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July 30, 2022BMC Research NotesOpen Access

Acute mental stress significantly increased ankle systolic blood pressure compared to a control task (interaction P < 0.001), with elevations sustained for 30 minutes post-stress in young healthy men.

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Why the study?

Acute mental stress increases arm BP, but whether a stress-induced pressor response also occurs in other vessels remains unclear.

Does acute mental stress increase ankle blood pressure in young healthy men?

Comparison

5-min mental stress task vs control task

Design

Pilot study

Follow-up

30 min after the task

Key result

Acute mental stress significantly increased ankle systolic blood pressure compared to a control task (interaction P < 0.001), with elevations sustained for 30 minutes post-stress in young healthy men.

Authors

DKDaisuke KumeMNMasato NishiwakiNHNorio Hotta

Discussion

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Overview

Acute mental stress may elevate ankle BP beyond brachial measures; hypothesis-generating for peripheral vascular responses and requires confirmation in larger studies.

Study Design

Type

RCT (n=56)

Multicenter

No

Structured PICO

Does acute mental stress increase ankle blood pressure in young healthy men?

P
Population
56 young, healthy male college students aged 19-24 years, free of medications and smoking, followed for 30 minutes after a mental stress task.
I
Intervention
5-minute mental stress task (mental arithmetic: serially subtracting 13 from a 3-digit number as quickly and accurately as possible, with harassment and metronome noise).
C
Comparator
5-minute control task (slowly counting upward, starting from 1, without annoying instructions or noises).
O
Outcome
Systolic and diastolic blood pressures of the posterior tibial arteries (ankle BP) measured at baseline, and 5 and 30 minutes after the task.surrogate

Main Result

Absolute Event Rate: 137% vs 132%

p-value: p=<0.001

Acute mental stress induces a sustained elevation in ankle blood pressure in young healthy men, indicating a systemic pressor response beyond just the arm.

Limitations

  • Only young men were included
  • Relatively small sample size
  • Ankle BP measurements were not taken during acute MS

Cite This Study

Kume et al. (2022) conducted an RCT in Healthy (n=56). Acute mental stress (mental arithmetic) vs. Control task (slowly counting upward) was evaluated on Ankle systolic blood pressure at 30 minutes post-task (p=<0.001). Acute mental stress significantly increased ankle systolic blood pressure compared to a control task (interaction P < 0.001), with elevations sustained for 30 minutes post-stress in young healthy men.

synapsesocial.com/papers/6a21a603582b7ad9ebabe16dhttps://doi.org/10.1186/s13104-022-06160-7
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