Associations of psychological factors with atherosclerosis and cardiovascular health in middle-age: the population-based Swedish CArdioPulmonary bioImage study (SCAPIS)

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Associations of psychological factors with atherosclerosis and cardiovascular health in middle-age : the population-based Swedish CArdioPulmonary bioImage study (SCAPIS)

Higueras-Fresnillo, Sara (författare): Linköping University,Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Linköping Univ, Dept Hlth Med & Caring Sci, Linköping, Sweden.;Univ Autonoma Madrid, Dept Prevent Med & Publ Hlth, Madrid, Spain.,Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden; Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, Spain,Autonomous University of Madrid

Herraiz-Adillo, Ángel (författare): Linköping University,Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden,Linköping Univ, Dept Hlth Med & Caring Sci, Linköping, Sweden.

Ahlqvist, Viktor H. (författare): Karolinska Institute,Karolinska Institutet,Aarhus University

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Oberg, Robin (författare): Linköping University,Linköpings universitet,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden,Linköping Univ, Dept Hlth Med & Caring Sci, Linköping, Sweden.

Lenander, Cecilia (författare): Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups

Wennberg, Patrik, 1972- (författare): Umeå University,Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Umeå Univ, Dept Publ Hlth & Clin Med, Umeå, Sweden.

Wångdahl, Josefin, 1983- (författare): Karolinska Institute,Uppsala universitet,Socialmedicin/CHAP,Stockholm Univ, Karolinska Inst, Aging Res Ctr, Stockholm, Sweden

Berglind, Daniel (författare): Department of Biomedicine, Aarhus University, Aarhus, Denmark; Centre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden,Aarhus Univ, Dept Biomed, Aarhus, Denmark.;Ctr Epidemiol & Community Med, Stockholm, Sweden.

Daka, Bledar, 1976 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine

Östgren, Carl Johan (författare): Linköping University,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Vårdcentralen Ekholmen,Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden; Centre of Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden,Linköping Univ, Dept Hlth Med & Caring Sci, Linköping, Sweden.;Linköping Univ, Ctr Med Image Sci & Visualizat CMIV, Linköping, Sweden.

Rådholm, Karin (författare): Linköping University,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Vårdcentralen Kärna,Linköping Univ, Dept Hlth Med & Caring Sci, Linköping, Sweden.;Univ New South Wales, George Inst Global Hlth, Sydney, Australia.,Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden; The George Institute for Global Health, University of New South Wales, Sydney, Australia

Henriksson, Pontus (författare): Linköping University,Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden,Linköping Univ, Dept Hlth Med & Caring Sci, Linköping, Sweden.

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BioMed Central (BMC), 2024
2024
Engelska.
Ingår i: BMC Public Health. - : BioMed Central (BMC). - 1471-2458. ; 24:1

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Background: Cardiovascular disease (CVD) is a major global health issue, primarily caused by atherosclerosis. Psychological factors may play a role in the development and progression of CVD. However, the relationship between psychological factors and atherosclerosis is complex and poorly understood. This study, therefore, aimed to examine the association of psychological factors with (i) coronary and carotid atherosclerosis and (ii) cardiovascular health according to Life’s Essential 8, in a large Swedish cohort.Methods: This study utilized data from the Swedish CArdioPulmonary bioImage Study (SCAPIS), a large population-based project including individuals aged 50 to 65 years. Several psychological factors were analysed: general stress, stress at work, financial stress, major adverse life events, locus of control, feeling depressed, and depression. Coronary atherosclerosis was assessed as the degree of stenosis by coronary computed tomography angiography (CCTA) and coronary artery calcification (CAC) scores. Carotid atherosclerosis was examined using ultrasound. In addition, cardiovascular health was examined using the Life’s Essential 8 concept created by the American Heart Association, which includes four health behaviors and four health factors. Associations were examined through binomial logistic regression (atherosclerosis variables) and linear regression (Life’s Essential 8).Results: A total of 25,658 participants were included in the study. The presence of financial stress, higher locus of control, and depression was weakly associated with increased odds of CCTA stenosis, CAC ≥ 1 and the presence of carotid plaques (all odds ratios: 1.10–1.21, 95% CI: 1.02–1.32) after adjusting for sex, age, and study site. However, these associations were attenuated and not statistically significant after additional adjustments for socioeconomic factors and health behaviors. Conversely, we observed inverse associations between the worst category for all psychological factors and cardiovascular health according to Life’s Essential 8 score (all standardized β-Coefficient ≤-0.033, p < 0.001).Conclusion: While there were no strong and consistent associations between psychological factors and atherosclerosis, the consistent associations of psychological factors with cardiovascular health by Life’s Essential 8 may have relevance for future CVD risk. However, further studies are needed to elucidate the long-term effects of psychological factors on atherosclerosis development and cardiovascular health.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

Atherosclerosis
Cardiovascular disease
Coronary artery calcification
Coronary computed tomography angiography
Life’s Essential 8
Middle-aged
Psychological factors
SCAPIS
Atherosclerosis
Cardiovascular disease
Coronary artery calcification
Coronary computed tomography angiography
Life’s Essential 8
Middle-aged
Psychological factors
SCAPIS
Life's Essential 8

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Av författaren/redakt...: Higueras-Fresnil ...; Herraiz-Adillo, ...; Ahlqvist, Viktor ...; Oberg, Robin; Lenander, Cecili ...; Wennberg, Patrik ...; visa fler...; Wångdahl, Josefi ...; Berglind, Daniel; Daka, Bledar, 19 ...; Östgren, Carl Jo ...; Rådholm, Karin; Henriksson, Pont ...; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

Artiklar i publikationen: BMC Public Healt ...

Av lärosätet: Umeå universitet; Linköpings universitet; Uppsala universitet; Karolinska Institutet; Lunds universitet; Göteborgs universitet

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