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October 26, 2015Työväentutkimus VuosikirjaOpen Access

Subjective stress, objective heart rate variability-based stress, and recovery on workdays among overweight and psychologically distressed individuals: a cross-sectional study

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Population

221 working-age adults who were overweight and psychologically distressed.

Design

Cross-sectional

Follow-up

1-3 workdays

Key result

Higher subjective self-reported stress was significantly associated with higher objective HRV-based stress (r = 0.209) and lower objective recovery (r = -0.137) on workdays.

Authors

TFTiina FöhrATAsko TolvanenTMTero Myllymäki

Discussion

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Overview

May complement subjective reports with HRV metrics in workers; leaves open clinical utility pending prospective validation.

Study Design

Type

Cross-Sectional (n=221)

Multicenter

Yes

Structured PICO

P
Population
221 working-age adults (185 women, 36 men) who were overweight (BMI 25.3-40.1 kg/m²) and psychologically distressed (≥3/12 points on the General Health Questionnaire).
O
Outcome
Association between subjective self-reported stress (Perceived Stress Scale) and objective heart rate variability (HRV)-based stress and recovery on workdays.surrogate

Main Result

Effect estimate: r = 0.209 (95% CI 0.075 to 0.343)

p-value: p=0.002

Subjective self-reported stress correlates with objective physiological stress measured by heart rate variability, suggesting objective assessment provides an additional dimension to stress evaluation.

Limitations

  • Cross-sectional design limits causal inferences
  • Limited variations in the levels of psychological stress, fat percentage, and physical activity within the participants
  • Low number of men prevented gender difference analyses
  • Uncontrollable confounding factors in real-life settings
  • Self-reported assessment of physical activity and confounding factors such as medication and alcohol consumption
  • low inter-individual variation in physical activity
  • rather weak associations
  • need for study among participants with greater heterogeneity of stress, physical activity, and body composition

Cite This Study

Föhr et al. (2015) conducted a cross-sectional in Overweight and psychologically distressed (n=221). Subjective stress (Perceived Stress Scale) was evaluated on Correlation between subjective stress and objective HRV-based stress (age- and sex-adjusted) (r = 0.209, 95% CI 0.075 to 0.343, p=0.002). Higher subjective self-reported stress was significantly associated with higher objective HRV-based stress (r = 0.209) and lower objective recovery (r = -0.137) on workdays.

synapsesocial.com/papers/6a1b4c9c8df86b99f942a9d7https://doi.org/10.1186/s12995-015-0081-6
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