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Updated: Mar 1, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Children's cortisol and externalizing stress symptoms are predictors of adiponectin evolution over two years
Nathalie Michels1, Isabelle Sioen1, Kirsten Schraven1
1Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Insights
Psychosocial stress, including high cortisol and conduct problems, negatively impacts adiponectin levels in children. This suggests stress may contribute to inflammatory diseases like metabolic syndrome.
Area of Science:
- Pediatric endocrinology
- Psychoneuroimmunology
- Metabolic health
Background:
- Adiponectin is an adipocytokine with anti-inflammatory and insulin-sensitizing properties.
- Psychosocial stress is linked to inflammatory diseases, potentially via adiponectin.
- The relationship between stress and adiponectin, particularly its directionality, is not well understood.
Purpose of the Study:
- To investigate the longitudinal association between psychosocial stress and adiponectin levels in children.
- To determine the directionality of the stress-adiponectin relationship.
Main Methods:
- Longitudinal study (ChiBS) with 348 children (5-10 years) at baseline and 168 at 2-year follow-up.
- Assessed psychosocial stress via Strengths and Difficulties Questionnaire, negative emotions, and negative events.
- Measured salivary cortisol diurnal patterns and serum adiponectin.
- Used longitudinal linear regression analyses with adjustments for confounders.
Main Results:
- High daily cortisol output, anger, and conduct problems were associated with reduced adiponectin increase over time.
- These associations remained largely independent of confounders.
- Adiponectin did not longitudinally predict stress levels.
Conclusions:
- In healthy children, daily cortisol output and externalizing stress symptoms negatively predict adiponectin evolution.
- These findings underscore the detrimental health effects of psychosocial stress on metabolic regulation.
Background:
Adiponectin is an anti-inflammatory, insulin-sensitizing and energy-regulating adipocytokine. Consequently, the link between psychosocial stress and inflammatory diseases like the metabolic syndrome might be partially explained by lower adiponectin levels in stress. Nevertheless, the stress-adiponectin association has seldom been tested and no clarity exists about the directionality.
Methods:
In the Belgian ChiBS study, serum adiponectin and stress levels were measured in 348 children (5-10y) at baseline and in 168 of them after 2-year follow-up. Psychosocial stress was reported with the Strengths and Difficulties Questionnaire (parental report on emotional, peer, and conduct problems), negative emotions (anger, sadness, anxiety) and negative events. In addition, salivary cortisol diurnal patterns were available from 2days with each 4 samples. Longitudinal linear regression analyses were performed including step-wise adjustment for age, sex, socio-economic status, body fat%, physical activity and snack frequency.
Results:
Despite some positive cross-sectional associations, high daily cortisol output (beta=-0.285), anger (beta=-0.233) and conduct problems (beta=-0.182) were associated with less adiponectin increase over time, in most cases independent of the tested confounders. The other directionality was not significant: no longitudinal prediction of stress by adiponectin.
Conclusion:
In healthy children, daily cortisol output and externalizing stress symptoms were negative predictors of adiponectin evolution. These findings highlight the health-compromising effects of psychosocial stress.
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