Gender-Specific Associations of Perceived Stress and Coping Strategies with C-Reactive Protein in Middle-Aged and Older Men and Women View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-10-02

AUTHORS

Chisato Shimanoe, Yasuko Otsuka, Megumi Hara, Hinako Nanri, Yuichiro Nishida, Kazuyo Nakamura, Yasuki Higaki, Takeshi Imaizumi, Naoto Taguchi, Tatsuhiko Sakamoto, Mikako Horita, Koichi Shinchi, Keitaro Tanaka

ABSTRACT

BackgroundPerceived stress and coping strategies may influence the risk of cardiovascular disease through their possible association with inflammation, but data remain controversial for perceived stress or scanty for coping strategies.PurposeWe examined the associations of perceived stress and coping strategies with serum high-sensitivity C-reactive protein (CRP) in a Japanese general population.MethodsThis cross-sectional study included 2,971 men and 4,902 women aged 40–69 years who were enrolled between 2005 and 2007. Subjects with possible inflammation-related disease, CRP levels ≥3,000 ng/mL, or currently used analgesics or lipid-lowering drugs were excluded. Analyses were performed by gender with adjustment for lifestyle, socioeconomic, and psychosocial factors.ResultsUnexpectedly, elevated perceived stress was significantly associated with lower CRP levels in men (Ptrend < 0.001) but not in women (Ptrend = 0.90) after adjustment for age and covariates. Among five items of coping strategies evaluated, “disengagement” showed a significant inverse association with CRP in men only (Ptrend = 0.027). In addition, a possible interaction between “emotional support seeking” and perceived stress on CRP was detected in men (Pinteraction = 0.021); “emotional support seeking” was associated with lower CRP at the high stress level only (Ptrend = 0.028).ConclusionsBoth perceived stress and coping strategies may be associated with systemic inflammation in Japanese men, yet caution must be exercised before accepting the stress–inflammation–disease pathway. More... »

PAGES

821-832

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12529-013-9341-y

DOI

http://dx.doi.org/10.1007/s12529-013-9341-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1039792131

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24085705


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27 schema:description BackgroundPerceived stress and coping strategies may influence the risk of cardiovascular disease through their possible association with inflammation, but data remain controversial for perceived stress or scanty for coping strategies.PurposeWe examined the associations of perceived stress and coping strategies with serum high-sensitivity C-reactive protein (CRP) in a Japanese general population.MethodsThis cross-sectional study included 2,971 men and 4,902 women aged 40–69 years who were enrolled between 2005 and 2007. Subjects with possible inflammation-related disease, CRP levels ≥3,000 ng/mL, or currently used analgesics or lipid-lowering drugs were excluded. Analyses were performed by gender with adjustment for lifestyle, socioeconomic, and psychosocial factors.ResultsUnexpectedly, elevated perceived stress was significantly associated with lower CRP levels in men (Ptrend < 0.001) but not in women (Ptrend = 0.90) after adjustment for age and covariates. Among five items of coping strategies evaluated, “disengagement” showed a significant inverse association with CRP in men only (Ptrend = 0.027). In addition, a possible interaction between “emotional support seeking” and perceived stress on CRP was detected in men (Pinteraction = 0.021); “emotional support seeking” was associated with lower CRP at the high stress level only (Ptrend = 0.028).ConclusionsBoth perceived stress and coping strategies may be associated with systemic inflammation in Japanese men, yet caution must be exercised before accepting the stress–inflammation–disease pathway.
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33 schema:keywords C-reactive protein
34 CRP levels
35 ConclusionsBoth
36 Japanese general population
37 Japanese men
38 MethodsThis cross-sectional study
39 PurposeWe
40 ResultsUnexpectedly
41 addition
42 adjustment
43 age
44 analgesics
45 analysis
46 association
47 cardiovascular disease
48 caution
49 coping strategies
50 covariates
51 cross-sectional study
52 data
53 disease
54 disease pathways
55 disengagement
56 drugs
57 emotional support
58 factors
59 gender
60 gender-specific associations
61 general population
62 high stress levels
63 high-sensitivity C-reactive protein
64 inflammation
65 inflammation-related diseases
66 interaction
67 inverse association
68 items
69 levels
70 lifestyle
71 lipid-lowering drugs
72 lower C-reactive protein
73 lower CRP levels
74 men
75 middle
76 older men
77 pathway
78 perceived stress
79 population
80 possible association
81 possible interactions
82 protein
83 psychosocial factors
84 risk
85 scanty
86 serum high-sensitivity C-reactive protein
87 significant inverse association
88 strategies
89 stress
90 stress levels
91 study
92 subjects
93 support
94 systemic inflammation
95 women
96 years
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