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July 6, 2023Health PsychologyOpen Access

Black race is linked to greater subclinical CVD via flatter diurnal and higher hair cortisol.

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Why the study?

The impact of race, environmental stress, and cortisol on subclinical cardiovascular disease had not been fully researched in children.

Are race and cortisol levels associated with subclinical cardiovascular disease markers in 9- to 11-year-old children?

Population

271 children aged 9 to 11 years (57% Black, 43% White)

Comparison

Black children vs White children

Design

Cross-sectional study

Key result

Black race was associated with flatter diurnal cortisol slopes and higher hair cortisol compared to White race, which in turn were linked to greater subclinical CVD (cfPWV indirect effect -0.059).

Authors

BGBrooks B. GumpBHBryce HruskaKHKevin S. Heffernan

Discussion

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Overview

Race-cortisol links to subclinical CVD in children support hypothesis generation; longitudinal studies needed before any clinical consideration.

Study Design

Type

Cross-Sectional (n=271)

Structured PICO

Are race and cortisol levels associated with subclinical cardiovascular disease markers in 9- to 11-year-old children?

P
Population
271 children aged 9 to 11 years (54% female, 57% Black, 43% White) assessed for the impact of race and cortisol on subclinical cardiovascular disease.
O
Outcome
Subclinical cardiovascular disease indicators: carotid-femoral pulse wave velocity (cfPWV) and carotid intima-media thickness (cIMT)surrogate

Main Result

Effect estimate: effect -0.059 (95% CI -0.116, -0.002)

In children aged 9-11 years, Black race is associated with altered cortisol profiles (greater hair cortisol and flatter diurnal slopes), which in turn correlate with greater subclinical cardiovascular disease markers such as cIMT and cfPWV.

Cite This Study

Gump et al. (2023) conducted a cross-sectional in Subclinical cardiovascular disease (n=271). Black race vs. White race was evaluated on Carotid-femoral pulse wave velocity (cfPWV) and carotid intima-media thickness (cIMT) (effect -0.059, 95% CI -0.116, -0.002). Black race was associated with flatter diurnal cortisol slopes and higher hair cortisol compared to White race, which in turn were linked to greater subclinical CVD (cfPWV indirect effect -0.059).

synapsesocial.com/papers/6a201c447a14b33c8ba1aa83https://doi.org/10.1037/hea0001300
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cumulative environmental stress and emerging cardiometabolic risk during childhood2024 · 5 citations
  2. 2Associations of Clinical and Social Risk Factors With Racial Differences in Premature Cardiovascular Disease2022 · 70 citations
  3. 3Socioeconomic Status, Race, and Diurnal Cortisol Decline in the Coronary Artery Risk Development in Young Adults (CARDIA) Study2006 · 410 citations
  4. 4The stressors of being young and Black: Cardiovascular health and Black young adults2015 · 33 citations
  5. 5Black-white differences in subclinical cardiovascular disease among older adults: The cardiovascular health study1995 · 88 citations