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July 15, 1992American Journal of Epidemiology275 citations

Hostility during Late Adolescence Predicts Coronary Risk Factors at Mid-Life

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ISIlene C. SieglerBPBercedis L. PetersonJBJohn C. Barfoot

Key Result

Higher hostility scores during college significantly predicted greater caffeine consumption, larger BMI, higher lipid ratios, and current smoking 21-23 years later (r=0.043 to 0.092).

Key Points

  • The study aims to explore how hostility in late adolescence can predict coronary risk factors in mid-life.
  • Used regression models to analyze data from 4,710 individuals measured between 1964-1990.
  • Assessed hostility using the Cook-Medley Hostility Scale during college years.
  • Evaluated coronary risk factors including body mass index, smoking, lipid ratios, and caffeine consumption.
  • Higher hostility scores predicted greater caffeine consumption (r = 0.043) and larger body mass index (r = 0.055).
  • Higher lipid ratios were associated with hostility (r = 0.092) and current smoking (r = 0.069).
  • Contemporaneous hostility was also linked to hypertension and alcohol consumption (rs from 0.043 to 0.117).

Study Design

Type

Cohort (n=4,710)

Structured PICO

Does higher hostility during late adolescence predict the development of coronary risk factors at mid-life?

P
Population
4,710 men and women who had hostility measured in college (1964-1966), with a subset of 828 having lipids measured.
I
Intervention
Higher hostility scores (measured by the Cook-Medley Hostility Scale of the Minnesota Multiphasic Personality Inventory)
C
Comparator
Lower hostility scores
O
Outcome
Coronary risk factors (caffeine consumption, body mass index, lipid ratios, smoking status) assessed 21-23 years latersurrogate

Hostility during late adolescence is significantly associated with the development of multiple coronary risk factors by mid-life, providing a potential mechanism for its link to cardiovascular disease.

Main Result

Effect estimate: r = 0.043 to 0.092

Abstract

Hostility, as measured by the Cook-Medley Hostility Scale of the Minnesota Multiphasic Personality Inventory, has been found to predict higher rates of both coronary heart disease and all-cause mortality. To evaluate one mechanism whereby hostility might contribute to health problems, the authors used regression models to determine whether hostility measured in college (1964-1966) predicted coronary risk factors assessed 21-23 years later (1987-1990) in 4,710 men and women. Of this group, 828 had lipids measured (1988-1991). Persons with higher hostility scores in college were significantly more likely at follow-up to consume more caffeine (r = 0.043), to have a larger body mass index (r = 0.055), to have higher lipid ratios (r = 0.092), and to be current smokers (r = 0.069) than those with lower hostility scores during college. Cross-sectional analyses found significant associations of contemporaneous hostility scores with the same four risk factors, as well as with alcohol consumption and hypertension (rs ranging from 0.043 to 0.117). These associations are large enough to have possible public health significance. We conclude that hostility may contribute to health problems through its influences on several coronary risk factors across the adult life span.

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Cite This Study

Siegler et al. (1992) conducted a cohort in Coronary risk factors (n=4,710). Higher hostility scores vs. Lower hostility scores was evaluated on Coronary risk factors (caffeine consumption, BMI, lipid ratios, smoking) (r = 0.043 to 0.092). Higher hostility scores during college significantly predicted greater caffeine consumption, larger BMI, higher lipid ratios, and current smoking 21-23 years later (r=0.043 to 0.092).

synapsesocial.com/papers/6a0f99a7d8c5cf602efceba5https://doi.org/10.1093/oxfordjournals.aje.a116481
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