Posttraumatic stress disorder, alone or additively with early life adversity, is associated with obesity and cardiometabolic risk
| Autor: | Michael A. Tsoukas, Kyoung Eun Joung, Cynthia Davis, Nicole Usher, Christos S. Mantzoros, Lesya Zaichenko, Olivia M. Farr, Bindiya Thakkar, Judith A. Crowell, Byung Joon Ko |
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| Rok vydání: | 2014 |
| Předmět: |
Oncology
Adult Male medicine.medical_specialty Longitudinal study Endocrinology Diabetes and Metabolism Medicine (miscellaneous) Disease Comorbidity Severity of Illness Index Article Body Mass Index Diabetes Complications Life Change Events Stress Disorders Post-Traumatic Insulin resistance Child Development Risk Factors Diabetes mellitus Internal medicine mental disorders Severity of illness medicine Diabetes Mellitus Humans Longitudinal Studies Obesity Child Metabolic Syndrome Nutrition and Dietetics business.industry Middle Aged medicine.disease Endocrinology Cross-Sectional Studies Cardiovascular Diseases Female Metabolic syndrome Insulin Resistance Cardiology and Cardiovascular Medicine business Biomarkers Boston |
| Zdroj: | Nutrition, metabolism, and cardiovascular diseases : NMCD. 25(5) |
| ISSN: | 1590-3729 |
| Popis: | Background and aims There is some evidence that posttraumatic stress disorder (PTSD) and early life adversity may influence metabolic outcomes such as obesity, diabetes, and cardiovascular disease. However, whether and how these interact is not clear. Methods We analyzed data from a cross-sectional and longitudinal study to determine how PTSD severity influences obesity, insulin sensitivity, and key measures and biomarkers of cardiovascular risk. We then looked at how PTSD and early life adversity may interact to impact these same outcomes. Results PTSD severity is associated with increasing risk of obesity, diabetes, and cardiovascular disease, with higher symptoms correlating with higher values of BMI, leptin, fibrinogen, and blood pressure, and lower values of insulin sensitivity. PTSD and early life adversity have an additive effect on these metabolic outcomes. The longitudinal study confirmed findings from the cross sectional study and showed that fat mass, leptin, CRP, sICAM-1, and sTNFRII were significantly increased with higher PTSD severity during a 2.5 year follow-up period. Conclusions Individuals with early life adversity and PTSD are at high risk and should be monitored carefully for obesity, insulin resistance, and cardiometabolic risk. |
| Databáze: | OpenAIRE |
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