The role of combined modifiable lifestyle behaviors in the association between exposure to stressors and allostatic load: A systematic review of observational studies.

Siew, Raymond Vooi Khong; Nabe‐Nielsen, Kirsten; Turner, Anne I.; Bujtor, Melissa; Torres, Susan

doi:10.1016/j.psyneuen.2022.105668

Cited by 10 publications

(7 citation statements)

References 46 publications

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“…According to the view of healthy behavior as a coping strategy for stress, we can understand unhealthy behaviors such as smoking, drinking, overeating, or eating high-calorie foods as maladaptive coping with stress [ 21 ]. Stress may directly or indirectly affect health through maladaptive health behaviors [ 22 ]. Those exposed to high levels of stress are more likely to have poor health behaviors than those who experience low levels of stress [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Mediation Effect of Maladaptive Coping between Work-to-Family Conflict and Cardiovascular Health Behaviors

Yang

Kim

2022

IJERPH

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Work-to-family conflicts (WFC), an aggravating factor of stress, may affect cardiovascular health. However, the link between WFC and cardiovascular health behaviors is not fully defined. This study intends to identify the mediating effect of coping strategy on the relation between WFC with cardiovascular health behaviors, such as smoking, stress management, increased physical activity, and healthy diet habits. The study is a cross-sectional online survey with 358 call center counselors. We adopted a linear regression to confirm the relationship between WFC, coping strategy, and cardiovascular health behavior, which are the main variables of the study. Maladaptive coping partially mediated the relationship between WFC and cardiovascular health behavior. Based on the results, we insist that a support system to reduce WFC is necessary, as well as increasing the availability of resources and policies to reduce WFC in the workplace and find ways to improve maladaptive coping to promote healthy behaviors of call center workers.

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Section: Discussionmentioning

confidence: 99%

Mediation Effect of Maladaptive Coping between Work-to-Family Conflict and Cardiovascular Health Behaviors

Yang

Kim

2022

IJERPH

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“…Expanding study in this area is essential as a healthy population is a strategic aim for any society, and health is a crucial personal, social, and economic resource. On the other hand, contemporary lifestyles have resulted in an elevated stress level, which contributes to sickness in the general population [20]. It has been shown that the physical environment may be therapeutic if it removes stresses, links patients to nature, provides alternatives and choices to promote sensations of being in control, provides opportunities for social support, and offers relaxation options [21].…”

Section: Healing Environment Designmentioning

confidence: 99%

Therapeutic Environment Design Elements in Malaysia's Medical Tourism Accommodations: An Observation Study

Faraj,

Siow,

Maruthaveeran

2024

IJSDP

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This study evaluates the design elements for healthcare environments that prioritize patients' physical and psychological well-being in the Malaysian healthcare system, specifically focusing on medical tourism accommodations. In Malaysia, private hospitals often lack onsite accommodations and instead collaborate with nearby hotels. This research examines four hotels frequently recommended by multiple hospitals, using a qualitative observational method to observe and gather meaningful insights systematically. The study reveals that while existing designs have positively impacted the medical tourism industry, there is room for improvement. Interior environment design, encompassing elements such as lighting, ventilation, color schemes, noise management, furniture selection, and room layouts, is pivotal in promoting patients' health and recovery. Furthermore, incorporating natural elements such as landscapes, vegetation, and water features proves effective in enhancing the overall patient experience and reducing stress. The study emphasizes the importance of considering the surrounding environment, particularly in urban areas, where tourism benefits should align with medical tourists' health and recovery needs. In conclusion, this research contributes a conceptual framework for developing guidelines to design accommodations with therapeutic qualities. These guidelines can potentially enhance the well-being of medical tourists and further strengthen the growth of the medical tourism sector in Malaysia.

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“…We use this principle to propose a tool for scoring excessive stress, the Chronic Stress Indicator (CSI), consisting of socioeconomic variables, biomarkers of health, and behavioral and lifestyle variables. Justification for the variables used in the construction of the CSI is based on the literature [ 7 , 8 , 9 ] with variables such as socioeconomic status [ 9 ], physical activity, and critical biomarkers from the cardiometabolic system used to capture the manifestation of the effects of prolonged stress.…”

Section: Introductionmentioning

confidence: 99%

Chronic Stress Indicator: A Novel Tool for Comprehensive Stress Analysis

Hill,

Mostafa,

Obeng-Gyasi

2024

IJERPH

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Extensive research has highlighted the strong association between chronic stress and negative health outcomes. This relationship is influenced by various factors, including sociobehavioral, environmental, and genetic and epigenomic forces. To comprehensively assess an individual’s stress levels, we propose the development of the Chronic Stress Indicator (CSI), a novel comprehensive multifaceted tool that incorporates key biological, anthropometric, behavioral, and socioeconomic factors. The objective of this study is to assess the effectiveness of the CSI compared to Allostatic Load (AL), a type of chronic stress, in identifying health issues related to stress. The objective of this research is to evaluate the performance of the Chronic Stress Indicator (CSI) versus Allostatic Load (AL) in detecting adverse health outcomes within the U.S. demographic aged 20–49. The information used for this study was sourced from the National Health and Nutrition Examination Survey (NHANES), carried out from 2001 to 2004. Logistic regression modeling was employed to calculate odds ratios and confidence intervals. The Wilcoxon rank-sum test was employed to assess differences in means, whereas the chi-square test, accompanied by Cramer’s V statistic, was used to examine the association among categorical variables. Additionally, the relationship between continuous variables was analyzed using Pearson’s correlation coefficient. Our association tests show that the length of occupation activity and health status were among the strongest associations to CSI risk. Based on our logistic regression models, age and sex were found to be significant factors in determining AL. We also found that age, smoking, and longest occupation activity were significant factors of CSI risk. These findings suggest a need for individuals to limit smoking as it may lead to higher overall stress despite its common use as a coping mechanism for stress. We should also review the level of occupational activity a job has before continuously working on it as this may also lead to higher cumulative stress.

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The role of combined modifiable lifestyle behaviors in the association between exposure to stressors and allostatic load: A systematic review of observational studies.

Cited by 10 publications

References 46 publications

Mediation Effect of Maladaptive Coping between Work-to-Family Conflict and Cardiovascular Health Behaviors

Mediation Effect of Maladaptive Coping between Work-to-Family Conflict and Cardiovascular Health Behaviors

Therapeutic Environment Design Elements in Malaysia's Medical Tourism Accommodations: An Observation Study

Chronic Stress Indicator: A Novel Tool for Comprehensive Stress Analysis

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