Understanding the connection between spiritual well-being and physical health: an examination of ambulatory blood pressure, inflammation, blood lipids and fasting glucose
Understanding the connection between spiritual well-being and physical health: an examination of ambulatory blood pressure, inflammation, blood lipids and fasting glucose
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DOI：
10.1007/s10865-011-9343-7
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发表时间：
2011-12-01
影响因子：
3.1
通讯作者：
Jensen, Bryan
中科院分区：
文献类型：
--
作者：
Holt-Lunstad, Julianne;Steffen, Patrick R.;Jensen, Bryan
越来越多的研究已经证明了精神幸福和更好的健康之间的联系;然而，对可能的生理机制知之甚少。在一个高度宗教健康的男性和女性成年人（n = 100）年龄19-59（m = 28.28）的样本中，我们研究了精神幸福感的影响，通过慢性疾病治疗精神幸福感的功能评估（FACIT-Sp-Ex）测量，对心脏病的生理风险因素。具体而言，我们检查了24小时动态血压（BP），炎症（超敏C反应蛋白），空腹血糖和血脂。回归分析显示，更高水平的精神健康FACIT-Sp-Ex总评分与较低的动态收缩压显著相关（β = -.345; P < .001），舒张期动态血压（β = -.24; P = .02），hs-C-反应蛋白（β = -.23; P = .04），空腹血糖（β =-0.28; P = 0.006），甘油三酯（β =-0.21; P = 0.09）和极低密度脂蛋白（β =-0.21; P = 0.10）略低，控制了年龄、性别和教堂出勤率。FACIT-Sp-Ex的意义、和平、信仰和其他精神问题分量表的结果基本一致。精神健康可能是心脏保护。
Growing research has demonstrated a link between spiritual well-being and better health; however, little is known about possible physiological mechanisms. In a sample of highly religious healthy male and female adults (n = 100) ages 19-59 (m = 28.28) we examined the influence of spiritual well-being, as measured by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-Ex), on physiological risk factors for heart disease. Specifically we examined 24-h ambulatory blood pressure (BP), inflammation (hs-C-reactive protein), fasting glucose, and blood lipids. Regression analyses reveal that higher levels of spiritual-wellness (total FACIT-Sp-Ex score) was significantly related to lower systolic ambulatory BP (beta = -.345; P < .001), diastolic ambulatory BP (beta = -.24; P = .02), hs-C-reactive protein (beta = -.23; P = .04), fasting glucose (beta = -.28; P = .006), and marginally lower triglycerides (beta = -.21; P = .09) and VLDL (beta = -.21; P = .10) controlling for age, gender, and church attendance. Results remained generally consistent across the Meaning, Peace, Faith and Additional Spiritual Concerns subscales of the FACIT-Sp-Ex. Spiritual well-being may be cardio protective.