Influence of Heart Rate Variability and Psychosocial Factors on Carotid Stiffness, Elasticity and Impedance at Menopause

Sánchez-Barajas, Mauricio; Figueroa-Vega, Nicté; Ibarra-Reynoso, Lorena del Rocío; Moreno-Frías, Carmen

doi:10.1016/j.arcmed.2015.02.006

Cited by 10 publications

(10 citation statements)

References 52 publications

(56 reference statements)

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“…It has been observed in different cardiac and non-cardiac diseases that reduced HRV negatively affects health outcomes. In the presence of adverse psychosocial factors, there is an autonomic system imbalance with reduced HRV and increased carotid stiffness in post-menopausal women ( 110 ). According to reviews by Guan and collaborators, ANS dysfunction and impaired HRV may represent independent risk factors for subsequent ischemic stroke after TIA or minor stroke ( 111 ).…”

Section: Heart and Stress Systemmentioning

confidence: 99%

Stress and Inflammation in Coronary Artery Disease: A Review Psychoneuroendocrineimmunology-Based

et al. 2018

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Recent findings have deeply changed the current view of coronary heart disease, going beyond the simplistic model of atherosclerosis as a passive process involving cholesterol build-up in the subintimal space of the arteries until their final occlusion and/or thrombosis and instead focusing on the key roles of inflammation and the immune system in plaque formation and destabilization. Chronic inflammation is a typical hallmark of cardiac disease, worsening outcomes irrespective of serum cholesterol levels. Low-grade chronic inflammation correlates with higher incidence of several non-cardiac diseases, including depression, and chronic depression is now listed among the most important cardiovascular risk factors for poor prognosis among patients with myocardial infarction. In this review, we include recent evidence describing the immune and endocrine properties of the heart and their critical roles in acute ischaemic damage and in post-infarct myocardial remodeling. The importance of the central and autonomic regulation of cardiac functions, namely, the neuro-cardiac axis, is extensively explained, highlighting the roles of acute and chronic stress, circadian rhythms, emotions and the social environment in triggering acute cardiac events and worsening heart function and metabolism in chronic cardiovascular diseases. We have also included specific sections related to stress-induced myocardial ischaemia measurements and stress cardiomyopathy. The complex network of reciprocal interconnections between the heart and the main biological systems we have presented in this paper provides a new vision of cardiovascular science based on psychoneuroendocrineimmunology.

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Section: Heart and Stress Systemmentioning

confidence: 99%

Stress and Inflammation in Coronary Artery Disease: A Review Psychoneuroendocrineimmunology-Based

et al. 2018

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“…Perceived stress was measured with Cohen's instrument as previously reported in our group [35], with scores 0-56. The items explore feelings and thoughts during the last month.…”

Section: Questionnairesmentioning

confidence: 99%

Association of Nesfatin-1, Acylated Ghrelin and Cortisol with Scores of Compulsion, Food Addiction, and Binge Eating in Adults with Normal Weight and with Obesity

López-Aguilar¹,

Ibarra-Reynoso²,

Malacara³

2018

Ann Nutr Metab

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Background/Aims: The alterations of eating behavior are insufficiently recognized in the clinical attention of adults with obesity. The objective of this study was to examine the characteristics of overeating behavior and its association with depression, perceived stress, acylated ghrelin, nestafin-1, and cortisol. Methods: This cross-sectional comparative study included 80 participants with obesity and 50 with normal weight. The volunteers completed questionnaires to evaluate symptoms of food addiction (FA), obsessive compulsive, binge eating (BE), depression, and perceived stress. We measured glucose, lipids, acylated ghrelin, nesfatin-1, and insulin in a fasting blood sample as well as urine cortisol. We compared groups with students t test, and analysis of variance, and tested associations by logistic and multiple regression. Results: By multiple regression, the BE total score was positively associated with the FA (p < 0.0001) and depression total score (p < 0.0001). By logistic regression, the positive score of FA was associated with ghrelin (p < 0.02). The perceived stress total score was associated negatively with cortisol (p < 0.0006). Conclusion: The BE and FA are strongly associated in agreement with the concept that both conditions have overlapping features. Depressive symptoms are associated with symptoms of disordered eating behavior. FA positive score was associated with ghrelin. BE total score was associated with nesfatin-1.

