Key result
Higher eudaimonic wellbeing was associated with lower baseline aortic stiffness in men (β=-0.100 m/s; 95% CI -0.169 to -0.032), but not in women, with no association for 5-year change.
Why the study?
The study investigated the relationship between two distinct aspects of positive wellbeing (affective wellbeing and eudaimonia) and the progression of aortic stiffness.
Does higher affective and eudaimonic wellbeing reduce aortic stiffness and its progression in older adults?
Cohort (n=4,754)
Does higher affective and eudaimonic wellbeing reduce aortic stiffness and its progression in older adults?
Mean Difference: -0.1 (95% CI -0.169–-0.032)
Higher eudaimonic wellbeing is associated with lower baseline aortic stiffness in older men, suggesting a sex-specific relationship between positive psychological wellbeing and subclinical cardiovascular disease.
May support sex-specific link between eudaimonic wellbeing and lower baseline aortic stiffness in older men; leaves open progression and intervention effects.
This study investigated 2 distinct aspects of positive wellbeing: affective wellbeing and eudaimonia with progression of aortic stiffness, an index of subclinical cardiovascular disease. A total of 4754 participants (mean age 65.3 years, 3466 men, and 1288 women) from the Whitehall II cohort study provided data on affective and eudaimonic wellbeing using subscales from the control, autonomy, self-realization and pleasure-19 questionnaire. Aortic stiffness was measured by aortic pulse wave velocity (PWV) at baseline (2008-2009) and 5 years later (2012-2013). Linear mixed models were used to measure the effect of affective and eudaimonic wellbeing on baseline PWV and 5-year PWV longitudinal change. A 1-SD higher eudaimonic wellbeing was associated with lower baseline PWV in men (β=-0.100 m/s [95% CI=-0.169 to -0.032]), independent of social, behavioral, and biological factors. This association persisted over 5 years. No such association was found in women (β=-0.029 m/s [95% CI=-0.126 to 0.069]). We did not find any association of positive wellbeing with change in PWV over time in either men or women. In older men, higher levels of eudaimonic wellbeing were associated with lower long-term levels of arterial stiffness. These findings support the notion that the pattern of association between positive wellbeing and cardiovascular health outcomes involves eudaimonic rather than affective wellbeing and is sex-specific.
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Ikeda et al. (2020) conducted a cohort in Aortic stiffness (n=4,754). Eudaimonic and affective wellbeing vs. Lower levels of wellbeing was evaluated on Baseline PWV and 5-year PWV longitudinal change (β -0.100 m/s, 95% CI -0.169 to -0.032). Higher eudaimonic wellbeing was associated with lower baseline aortic stiffness in men (β=-0.100 m/s; 95% CI -0.169 to -0.032), but not in women, with no association for 5-year change.
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