Association between type D personality and in-stent restenosis in patients treated with percutaneous coronary intervention: A mediation analysis of dietary patterns

Wang, Yini; Zhang, Sijia; Gai, Zheng; Yu, Bo; Gao, Xueqin; Dai, Zhenguo; Yang, Xiuxian; Qiu, Xiaohui; Qiao, Zhengxue; Zhou, Jiawei; Lin, Ping; Fang, Deyu; Yang, Yanjie

doi:10.1016/j.jpsychores.2020.110244

Cited by 6 publications

(7 citation statements)

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“…Antioxidant vitamin C intake lowered the incidence of poor cardiovascular events, according to a 22-year follow-up research. Low vitamin C consumption from fruits and vegetables was also found to predict intracoronary in-stent restenosis in Type D patients in a prior study ( 17 ). The current study also found an inverse relationship between food-derived vitamin C and plaque vulnerability in CHD patients.…”

Section: Discussionmentioning

confidence: 78%

“…A good diet has also been linked to a decreased incidence of MACE in big populations ( 16 ). In patients with CHD treated with percutaneous coronary intervention (PCI), poor consumption of fruits (OR = 0.30, 95% CI = 0.12–0.68) and vegetables (OR = 0.48, 95% CI = 0.27–0.91) are both independent risk factors for in-stent restenosis (ISR) ( 17 ). Further research using OCT to evaluate plaque vulnerability, we have found that salt and sodium are dietary components that contribute to plaque vulnerability, while vegetables, fruits, dietary fiber, folate and vitamin C have been revealed to be dietary preventive factors ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

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Association Between Dietary Intakes and Plaque Vulnerability Measured by Optical Coherence Tomography in Patients With Coronary Heart Disease: A Mediation Analysis of Inflammatory Factors

Zhao

Wang

et al. 2022

Front. Nutr.

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Although studies have proven that diet has a critical role in preventing or delaying atherosclerosis and is far simpler to adjust and adhere to than other risk factors, the underlying mechanisms behind this effect remain not well comprehended. The purpose of this investigation was to determine the impact of inflammatory factors on the connection between dietary ingestion and coronary plaque fragility as measured via optical coherence tomography (OCT) in patients with coronary heart disease (CHD). This research eventually comprised 194 participants with CHD who met the inclusion and exclusion criteria. Semi-quantitative food frequency questionnaire (SQFFQ) was utilized to investigate dietary consumption status, serum levels of inflammatory biomarkers were analyzed using enzyme-linked immunosorbent assay, and OCT was employed to identify the plaque susceptibility of causative lesions in the body. Following correction for statistically meaningful possible confounders in univariate analysis, quartiles of soy and nuts, fruits and vitamin C were negatively associated with coronary plaque vulnerability. Conversely, the upper quartile group of sodium intake had 2.98 times the risk of developing vulnerable plaques compared with the most minimal quartile group. Meanwhile, we observed an inverse dose–response connection between vitamin C consumption and inflammatory biomarkers as well as plaque vulnerability. More importantly, tumor necrosis factor- α (TNF-α) and interleukin-6 (IL-6) were significant mediators of the connection between vitamin C and plaque vulnerability, suggesting that vitamin C may inhibit the atherosclerotic inflammatory process by decreasing the expression of IL-6 and TNF-α, thereby reducing the risk of vulnerable plaques. These new findings provide crucial clues to identify anti-inflammatory dietary components as effective therapeutic approaches in the management of CHD, while also providing some insights into their mechanisms of action.

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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Association Between Dietary Intakes and Plaque Vulnerability Measured by Optical Coherence Tomography in Patients With Coronary Heart Disease: A Mediation Analysis of Inflammatory Factors

Zhao

Wang

et al. 2022

Front. Nutr.

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“…This results in patients with this personality type being less able to cope with the symptoms of the disease and its consequences [ 22 , 24 ]. Potential mechanisms through which the type D personality [ 25 , 26 ] may have negatively impacted health include: health behaviors—studies showed that people with type D personality were less likely to exercise, follow a healthy diet, take medications as recommended, and regularly attend medical check-ups, compared to their counterparts with a non-type D personality [ 27 , 28 , 29 ]; increased emotional stress—type D personality has been associated with depression, anxiety, and other indicators of emotional stress in individuals with diseases and in the general population [ 24 , 30 ]; standard risk factors—some studies observed a link between type D personality and standard risk factors such as blood pressure, cholesterol levels, and above-normal body weight [ 31 , 32 ], while others did not [ 33 ]. …”

