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Increased plasma homocysteine concentrations in healthy people with hostile behavior: the ATTICA study
Demosthenes B Panagiotakos1, Christos Pitsavos, Christine Chrysohoou
1Department of Nutrition and Dietetics, Harokopio University, Athens, Greece. d.b.panagiotakos@usa.net
Insights
Hostility is linked to higher homocysteine levels, a potential risk factor for heart disease. This study explored the connection between hostility and thrombotic markers in adults without cardiovascular disease.
Area of Science:
- Psychology
- Cardiology
- Biochemistry
Background:
- Hostility is a psychological factor associated with coronary heart disease.
- The exact mechanisms linking hostility to coronary risk are not fully understood.
- This study investigated hostility's association with inflammation and thrombotic markers.
Purpose of the Study:
- To evaluate the association between hostility and inflammation (thrombotic markers).
- To examine this relationship in a population-based sample of males and females without clinical cardiovascular disease.
Main Methods:
- The ATTICA study surveyed 410 participants in Greece (2001-2002).
- Participants completed the Hostility and Direction of Hostility questionnaire.
- Blood samples were analyzed for high sensitivity C-reactive protein, fibrinogen, white blood cell counts, and plasma homocysteine.
Main Results:
- Multivariate regression analysis showed hostility score positively associated with homocysteine levels (p=0.015).
- A 10-unit increase in hostility correlated with a 2.9 micromol/l rise in homocysteine.
- No significant association was found with other thrombotic markers after controlling for covariates.
Conclusions:
- Findings suggest a positive relationship between homocysteine levels and hostility.
- Further prospective studies are needed to determine if hostility influences inflammation or thrombotic processes.
Background:
One of the psychological factors showing significant association with the development of coronary heart disease is hostility. However, the pathway by which hostility may affect coronary risk is not fully understood. Thus we evaluated the association between hostility and inflammation (thrombotic marker) in a population-based sample of males and females with no clinical evidence of cardiovascular disease.
Material/Methods:
The ATTICA study is a health and nutrition survey carried out in the province of Attica, Greece, during 2001-2002. 410 participants (200 men 39+/-12 years old, and 210 women 35+/-10 years old) completed the Hostility and Direction of Hostility questionnaire (range 0-55) and had blood taken for the assessment of high sensitivity C--reactive protein, fibrinogen, white blood cell counts, and plasma homocysteine concentrations.
Results:
111 (27%) of the participants were classified in the upper quartile of the hostility scale (>21 score) and 119 (29%) were classified in the lower quartile (<11 score). Multivariate linear regression analysis revealed that hostility score associated positively only with homocysteine levels (standardized Beta=0.124, adj. R2=6%, p=0.015), after controlling for age, gender, educational status, body mass index, physical activity levels, and dietary habits of the participants. In particular, a 10-unit increase in the hostility scale was associated with a 2.9 micromol/l rise in homocysteine levels.
Conclusions:
Our findings suggest a positive relationship between homocysteine and hostility; however, whether hostility influences inflammation or the thrombotic process remains to be evaluated by future prospective studies.
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