Optimism and Cardiovascular Health: Longitudinal Findings From the Coronary Artery Risk Development in Young Adults Study.
Optimism and Cardiovascular Health: Longitudinal Findings From the Coronary Artery Risk Development in Young Adults Study.
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乐观和心血管健康：年轻人研究中冠状动脉风险发展的纵向结果。
DOI：
10.1097/psy.0000000000000855
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发表时间：
2020-10
影响因子：
3.3
通讯作者：
Kubzansky, Laura D.
中科院分区：
文献类型：
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作者：
Boehm, Julia K.;Qureshi, Farah;Chen, Ying;Soo, Jackie;Umukoro, Peter;Hernandez, Rosalba;Lloyd-Jones, Donald;Kubzansky, Laura D.
关键词：
良好的心血管健康与更长的无心血管疾病的寿命有关。虽然心血管健康的患病率随着年龄的增长而下降，但随着时间的推移，对促进和保护心血管健康的保护因素知之甚少。我们调查了乐观是否与10年内更好的心血管健康有关。参与者包括来自年轻成人冠状动脉风险发展研究的3,188名黑人和白色男性和女性。自我报告的乐观情绪在2000年（本研究的基线）进行了评估，修订的生活取向测试。良好的心血管健康是由心血管功能的五个组成部分的健康状态定义的，这些组成部分在2010年之前通过临床或自我报告（血压、血脂、体重指数、糖尿病和吸烟状况）进行了反复评估。线性混合效应模型研究了乐观是否随着时间的推移预测心血管健康，调整协变量，如社会人口特征，健康行为，健康状况和抑郁症诊断。在调整社会人口统计学特征的模型中，乐观与所有时间点的心血管健康状况改善相关（β=0.08，95%置信区间=0.04-0.11，p≤.001），但与心血管健康状况的变化率无关。当调整其他协变量时，结果相似。乐观与种族没有显着的相互作用（p=0.85），但与性别，这样的协会似乎更强的女性比男性（p=0.03）。乐观可能有助于建立成年期心血管健康的未来模式，但其他因素可能与心血管健康随着时间的推移而恶化的速度或速度更密切相关。
Favorable cardiovascular health is associated with greater longevity free of cardiovascular disease. Although the prevalence of cardiovascular health decreases with age, less is known about protective factors that promote and preserve it over time. We investigated whether optimism was associated with better cardiovascular health over a 10-year period. Participants included 3,188 Black and White men and women from the Coronary Artery Risk Development in Young Adults Study. Self-reported optimism was assessed in 2000 (this study’s baseline) with the revised Life Orientation Test. Favorable cardiovascular health was defined by healthy status on five components of cardiovascular functioning that were repeatedly assessed through 2010 either clinically or via self-report (blood pressure, lipids, body mass index, diabetes, and smoking status). Linear mixed effects models examined whether optimism predicted cardiovascular health over time, adjusting for covariates such as sociodemographic characteristics, health behaviors, health status, and depression diagnosis. In models adjusting for sociodemographic characteristics, optimism was associated with better cardiovascular health across all time points (β=0.08, 95% confidence interval=0.04-0.11, p≤.001), but not with rate of change in cardiovascular health. Findings were similar when adjusting for additional covariates. Optimism did not interact significantly with race (p=0.85), but did with sex such that associations appeared stronger for women than men (p=0.03). Optimism may contribute to establishing future patterns of cardiovascular health in adulthood, but other factors may be more strongly related to how slowly or quickly cardiovascular health deteriorates over time.