Dietary Mitigation of Psychosocial Stress Effects on CVD Risk

饮食缓解社会心理压力对心血管疾病风险的影响

• 批准号: 8504329
• 负责人: Carol A. Shively
• 金额: $ 67.31万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8504329
• 关键词: Acute; Address; Adrenal Glands; Adult; Affect; Animal Model; Arousal; Arteries; Atherosclerosis; Attenuated; Behavior; Behavioral; Biological Markers; Body Composition; Brain; Cardiovascular Diseases; Cardiovascular system; Carotid Arteries; Carotid Atherosclerotic Disease; Cause of Death; Central obesity; Characteristics; Cholesterol; Chronic; Chronic stress; Clinical; Consumption; Coronary; Coronary artery; Coronary heart disease; Data; Deposition; Diet; Diet Modification; Dietary Practices; Disease; Dyslipidemias; Education; Emotional; Fatty acid glycerol esters; Female; Functional disorder; Gene Expression; Health; Human; Hypothalamic structure; Infertility; Inflammation; Inflammatory; Inflammatory Response; Intake; Intervention; Investigation; Link; Longitudinal Studies; Macaca fascicularis; Measures; Mental Depression; Metabolic; Modeling; Monkeys; Myocardial Infarction; Nutrient; Ovarian; Patient Self-Report; Patients; Physiological; Physiology; Pituitary Gland; Population; Population Study; Process; Psychological Stress; Psychosocial Stress; Public Health; Randomized Controlled Clinical Trials; Relative (related person); Risk; Risk Factors; Social status; Stimulus; Stress; Stress Tests; Stroke; System; Testing; Tissues; Translations; Visceral; Woman; acute stress; biological adaptation to stress; cardiovascular disorder risk; cardiovascular risk factor; cost; cost effective; data modeling; depressive symptoms; disability; effective intervention; epidemiologic data; food consumption; iliac artery; indexing; nonhuman primate; nutrition; programs; psychological stressor; public health relevance; relating to nervous system; response; stressor; subcutaneous

DESCRIPTION (provided by applicant): Cardiovascular disease (CVD) is the leading cause of death and disability in women. Psychosocial stress increases CVD and CVD risk factors in women and female cynomolgus monkeys, and leads to depression and ovarian dysfunction which are especially important CVD risk factors for women. Environmental stimuli that affect CV health are initially processed by the brain which is nutrition-sensitive, modulates the function of downstream stress-sensitive systems, and may be structurally different in CVD patients. Importantly, most of the data demonstrating stress effects on CVD have been derived from subjects consuming a Western diet. In contrast, prudent diet consumption is associated with decreases in risk of depression, infertility, traditional CVD risk factors, and CVD. Emerging experimental data suggest that certain characteristics of a Western diet exacerbate physiological and behavioral stress responses, and these acute effects reflect associations linking Western diet consumption with perceived stress in population studies. Thus, psychosocial stress effects on CVD/CAA risk may not be simply main effects of stress; they may reflect diet-exacerbated stress reactivity. Here we propose to test the hypothesis that psychosocial stress-associated CVD risk is due in part to Western diet exacerbation of stress reactivity; therefore, consumption of a Prudent diet will reduce physiological stress reactivity an mitigate the deleterious effects of psychosocial stress on CVD risk. Behavioral and physiological indicators of stress and depression, food consumption and activity levels, CVD risk factors, body composition, tissue gene expression, and volumetric and other measures of key neural regions will be assessed in adult female monkeys at Baseline, and after 18 and 36 months of a Western or Prudent diet. Atherosclerosis will be measured in iliac, carotid and coronary arteries. The aims are to determine the effects of Western and Prudent diets on 1) physiological responses to an acute stressor, 2) physiological and behavioral indices of chronic stress, 3) CVD risk, atherosclerosis and artery gene expression, and 4) structural characteristics of key neural regions in socially stressed subordinate and dominant monkeys. This is a more invasive and detailed investigation of behavioral, physiological, and pathological effects of diet than can be conducted in human studies and the data from this model are more amenable to clinical translation than other animal models. If successful, the proposed studies will demonstrate that a Prudent diet can ameliorate some deleterious effects of psychosocial stress on CVD risk, and thus provide a cost-effective intervention on psychological stress with the promise of wide-spread efficacy.

描述（由申请人提供）：心血管疾病（CVD）是妇女死亡和残疾的主要原因。心理社会压力增加了女性和雌性食蟹猴的心血管疾病和心血管疾病危险因素，并导致抑郁和卵巢功能障碍，这是女性尤其重要的心血管疾病危险因素。影响心血管健康的环境刺激最初由大脑处理，大脑对营养敏感，调节心血管功能