The association between psychosocial stress and mortality is mediated by lifestyle and chronic diseases: The Hoorn Study

Rutters, Femke; Pilz, Stefan; Koopman, Anitra D.M.; Rauh, Simone P.; Velde, Saskia J. te; Stehouwer, Coen D. A.; Elders, Petra; Nijpels, Giel; Dekker, Joost

doi:10.1016/j.socscimed.2014.08.009

Cited by 45 publications

(39 citation statements)

References 29 publications

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“…In this study, we also observed that the number of stressful life events experienced at baseline was not associated with the number of metabolic syndrome factors at baseline. In our previous work that has investigated this association at baseline, we did observe a positive association between the number of stressful life events and metabolic syndrome factors (Rutters et al, 2014). This could probably be explained by fact that those with prevalent type 2 diabetes and metabolic syndrome were excluded at baseline.…”

Section: Discussionmentioning

confidence: 68%

“…First, our data might suffer from competing causes; participants with ! 3 stressful life events had 44% higher chance to die after 6.5 years, compared to those without any event (Rutters, 2014). Participants with !…”

Section: Discussionmentioning

confidence: 91%

“…Already, in 2000, our group showed an association between psychosocial stress, measured as the number of stressful life events and a higher prevalence of diabetes in the Hoorn study (Mooy et al, 2000). Recently, we showed that experiencing stressful life events is associated with mortality in the Hoorn study and that this association is mediated by diabetes and cardiovascular disease prevalence at baseline (Rutters et al, 2014).…”

Section: Introductionmentioning

confidence: 96%

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Stressful life events and incident metabolic syndrome: the Hoorn study

Rutters

Pilz

Koopman

et al. 2015

Stress

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Stressful life events are associated with the metabolic syndrome in cross-sectional studies, but prospective studies addressing this issue are rare and limited. We therefore evaluated whether the number of stressful life events is associated with incident metabolic syndrome. We assessed the association between the number of stressful life events experienced in the 5 years up until baseline and incident metabolic syndrome after 6.5 years at follow-up in the Hoorn study, a middle-aged and elderly population-based cohort. Participants with prevalent metabolic syndrome at baseline were excluded. Metabolic syndrome was defined according to the Adult Treatment Panel III, including fasting plasma glucose levels, HDL-C levels, triglyceride levels, waist circumference and hypertension. We included 1099 participants (47% male; age 60 ± 7 years). During 6.5 years of follow-up, 238 participants (22%) developed the metabolic syndrome. Logistic regression adjusted for age, sex, education level and follow-up duration showed a positive association between the number of stressful life events at baseline and incident metabolic syndrome [OR 1.13 (1.01-1.27) per event, p = 0.049]. In addition, a Poisson model showed a significant positive association between the number of stressful life events at baseline and the number of metabolic syndrome factors at follow-up [OR 1.05 (1.01-1.11) per event, p = 0.018]. Finally, we observed a significant association between the number of stressful life events at baseline and waist circumference at follow-up [adjusted for confounders β 0.86 (0.39-1.34) cm per event, p < 0.001]. Overall, we concluded that persons who reported more stressful life events at baseline had a significantly increased risk for developing metabolic syndrome during 6.5 years of follow-up, in a middle-aged and elderly population-based cohort.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 96%

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Stressful life events and incident metabolic syndrome: the Hoorn study

Rutters

Pilz

Koopman

et al. 2015

Stress

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“…Other types of research have focused on health as measured by different batteries of items inquiring about narrowly defined aspects of respondent wellbeing and functioning and have provided valuable information to researchers about the nature of physical decline (14)(15)(16)(17)(18)(19)(20)(21)(22).…”

Section: A Current Operational Definitions Of "Health"?mentioning

confidence: 99%

A broad sense measure of health and its properties in the HRS

Cantu

Sheehan

Domingue

2016

Preprint

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A broad sense measure of health Abstract Measuring health is a crucial component of much social research. Two approaches are typical. Health may be measured via either narrowly targeted questions about aspects of disability or chronic conditions. Alternatively, individuals may be asked to self-report their health in some global sense. Both approaches have potential drawbacks. We consider a broad sense measure of health constructed by items from five different batteries related to physical and mental wellbeing. We demonstrate that this measure predicts time until death better than self-reported health, especially for females. Although this measure has promise, we argue that future surveys on health would benefit from the inclusion of additional items focusing on issues salient to younger individuals or other non-disabled respondents.

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“…Stress has been described as 'a constellation of events, comprised of a stimulus (stressor) that precipitates a reaction in the brain' [10]. Critical events, such as disease or the death of a parent or friend, con icts in personal relationships, or changes in living environment, are stressors in life [11]. They demand psychological readjustment and may have a greater in uence on susceptibility to illness or its course [12].…”

Section: Introductionmentioning

confidence: 99%

Association of Stress Management Skills and Stressful Life Events With Allergy Risk: a Case-control Study in Southern China

Cheng

Lai

et al. 2020

Preprint

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Background: Psychosocial stress and stressful life events are known to aggravate atopic diseases. Less is known about the impact of stress management skills on allergies. Here we sought to determine whether stress management skills are associated with the allergies and to assess the combined effects of stress management skills and stressful events on allergy risk. Methods: A survey on risk factors for self-reported allergic diseases was carried out among 28,144 southern Chinese people; 14 stressful life events and 8 stress management skills were retrospectively recorded in a case-control setting with multivariate logistic regression analysis. Multiplicative and additive interactions between stressful events and stress management skills were evaluated. Results: Stressful events significantly increased allergy risk. The odds ratio (OR) for allergies was 1.65 (95% confidence interval CI, 1.41–1.93) for those reporting one or two stressful events and 3.10 (95% CI, 2.55–3.79) for those reporting more than two stressful events. Stress management skills were adversely associated with allergic risk for people experiencing stressful events (OR, 0.71; 95% CI, 0.53–0.97) when adjusted demographically, particularly “concentrate on pleasant thoughts at bedtime” (OR, 0.67; 95% CI, 0.51–0.89), “pace myself to prevent tiredness” (OR, 0.67; 95% CI, 0.54–0.83), “get enough sleep” (OR, 0.48; 95% CI, 0.32–0.72) and “take some time for relaxation each day” (OR, 0.55; 95% CI, 0.37–0.80). There was a significant linear trend for allergy risk from good stress management skills with no stressful events to poor stress management skills with stressful events (P < 0.000), with significant interaction in additive models (P = 0.006). Conclusions: There are independent and antagonistic combined associations of stressful life events and stress management skills with allergy risk. This supports the use of stress management skills in managing allergic disease.

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The association between psychosocial stress and mortality is mediated by lifestyle and chronic diseases: The Hoorn Study

Cited by 45 publications

References 29 publications

Stressful life events and incident metabolic syndrome: the Hoorn study

Stressful life events and incident metabolic syndrome: the Hoorn study

A broad sense measure of health and its properties in the HRS

Association of Stress Management Skills and Stressful Life Events With Allergy Risk: a Case-control Study in Southern China

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