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Goal-Striving Stress and Cardiovascular Risk Factors in the Jackson Heart Study

Loretta Cain-Shields, Md Abu Yusuf Ansari, Reed DeAngelis

    Journal of Health Care for the Poor and Underserved
    |October 17, 2022
    PubMed

    Insights

    Goal-striving stress (GSS) was linked to lower obesity rates in African American men. This study explored the connection between GSS and health risks like hypertension, diabetes, and obesity in African Americans.

    Area of Science:

    • Cardiovascular disease research
    • Health disparities in African Americans
    • Psychosocial stress and health outcomes

    Background:

    • Cardiovascular disease (CVD) poses a significant health burden for African Americans (AAs).
    • Goal-striving stress (GSS), stemming from fear of failure, is a relevant stressor for AAs facing societal barriers.
    • Understanding GSS's impact is crucial for targeted CVD prevention strategies in this population.

    Purpose of the Study:

    • To investigate the association between GSS and the incidence of hypertension, diabetes, and obesity.
    • To examine how GSS influences major cardiovascular risk factors specifically within the AA community.

    Main Methods:

    • Utilized hazard regression models to analyze data from the Jackson Heart Study.
    • Included 4,485 participants to assess the relationship between GSS and incident hypertension, diabetes, and obesity.

    Main Results:

    • High GSS was associated with a 41% reduced likelihood of obesity in men compared to those with low GSS (HR=0.59, p=.03).
    • The study found a significant inverse relationship between GSS and obesity incidence among African American men over an eight-year period.

    Conclusions:

    • Health behaviors and stress hormone responses may mediate the observed stress-obesity link in men.
    • Further research is needed to elucidate the mechanisms behind the GSS-obesity association and explore gender-specific differences.
    Abstract

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