Associations between Hunter Type A/B Personality and Cardiovascular Risk Factors from Adolescence through Young Adulthood.
Associations between Hunter Type A/B Personality and Cardiovascular Risk Factors from Adolescence through Young Adulthood.
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猎人 A/B 型性格与青春期至青年期心血管危险因素之间的关联。
DOI：
10.1007/s12529-017-9636-5
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发表时间：
2017
影响因子：
2.7
通讯作者：
Bazzano,LydiaA
中科院分区：
文献类型：
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作者：
Pollock,BenjaminD;Chen,Wei;Harville,EmilyW;Bazzano,LydiaA
研究目的A型人格以行动导向倾向为特征，与中老年人的心血管疾病有关。另外，有限的研究已经测试了人格类型A/B和心血管（CVD）风险是否在成年前存在联系。因此，我们使用Hunter-Wolf A/B人格评分来确定人格类型A/B是否与青春期的传统心血管疾病风险因素相关，更重要的是，人格类型或其个体A型成分是否与青年期的心血管疾病风险相关。这项研究是第一个在连续谱上评估A/B型人格与心血管疾病风险关系的研究，也是第一个在birthday，青少年population.MethodsSubjects（3396）从1984年到1986年对来自博加卢萨心脏研究的受试者进行了调查，通过Hunter-Wolf A/B型人格问卷确定的A/B型人格与青春期CVD危险因素之间的横断面关联。为了检验是否存在纵向关联，研究人员对受试者进行了2007年的随访，并使用通用估计方程（GEE）模型来检验A/B型人格与CVD风险因素的关联，以及与作为CVD风险总体评分的Fragrance风险评分的关联。A型人格的组成特征（领导，硬驱动，渴望能源，和不耐烦侵略）进行了单独测试，以确定其独立的，纵向协会与全球CVD risk.ResultsBaseline平均（SD）年龄为15.9（5.2）。平均（SD）Hunter-Wolf评分为96.9（11.6）。调整后，更多的A型Hunter-Wolf评分与青少年时期的低饮酒量（p= 0.03）、女性（p< 0.0001）和黑人（p< 0.0001）相关。随访后（中位数= 11年），性格类型A/B作为连续Hunter-Wolf评分与年轻成人BMI（p= 0.01）、空腹血糖（p< 0.01）和Fragrance评分（p= 0.05）呈非线性相关。在A型人格中，领导力和努力驾驶与随访时的脆性风险呈非线性相关（均P < 0.0001）。一般来说，A型儿童在成年早期有更高的CVD风险，尽管这种关系是非线性的。此外，表现出强烈的领导导向型人格特质的青少年在成年早期的心血管风险状况更差，而强硬的青少年人格对年轻成人心血管疾病风险具有保护作用。我们的研究结果证明，在心血管疾病的研究中，人格是一个连续的、非分类的特征。
PurposeType A personality, characterized by action-oriented tendencies, has been linked to cardiovascular disease in middle-aged and elderly adults. Alternatively, limited research has tested whether personality type A/B and cardiovascular (CVD) risk are linked prior to adulthood. Therefore, we used the Hunter-Wolf A/B personality score to determine whether personality type A/B is associated with traditional CVD risk factors during adolescence, and more importantly if personality type, or its individual type A components, are associated with cardiovascular risk through young adulthood. This study is the first to assess personality type A/B on a continuous spectrum with regard to its relationship with cardiovascular disease risk, as well as the first to examine this association in a biracial, adolescent population.MethodsSubjects (3396) from the Bogalusa Heart Study were surveyed from 1984 to 1986, and multivariable regression was used to test adjusted, cross-sectional associations between personality type A/B, as determined by Hunter-Wolf A/B personality questionnaire, and CVD risk factors during adolescence. To test whether associations existed longitudinally, subjects were followed through 2007, and general estimating equation (GEE) models were used to examine the associations of personality type A/B with CVD risk factors, as well as with Framingham risk score as a global score of CVD risk. The component traits of type A personality (leadership, hard-driving, eagerness-energy, and impatience-aggression) were tested individually to determine their independent, longitudinal associations with global CVD risk.ResultsBaseline mean (SD) age was 15.9(5.2). Mean( SD) Hunter-Wolf score in was 96.9 (11.6). After adjustment, more type A Hunter-Wolf scores were cross-sectionally associated with lower alcohol consumption (p= 0.03), female gender (p< 0.0001), and black race (p< 0.0001) in adolescence. After follow-up (median = 11 years), personality type A/B as the continuous Hunter-Wolf score was non-linearly associated with young adult BMI (p= 0.01), fasting blood glucose (p< 0.01), and Framingham score (p= 0.05). Of the type A components, leadership and hard-driving were non-linearly associated with Framingham risk at follow-up (bothp< 0.0001).ConclusionsAdolescent personality type A is associated with female gender and black race. Generally, type A children have higher CVD risk during young adulthood, though this relationship is non-linear. Additionally, adolescents exhibiting strong leadership-oriented personality traits have worse cardiovascular risk profiles in early adulthood, whereas hard-driving adolescent personalities are protective of young adult CVD risk. Our results warrant consideration of personality as a continuous, non-categorical, trait in studies of cardiovascular disease.