Objective: Shift-and-persist (SP-the ability to adapt the self to stressors while preserving focus in the future) is associated with favorable cardiometabolic outcomes. SP may be relevant in Puerto Rico (PR), a population with a high burden of cardiometabolic diseases and stressors. We examined the association between SP and cardiometabolic markers among young adults in PR. Methods: Cross-sectional analysis of baseline PR-OUTLOOK data (September 2020-March 2023). The analytic sample (n=2707) was aged 18-29 and 62% female. SP was measured with the Chen 95%CI:−0.16,−0.04). Only those with Moderate SP (vs. Low SP) had significantly higher HDL (=1.16; 95%CI:0.16,2.17) No significant associations were found for blood pressure and other blood lipids. Conclusion: Greater SP was associated with lower adiposity, lower concentration of markers of glucose metabolism, and to some extent with higher HDL. Longitudinal studies are needed to confirm study findings and understand how SP may promote biobehavioral mechanisms for cardiometabolic health.
Lopez-Cepero et al. (Wed,) studied this question.