The Association between Stress Measured by Allostatic Load Score and Physiologic Dysregulation in African Immigrants: The Africans in America Study
| Autor: | Jean N. Utumatwishima, Madia Ricks, Michelle T Duong, David Berrigan, Anne E. Sumner, Lilian Mabundo, Rafeal L Baker, Margaret Udahogora, Brianna A. Bingham |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Homocysteine media_common.quotation_subject Immigration 03 medical and health sciences chemistry.chemical_compound stress Hypothalamic-Pituitary-Adrenal Axis 0302 clinical medicine Medicine 030212 general & internal medicine hypothalamic–pituitary–adrenal axis Association (psychology) media_common Original Research 030505 public health business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Regression analysis African immigrants lcsh:RA1-1270 Health equity Allostatic load Allostatic load score Health Disparities sympathetic-adrenal-medullary axis Quartile chemistry Public Health 0305 other medical science business Family reunification |
| Zdroj: | Frontiers in Public Health, Vol 4 (2016) Frontiers in Public Health |
| ISSN: | 2296-2565 |
| DOI: | 10.3389/fpubh.2016.00265/full |
| Popis: | Introduction Allostatic load score (ALS) summarizes the physiological effect of stress on cardiovascular, metabolic and immune systems. As immigration is stressful, ALS could be affected. Objective Associations between age of immigration, reason for immigration, and unhealthy assimilation behavior and ALS were determined in 238 African immigrants to the United States (age 40 ± 10, mean ± SD, range 21–64 years). Methods ALS was calculated using 10 variables from three domains; cardiovascular (SBP, DBP, cholesterol, triglyceride, homocysteine), metabolic [BMI, A1C, albumin, estimated glomerular filtration rate (eGFR)], and immunological [high-sensitivity C-reactive protein (hsCRP)]. Variables were divided into sex-specific quartiles with high-risk defined by the highest quartile for each variable except for albumin and eGFR, which used the lowest quartile. One point was assigned if the variable was in the high-risk range and 0 if not. Unhealthy assimilation behavior was defined by a higher prevalence of smoking, alcohol consumption, or sedentary activity in immigrants who lived in the US for ≥10 years compare to |
| Databáze: | OpenAIRE |
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