Chronic stress, inflammation, and glucose regulation in U.S. Hispanics from the HCHS/SOL Sociocultural Ancillary Study

Diabetes prevalence is rising rapidly, and diabetes disproportionately affects Hispanics and other underserved groups. Chronic stress may contribute to diabetes risk, but few studies have examined this relationship in U.S. Hispanics. We examined associations of chronic stress with fasting glucose, g...

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Published inPsychophysiology Vol. 52; no. 8; pp. 1071 - 1079
Main Authors McCurley, Jessica L., Mills, Paul J., Roesch, Scott C., Carnethon, Mercedes, Giacinto, Rebeca E., Isasi, Carmen R., Teng, Yanping, Sotres-Alvarez, Daniela, Llabre, Maria M., Penedo, Frank J., Schneiderman, Neil, Gallo, Linda C.
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.08.2015
Subjects
Adolescent
Adult
Aged
Blood Glucose - metabolism
Diabetes
Female
Glucose
Glucose Intolerance - metabolism
Glucose Tolerance Test
Glycated Hemoglobin - metabolism
Health Surveys
Hispanic
Hispanic Americans
Hispanic or Latino
Humans
Inflammation
Inflammation - metabolism
Insulin
Male
Middle Aged
Risk Factors
Stress
Stress, Psychological - metabolism
United States
Young Adult
United States
Inflammation
Glucose
Hispanic
Insulin
Stress
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Abstract Diabetes prevalence is rising rapidly, and diabetes disproportionately affects Hispanics and other underserved groups. Chronic stress may contribute to diabetes risk, but few studies have examined this relationship in U.S. Hispanics. We examined associations of chronic stress with fasting glucose, glucose tolerance, and glycosylated hemoglobin (HbA1c) in Hispanics without diabetes, and also assessed indirect effects of stress through inflammation (CRP). Participants were 3,923 men and women, aged 18–74, without diabetes, from the four U.S. field centers (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA) of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary study. Participants completed a measure of chronic life stress and a physical exam with oral glucose tolerance test. In a multivariate regression analysis with adjustment for demographic and health covariates, higher chronic stress was related to higher fasting glucose (standardized regression coefficient: β = .09, p < .01), postload glucose (β = .07, p < .05), and HbA1c levels (β = .08, p < .01). However, there was no indirect effect of stress through inflammation. Findings suggest that higher chronic stress is associated with poorer glucose regulation in Hispanics, prior to the onset of a clinical diabetes diagnosis.
AbstractList Diabetes prevalence is rising rapidly, and diabetes disproportionately affects Hispanics and other underserved groups. Chronic stress may contribute to diabetes risk, but few studies have examined this relationship in U.S. Hispanics. We examined associations of chronic stress with fasting glucose, glucose tolerance, and glycosylated hemoglobin (HbA1c) in Hispanics without diabetes, and also assessed indirect effects of stress through inflammation (CRP). Participants were 3,923 men and women, aged 18-74, without diabetes, from the four U.S. field centers (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA) of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary study. Participants completed a measure of chronic life stress and a physical exam with oral glucose tolerance test. In a multivariate regression analysis with adjustment for demographic and health covariates, higher chronic stress was related to higher fasting glucose (standardized regression coefficient: β = .09, p < .01), postload glucose (β = .07, p < .05), and HbA1c levels (β = .08, p < .01). However, there was no indirect effect of stress through inflammation. Findings suggest that higher chronic stress is associated with poorer glucose regulation in Hispanics, prior to the onset of a clinical diabetes diagnosis.
Diabetes prevalence is rising rapidly, and diabetes disproportionately affects Hispanics and other underserved groups. Chronic stress may contribute to diabetes risk, but few studies have examined this relationship in U.S. Hispanics. We examined associations of chronic stress with fasting glucose, glucose tolerance, and glycosylated hemoglobin (HbA1c) in Hispanics without diabetes, and also assessed indirect effects of stress through inflammation (CRP). Participants were 3,923 men and women, aged 18-74, without diabetes, from the four U.S. field centers (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA) of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary study. Participants completed a measure of chronic life stress and a physical exam with oral glucose tolerance test. In a multivariate regression analysis with adjustment for demographic and health covariates, higher chronic stress was related to higher fasting glucose (standardized regression coefficient: [beta]=.09, p<.01), postload glucose ([beta]=.07, p<.05), and HbA1c levels ([beta]=.08, p<.01). However, there was no indirect effect of stress through inflammation. Findings suggest that higher chronic stress is associated with poorer glucose regulation in Hispanics, prior to the onset of a clinical diabetes diagnosis.
Diabetes prevalence is rising rapidly, and diabetes disproportionately affects Hispanics and other underserved groups. Chronic stress may contribute to diabetes risk, but few studies have examined this relationship in U.S. Hispanics. We examined associations of chronic stress with fasting glucose, glucose tolerance, and glycosylated hemoglobin (HbA1c) in Hispanics without diabetes, and also assessed indirect effects of stress through inflammation (CRP). Participants were 3,923 men and women, aged 18–74, without diabetes, from the four U.S. field centers (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA) of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary study. Participants completed a measure of chronic life stress and a physical exam with oral glucose tolerance test. In a multivariate regression analysis with adjustment for demographic and health covariates, higher chronic stress was related to higher fasting glucose (standardized regression coefficient: β = .09, p  < .01), postload glucose (β = .07, p  < .05), and HbA1c levels (β = .08, p  < .01). However, there was no indirect effect of stress through inflammation. Findings suggest that higher chronic stress is associated with poorer glucose regulation in Hispanics, prior to the onset of a clinical diabetes diagnosis.
