Handbook of Health Psychology 2018
DOI: 10.4324/9781315167534-5
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Biological Processes of Health

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“…Other examples of surrogate endpoints include metabolic syndrome indices (i.e., high fasting plasma glucose, low density cholesterol, elevated waist circumference), that predict increased risk for a host of conditions including T2DM, cardiovascular disease, and stroke [for examples see ( 104 )]. Finally, biomarkers that are not considered clinical or surrogate endpoints are biological mediators ; biological mediators explain links between psychosocial factors (e.g., discrimination exposure) and underlying biological processes of disease (e.g., surrogate endpoints) but cannot substitute for a clinical endpoint [( 106 ); see below Figure 1 ].…”
Section: Rationale For Expanding Biobehavioral Research Examining the Physiological Consequences Of Racial And Ethnic Discrimination In Lmentioning
confidence: 99%
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“…Other examples of surrogate endpoints include metabolic syndrome indices (i.e., high fasting plasma glucose, low density cholesterol, elevated waist circumference), that predict increased risk for a host of conditions including T2DM, cardiovascular disease, and stroke [for examples see ( 104 )]. Finally, biomarkers that are not considered clinical or surrogate endpoints are biological mediators ; biological mediators explain links between psychosocial factors (e.g., discrimination exposure) and underlying biological processes of disease (e.g., surrogate endpoints) but cannot substitute for a clinical endpoint [( 106 ); see below Figure 1 ].…”
Section: Rationale For Expanding Biobehavioral Research Examining the Physiological Consequences Of Racial And Ethnic Discrimination In Lmentioning
confidence: 99%
“…Sympathetic arousal increases heart rate allowing for mobilization of resources to respond to stress, while parasympathetic arousal modulates heart rate through the vagus nerve, acting as a brake (i.e., vagal brake) to promote active regulation of heart rate ( 125 ). Functioning of these branches can be measured through biomarkers such as heart rate variability (HRV; beat-to-beat changes in heart rate caused by PNS and SNS activity), respiratory sinus arrhythmia (RSA; variation in heart rate that occurs during a breathing cycle that is used as indicator of PNS activity), skin conductance levels (SCL; electrodermal activity reflecting SNS activity), cardiac pre-ejection period (PEP; a cardiac contractility index reflecting SNS activity), and circulating levels of catecholamines [i.e., epinephrine and norepinephrine ( 106 , 126 )].…”
Section: Rationale For Expanding Biobehavioral Research Examining the Physiological Consequences Of Racial And Ethnic Discrimination In Lmentioning
confidence: 99%