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“…We collected years of schooling, work as housewife or out of home, exercises at least 1 day/week (yes or no), smoking habit (yes or no), and alcohol consumption (at least one drink/week, yes or no), as described in our previous studies [ 20 , 21 ]. Blood pressure was measured with a random zero sphygmomanometer in sitting position after a five minutes rest.…”

Section: Methodsmentioning

confidence: 99%

“…Women answered a questionnaire on physical and psychological symptoms at menopause, as in our previous works [ 21 , 23 ], to assess: hot flushes as sensations of transient heat in skin, sexual interest (yes or not), perceived stress, anxiety, depressive mood, sleep disturbances, submission and effort/reward imbalance.…”

Section: Methodsmentioning

confidence: 99%

“…The sympathovagal tonus during the stress test is negatively correlated with C-IMT [ 20 ]. In a previous study, we found associated HRV and ultrasonographic carotid indices (resistive index, young’s elastic modulus, arterial compliance, arterial distensibility) in peri- and postmenopausal women [ 21 ], indicating a manifestation of autonomic imbalance and cardiovascular risk.…”

Section: Introductionmentioning

confidence: 99%

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Flow mediated vasodilation compared with carotid intima media thickness in the evaluation of early cardiovascular damage in menopausal women and the influence of biological and psychosocial factors

et al. 2018

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BackgroundWomen after menopause increase risk for cardiovascular disease and several factors may be related. The purpose was to study biological and psychosocial factors associated with early cardiovascular damage in pre- and postmenopausal women, assessed with carotid intima-media thickness vs flow-mediated dilatation.MethodsWomen 45 to 57 years old were grouped in the pre- (n = 60), early (n = 58) and late post-menopause (n = 59). Anthropometric, metabolic and hormonal data were registered, as well as measures of depression, anxiety, submission, perceived stress, and sleep alterations. Heart Rate Variability was recorded to obtain the information regarding sympathovagal balance. Carotid intima-media thickness and flow-mediated dilatation were assessed by ultrasound. Two-way ANOVA and multiple regression model were used.ResultsAt late postmenopause, the carotid intima-media was thicker (p < 0.001) and flow-mediated dilatation decreased (p < 0.001). Carotid intima-media thickness was associated positively with age (p < 0.001), submission score (p = 0.029), follicle stimulating hormone levels (p < 0.001), and body mass index (p = 0.009). Flow-mediated dilatation was associated only with age (p < 0.001). Regarding heart rate variability, the time domain pNN50 measurement was higher in premenopausal women (p = 0.001), Low Frequency (LF) was higher in the two groups of postmenopausal (p = 0.001) and High Frequency (HF) higher in the early postmenopausal women (p = 0.042).ConclusionsUnder our conditions carotid intima-media thickness had higher predictive value for early cardiovascular damage at menopause. The finding of the association of the submission score, indicates de influence of stress on vascular damage.

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Influence of Heart Rate Variability and Psychosocial Factors on Carotid Stiffness, Elasticity and Impedance at Menopause

Cited by 10 publications

References 52 publications

Stress and Inflammation in Coronary Artery Disease: A Review Psychoneuroendocrineimmunology-Based

Stress and Inflammation in Coronary Artery Disease: A Review Psychoneuroendocrineimmunology-Based

Association of Nesfatin-1, Acylated Ghrelin and Cortisol with Scores of Compulsion, Food Addiction, and Binge Eating in Adults with Normal Weight and with Obesity

Flow mediated vasodilation compared with carotid intima media thickness in the evaluation of early cardiovascular damage in menopausal women and the influence of biological and psychosocial factors

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