Psychosocial distress and blood pressure among young adults: role of cortisol as mediator

Introduction: Hypertension is the most prevalent risk factor of cardiovascular diseases in Malaysia. 17.3% of hypertension cases in Malaysia is attributed to adults aged 18 to 39 years. Psychosocial distress is a possible risk factor for elevated blood pressure in young adults, and cortisol could be...

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Main Authors: Wan Omar, Wan Fatein Nabeila, Musa, Ramli, Ab Rahman, Jamalludin, Mohd Shah, Azarisman Shah, A.Talib, Norlelawati, Aung, Sithu, Abdullah, Aszrin
Format: Proceeding Paper
Language:English
Published: 2018
Subjects:
Online Access:http://irep.iium.edu.my/73872/
http://irep.iium.edu.my/73872/19/Psychosocial%20Distress%20and%20Blood%20Pressure%20among%20Young%20Adults.pdf
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author Wan Omar, Wan Fatein Nabeila
Musa, Ramli
Ab Rahman, Jamalludin
Mohd Shah, Azarisman Shah
A.Talib, Norlelawati
Aung, Sithu
Abdullah, Aszrin
author_facet Wan Omar, Wan Fatein Nabeila
Musa, Ramli
Ab Rahman, Jamalludin
Mohd Shah, Azarisman Shah
A.Talib, Norlelawati
Aung, Sithu
Abdullah, Aszrin
author_sort Wan Omar, Wan Fatein Nabeila
building IIUM Repository
collection Online Access
description Introduction: Hypertension is the most prevalent risk factor of cardiovascular diseases in Malaysia. 17.3% of hypertension cases in Malaysia is attributed to adults aged 18 to 39 years. Psychosocial distress is a possible risk factor for elevated blood pressure in young adults, and cortisol could be the mediating factor. The aim of this study is to evaluate the mediating role of cortisol in hypertension and psychosocial distress in young adults. Methods and materials: A comparative cross-sectional study was conducted in 240 young adults aged 45 years or less. The body mass index, waist circumference and blood pressure parameters were recorded. Serum cortisol, creatinine, fasting blood glucose and lipid profile were measured following acute mental stress test. Psychosocial distress was assessed using the DASS-21 questionnaire. Results: Mean (standard deviation) values for SBP, DBP, MAP were 126.0(16.3), 84.1(12.2) and 98.1(13.1) mmHg respectively. Anxiety was significantly associated with systolic blood pressure (β=0.644), diastolic blood pressure (β=0.454) and mean arterial pressure (β=0.516) after adjusting to sex, age and cortisol. However, it was not mediated by cortisol. Depression and stress were not found to have any effect on blood pressure of the young adults studied. Conclusion: The data suggests that there is no elevated risk for psychosocial distress and hypertension that cortisol poses in young adults.
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spelling iium-738722020-04-15T03:35:42Z http://irep.iium.edu.my/73872/ Psychosocial distress and blood pressure among young adults: role of cortisol as mediator Wan Omar, Wan Fatein Nabeila Musa, Ramli Ab Rahman, Jamalludin Mohd Shah, Azarisman Shah A.Talib, Norlelawati Aung, Sithu Abdullah, Aszrin QP Physiology RC321 Neuroscience. Biological psychiatry. Neuropsychiatry RC667 Specialties of Internal Medicine-Diseases of Circulatory (Cardiovascular) System Introduction: Hypertension is the most prevalent risk factor of cardiovascular diseases in Malaysia. 17.3% of hypertension cases in Malaysia is attributed to adults aged 18 to 39 years. Psychosocial distress is a possible risk factor for elevated blood pressure in young adults, and cortisol could be the mediating factor. The aim of this study is to evaluate the mediating role of cortisol in hypertension and psychosocial distress in young adults. Methods and materials: A comparative cross-sectional study was conducted in 240 young adults aged 45 years or less. The body mass index, waist circumference and blood pressure parameters were recorded. Serum cortisol, creatinine, fasting blood glucose and lipid profile were measured following acute mental stress test. Psychosocial distress was assessed using the DASS-21 questionnaire. Results: Mean (standard deviation) values for SBP, DBP, MAP were 126.0(16.3), 84.1(12.2) and 98.1(13.1) mmHg respectively. Anxiety was significantly associated with systolic blood pressure (β=0.644), diastolic blood pressure (β=0.454) and mean arterial pressure (β=0.516) after adjusting to sex, age and cortisol. However, it was not mediated by cortisol. Depression and stress were not found to have any effect on blood pressure of the young adults studied. Conclusion: The data suggests that there is no elevated risk for psychosocial distress and hypertension that cortisol poses in young adults. 2018 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/73872/19/Psychosocial%20Distress%20and%20Blood%20Pressure%20among%20Young%20Adults.pdf Wan Omar, Wan Fatein Nabeila and Musa, Ramli and Ab Rahman, Jamalludin and Mohd Shah, Azarisman Shah and A.Talib, Norlelawati and Aung, Sithu and Abdullah, Aszrin (2018) Psychosocial distress and blood pressure among young adults: role of cortisol as mediator. In: Medical Research Symposium 2018, 9th August 2018, Kuantan, Pahang. (Unpublished)
spellingShingle QP Physiology
RC321 Neuroscience. Biological psychiatry. Neuropsychiatry
RC667 Specialties of Internal Medicine-Diseases of Circulatory (Cardiovascular) System
Wan Omar, Wan Fatein Nabeila
Musa, Ramli
Ab Rahman, Jamalludin
Mohd Shah, Azarisman Shah
A.Talib, Norlelawati
Aung, Sithu
Abdullah, Aszrin
Psychosocial distress and blood pressure among young adults: role of cortisol as mediator
title Psychosocial distress and blood pressure among young adults: role of cortisol as mediator
title_full Psychosocial distress and blood pressure among young adults: role of cortisol as mediator
title_fullStr Psychosocial distress and blood pressure among young adults: role of cortisol as mediator
title_full_unstemmed Psychosocial distress and blood pressure among young adults: role of cortisol as mediator
title_short Psychosocial distress and blood pressure among young adults: role of cortisol as mediator
title_sort psychosocial distress and blood pressure among young adults: role of cortisol as mediator
topic QP Physiology
RC321 Neuroscience. Biological psychiatry. Neuropsychiatry
RC667 Specialties of Internal Medicine-Diseases of Circulatory (Cardiovascular) System
url http://irep.iium.edu.my/73872/
http://irep.iium.edu.my/73872/19/Psychosocial%20Distress%20and%20Blood%20Pressure%20among%20Young%20Adults.pdf