, nutrition, physical activity, harmful habits.


2019 ◽  
Vol 11 (8) ◽  
pp. 23
Author(s):  
Edith N. Nwokenna ◽  
Nneka Nwosu ◽  
Uche L. Igbokwe ◽  
Vera Victor-Aigbodion ◽  
Ogechi Nnamani ◽  
...  

OBJECTIVE/BACKGROUND: This research objective was to examine the effect of music intervention on perceived stress among English education students. METHOD: Out of 200 students surveyed, 56 English education undergraduate students who were having high-stress level participated in the study. The 56 eligible participants were randomized into one of two study groups: music intervention group (n = 28) and waitlist control group (n = 28) using computer-generated random numbers. All participants completed baseline evaluation and posttests at 4, 8 and 12 weeks. Participants completed the Perceived Stress Scale. The statistical tool used for data analysis was within and between ANOVA. RESULT: There was a significant difference in perceived stress between English education students in the music intervention group and waitlisted group. Significant reduction in the level of perceived stress among English education students was observed in the music intervention group, but the waitlisted group demonstrated no significant reduction in their stress score both at 4, 8 and 12 weeks posttests respectively. CONCLUSION: Music intervention is an effective means of handling stress among English education students. Further studies are required to investigate the role of music therapy in burnout reduction among English education students in Nigerian universities.


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