Diabetes prevalence is rising rapidly, and diabetes disproportionately affects Hispanics and other underserved groups. Chronic stress may contribute to diabetes risk, but few studies have examined this relationship in U.S. Hispanics. We examined associations of chronic stress with fasting glucose, glucose tolerance, and glycosylated hemoglobin (HbA1c) in Hispanics without diabetes, and also assessed indirect effects of stress through inflammation (CRP). Participants were 3923 men and women, aged 18-74, without diabetes, from the four U.S. field centers (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA) of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)-Sociocultural Ancillary study. Participants completed a measure of chronic life stress and a physical exam with oral glucose tolerance test. In a multivariate regression analysis with adjustment for demographic and health covariates, higher chronic stress was related to higher fasting glucose (standardized regression coefficient: β=.09, p<0.01), post load glucose (β=.07, p<0.05), and HbA1c levels (β=.08, p<0.01). However, there was no indirect effect of stress through inflammation. Findings suggest that higher chronic stress is associated with poorer glucose regulation in Hispanics, prior to the onset of a clinical diabetes diagnosis.
Author Mills, Paul J.
Penedo, Frank J.
Isasi, Carmen R.
Llabre, Maria M.
Giacinto, Rebeca E.
Sotres-Alvarez, Daniela
Carnethon, Mercedes
Schneiderman, Neil
Teng, Yanping
Gallo, Linda C.
Roesch, Scott C.
McCurley, Jessica L.
AuthorAffiliation 4 Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University
1 SDSU/UCSD Joint Doctoral Program in Clinical Psychology, University of California, San Diego
6 Department of Epidemiology and Population Health, Albert Einstein College of Medicine
7 Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill
5 SDSU/UCSD Joint Doctoral Program in Global Health
9 Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
8 Department of Psychology, University of Miami
3 Department of Psychology, San Diego State University
2 Department of Psychiatry, University of California, San Diego
AuthorAffiliation_xml – name: 4 Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University
– name: 3 Department of Psychology, San Diego State University
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  givenname: Yanping
  surname: Teng
  fullname: Teng, Yanping
  organization: Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, North Carolina, Chapel Hill, USA
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  surname: Sotres-Alvarez
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  organization: Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, North Carolina, Chapel Hill, USA
– sequence: 9
  givenname: Maria M.
  surname: Llabre
  fullname: Llabre, Maria M.
  organization: Department of Psychology, University of Miami, Florida, Coral Gables, USA
– sequence: 10
  givenname: Frank J.
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  givenname: Linda C.
  surname: Gallo
  fullname: Gallo, Linda C.
  organization: Department of Psychology, San Diego State University, California, San Diego, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25898909$$D View this record in MEDLINE/PubMed
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Issue 8
Keywords Inflammation
Glucose
Hispanic
Insulin
Stress
Language English
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MIH/NHLBI - No. RC2HL101649
Northwestern University - No. N01-HC65236
http://www.cscc.unc.edu/hchs
The Hispanic Community Health Study/Study of Latinos is a collaborative investigation supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01‐HC65233), University of Miami (N01‐HC65234), Albert Einstein College of Medicine (N01‐HC65235), Northwestern University (N01‐HC65236), and San Diego State University (N01‐HC65237). The following institutes/centers/offices also contributed to funding the HCHS/SOL through the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. The HCHS/SOL Sociocultural Ancillary Study was supported by MIH/NHLBI grant number RC2HL101649 (PIs LCG and FJP). The authors thank the staff and participants of HCHS/SOL and the HCHS/SOL Sociocultural Ancillary Study for their important contributions. A complete list of staff and investigators is available on the study website at
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2004; 364
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2006; 1083
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2010; 26
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2000; 16
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2006; 68
2007; 298
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2014; 15
2014; 57
2009; 19
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2006; 444
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2012; 142
2010; 35
2011
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2005; 90
2004; 141
2006
2010; 362
2008; 51
2012; 35
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2001; 20
1996; 11
2009; 36
2012; 110
2013; 36
2003; 107
2009; 32
2010; 47
2013; 34
2011; 95
2014; 37
2009; 9
2003; 26
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2011; 43
2005; 1
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2012; 5
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Snippet Diabetes prevalence is rising rapidly, and diabetes disproportionately affects Hispanics and other underserved groups. Chronic stress may contribute to...
SourceID pubmedcentral
proquest
crossref
pubmed
wiley
istex
SourceType Open Access Repository
Aggregation Database
Index Database
Publisher
StartPage 1071
SubjectTerms Adolescent
Adult
Aged
Blood Glucose - metabolism
Diabetes
Female
Glucose
Glucose Intolerance - metabolism
Glucose Tolerance Test
Glycated Hemoglobin - metabolism
Health Surveys
Hispanic
Hispanic Americans
Hispanic or Latino
Humans
Inflammation
Inflammation - metabolism
Insulin
Male
Middle Aged
Risk Factors
Stress
Stress, Psychological - metabolism
United States
Young Adult
Title Chronic stress, inflammation, and glucose regulation in U.S. Hispanics from the HCHS/SOL Sociocultural Ancillary Study
URI https://api.istex.fr/ark:/67375/WNG-628DQ4GC-0/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fpsyp.12430
https://www.ncbi.nlm.nih.gov/pubmed/25898909
https://www.proquest.com/docview/1696062419
https://www.proquest.com/docview/1697209463
https://pubmed.ncbi.nlm.nih.gov/PMC4640890
Volume 52
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