Section: Introductionmentioning

confidence: 99%

“…health behaviors—studies showed that people with type D personality were less likely to exercise, follow a healthy diet, take medications as recommended, and regularly attend medical check-ups, compared to their counterparts with a non-type D personality [ 27 , 28 , 29 ];…”

Section: Introductionmentioning

confidence: 99%

Type D Personality and Health Behaviors in People Living with Obesity

Buczkowska

Górski

Domagalska

et al. 2022

IJERPH

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Background: Considering that health behaviors and personality traits play an important role in the formation of health attitudes, the main objective of this study was to evaluate the relations that occur between type D personality and health behaviors in a group of obese patients. Methods: 443 adult patients with BMI ≥ 30 kg/m2, who had been hospitalized in selected hospital facilities in the Silesian Voivodeship (Poland), participated in the study. Respondents completed three standardized questionnaires—the Multidimensional Health Locus of Control Scale, version A (MHLC-A), the Inventory of Health Behaviors (IZZ), and the Type D Scale (DS-14). Results: Patients with type D personality were characterized by the least effective mental attitudes and preventive behaviors, and differed significantly from the other personality types (intermediate and non-type D). Type D personality increased the risk of initiating improper health behaviors by more than five times. Regarding the sense of health control, patients with type D personality had significantly lower scores for the Internal Dimension subscale (21.3 ± 3.1) and higher for the Powerful Others Dimension subscale (24.0 ± 2.6), compared to patients with intermediate and non-type D personality. Proper health behaviors correlated with an internal sense of health control; the strongest correlation, defined as a medium, was with Preventive Behaviors (R = 0.42; p < 0.0001). Conclusions: Type D personality was associated with poorer attitudes towards health. Among obese respondents with a type D personality, there was a significantly higher prevalence of those who believed that their health status was a consequence of chance events.

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“…Patients with Type D personality were shown to have elevated levels of inflammatory factors including C-reactive protein, tumor necrosis factor-α (TNF-α) and interleukin-6 ( Conraads et al, 2006 ), the expressions of these cytokines associated with inflammatory-cell infiltrates can increases β-amyloid burden, and eventually lead to cognitive dysfunction ( Rosenberg, 2005 ). Furthermore, Type D personality has also been associated with negative health-related behavior of patients, such as smoking cigarettes, consuming alcohol ( Ginting et al, 2016 ), poor medication adherence ( Li et al, 2020 ), and unhealthy dietary habits ( Wang et al, 2020 ). The results of previous studies confirmed that these factors can increase the risk of MCI ( Yan et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Association of Type D personality and mild cognitive impairment in patients with hypertension

Liu

Wang

et al. 2022

Front. Psychol.

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ObjectiveThe aim of this study was to evaluate the association between Type D personality and mild cognitive impairment (MCI) in patients with hypertension.MethodsA total of 324 subjects with hypertension were included in the study. All of them completed questionnaires on demographic characteristics, Type D personality Scale, Montreal Cognitive Assessment (MoCA), Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). The Type D personality effect was analyzed as both dichotomous and continuous methods.ResultsThe incidence of MCI was 56.5% in hypertensive individuals. Type D personality presenting as a dichotomous construct was an independent risk factor of MCI (odds ratio [OR] = 2.814, 95% confidence interval [CI] = 1.577–5.021, p < 0.001), after adjusting for ages, sex and some clinical factors. Meanwhile, main effect of negative affectivity component was independently related to the prevalence of MCI (OR = 1.087, 95%CI = 1.014–1.165, p = 0.019). However, associations between the main effect of social inhibition component (OR = 1.011, 95%CI = 0.924–1.107, p = 0.811) as well as the interaction of negative affectivity and social inhibition (OR = 1.013, 95%CI = 0.996–1.030, p = 0.127) with MCI were not found.ConclusionThe findings suggest that Type D personality is strongly associated with MCI in patients with hypertension. The negative affectivity component of the Type D appears to drive the correlations between Type D and MCI. These findings provide new ideas for studying the mechanisms underlying the relationship between personality and cognitive decline in hypertensive individuals.

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Association between type D personality and in-stent restenosis in patients treated with percutaneous coronary intervention: A mediation analysis of dietary patterns

Cited by 6 publications

References 37 publications

Association Between Dietary Intakes and Plaque Vulnerability Measured by Optical Coherence Tomography in Patients With Coronary Heart Disease: A Mediation Analysis of Inflammatory Factors

Association Between Dietary Intakes and Plaque Vulnerability Measured by Optical Coherence Tomography in Patients With Coronary Heart Disease: A Mediation Analysis of Inflammatory Factors

Type D Personality and Health Behaviors in People Living with Obesity

Association of Type D personality and mild cognitive impairment in patients with hypertension

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