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Community‐Based Evaluation of the Associations Between Well‐Being and Cardiovascular Disease Risk

BACKGROUND: Although the effects of psychological health and optimism have been extensively investigated, data from community‐based cohorts assessing the association between psychological health and cardiovascular disease risk factors are sparse, and the concurrent relationship between subjective we...

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Autores principales: McLeish, Alison C., Smith, Ted, Riggs, Daniel W., Hart, Joy L., Walker, Kandi L., Keith, Rachel J., Anderson, Lauren, Sithu, Israel, Pinilla‐Baquero, Javier, Srivastava, Sanjay, Bhatnagar, Aruni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9750082/
https://www.ncbi.nlm.nih.gov/pubmed/36370026
http://dx.doi.org/10.1161/JAHA.122.027095
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author McLeish, Alison C.
Smith, Ted
Riggs, Daniel W.
Hart, Joy L.
Walker, Kandi L.
Keith, Rachel J.
Anderson, Lauren
Sithu, Israel
Pinilla‐Baquero, Javier
Srivastava, Sanjay
Bhatnagar, Aruni
author_facet McLeish, Alison C.
Smith, Ted
Riggs, Daniel W.
Hart, Joy L.
Walker, Kandi L.
Keith, Rachel J.
Anderson, Lauren
Sithu, Israel
Pinilla‐Baquero, Javier
Srivastava, Sanjay
Bhatnagar, Aruni
author_sort McLeish, Alison C.
collection PubMed
description BACKGROUND: Although the effects of psychological health and optimism have been extensively investigated, data from community‐based cohorts assessing the association between psychological health and cardiovascular disease risk factors are sparse, and the concurrent relationship between subjective well‐being and cardiovascular health has not been studied. METHODS AND RESULTS: The current cross‐sectional study examined the association between well‐being and cardiovascular risk factors among 719 individuals living in a middle‐ to low‐income neighborhood. After adjusting for age, sex, race, body mass index, education, smoking status, and exercise status, we found that higher levels of well‐being were significantly associated with lower odds of dyslipidemia (odds ratio [OR], 0.7 [95% CI, 0.55–0.85]) and hypertension (OR, 0.8 [95% CI, 0.63–0.92]). Greater well‐being was also significantly associated with lower triglyceride levels (mean difference [M(diff)], 7.6 [−14.31 to −0.78]), very low‐density lipoprotein (M(diff), 0.9 [−1.71 to −0.16]), total cholesterol to high‐density lipoprotein ratio (M(diff), 3.9 [−6.07 to −1.73]), higher high‐density lipoprotein levels (M(diff), 1.6 [0.46–2.75]), and lower Framingham Risk Scores (M(diff), −7.1% [−10.84% to −3.16%]). Well‐being also moderated the association between age and arterial stiffness. The strongest association between arterial stiffness and age was found for those with the lowest well‐being scores; there was no association between age and arterial stiffness at high levels of well‐being. CONCLUSIONS: In a community‐based cohort, individuals reporting higher levels of well‐being have lower odds of hypertension and dyslipidemia as well as lower rates of age‐dependent increase in vascular stiffness. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT03670524.
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spelling pubmed-97500822022-12-15 Community‐Based Evaluation of the Associations Between Well‐Being and Cardiovascular Disease Risk McLeish, Alison C. Smith, Ted Riggs, Daniel W. Hart, Joy L. Walker, Kandi L. Keith, Rachel J. Anderson, Lauren Sithu, Israel Pinilla‐Baquero, Javier Srivastava, Sanjay Bhatnagar, Aruni J Am Heart Assoc Original Research BACKGROUND: Although the effects of psychological health and optimism have been extensively investigated, data from community‐based cohorts assessing the association between psychological health and cardiovascular disease risk factors are sparse, and the concurrent relationship between subjective well‐being and cardiovascular health has not been studied. METHODS AND RESULTS: The current cross‐sectional study examined the association between well‐being and cardiovascular risk factors among 719 individuals living in a middle‐ to low‐income neighborhood. After adjusting for age, sex, race, body mass index, education, smoking status, and exercise status, we found that higher levels of well‐being were significantly associated with lower odds of dyslipidemia (odds ratio [OR], 0.7 [95% CI, 0.55–0.85]) and hypertension (OR, 0.8 [95% CI, 0.63–0.92]). Greater well‐being was also significantly associated with lower triglyceride levels (mean difference [M(diff)], 7.6 [−14.31 to −0.78]), very low‐density lipoprotein (M(diff), 0.9 [−1.71 to −0.16]), total cholesterol to high‐density lipoprotein ratio (M(diff), 3.9 [−6.07 to −1.73]), higher high‐density lipoprotein levels (M(diff), 1.6 [0.46–2.75]), and lower Framingham Risk Scores (M(diff), −7.1% [−10.84% to −3.16%]). Well‐being also moderated the association between age and arterial stiffness. The strongest association between arterial stiffness and age was found for those with the lowest well‐being scores; there was no association between age and arterial stiffness at high levels of well‐being. CONCLUSIONS: In a community‐based cohort, individuals reporting higher levels of well‐being have lower odds of hypertension and dyslipidemia as well as lower rates of age‐dependent increase in vascular stiffness. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT03670524. John Wiley and Sons Inc. 2022-11-12 /pmc/articles/PMC9750082/ /pubmed/36370026 http://dx.doi.org/10.1161/JAHA.122.027095 Text en © 2022 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Research
McLeish, Alison C.
Smith, Ted
Riggs, Daniel W.
Hart, Joy L.
Walker, Kandi L.
Keith, Rachel J.
Anderson, Lauren
Sithu, Israel
Pinilla‐Baquero, Javier
Srivastava, Sanjay
Bhatnagar, Aruni
Community‐Based Evaluation of the Associations Between Well‐Being and Cardiovascular Disease Risk
title Community‐Based Evaluation of the Associations Between Well‐Being and Cardiovascular Disease Risk
title_full Community‐Based Evaluation of the Associations Between Well‐Being and Cardiovascular Disease Risk
title_fullStr Community‐Based Evaluation of the Associations Between Well‐Being and Cardiovascular Disease Risk
title_full_unstemmed Community‐Based Evaluation of the Associations Between Well‐Being and Cardiovascular Disease Risk
title_short Community‐Based Evaluation of the Associations Between Well‐Being and Cardiovascular Disease Risk
title_sort community‐based evaluation of the associations between well‐being and cardiovascular disease risk
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9750082/
https://www.ncbi.nlm.nih.gov/pubmed/36370026
http://dx.doi.org/10.1161/JAHA.122.027095
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