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中年时期乐观情绪与血脂的关系。

Relation between optimism and lipids in midlife.

机构信息

Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA, USA.

出版信息

Am J Cardiol. 2013 May 15;111(10):1425-31. doi: 10.1016/j.amjcard.2013.01.292. Epub 2013 Feb 21.

Abstract

The present research examined optimism's relation with total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides. The hypothesis that optimism is associated with a healthier lipid profile was tested. The participants were 990 mostly white men and women from the Midlife in the United States study, who were, on average, 55.1 years old. Optimism was assessed by self-report using the Life Orientation Test. A fasting blood sample was used to assess the serum lipid levels. Linear and logistic regression models examined the cross-sectional association between optimism and lipid levels, accounting for covariates such as demographic characteristics (e.g., education) and health status (e.g., chronic medical conditions). After adjusting for covariates, the results suggested that greater optimism was associated with greater high-density lipoprotein cholesterol and lower triglycerides. Optimism was not associated with low-density lipoprotein or total cholesterol. The findings were robust to a variety of modeling strategies that considered the effect of treatment of cholesterol problems. The results also indicated that diet and body mass index might link optimism with lipids. In conclusion, this is the first study to suggest that optimism is associated with a healthy lipid profile; moreover, these associations can be explained, in part, by the presence of healthier behaviors and a lower body mass index.

摘要

本研究考察了乐观与总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇和甘油三酯的关系。测试了乐观与更健康的血脂谱相关的假设。参与者是来自美国中年研究的 990 名主要是白人和女性,平均年龄为 55.1 岁。乐观通过使用生活取向测试进行自我报告评估。空腹血样用于评估血清脂质水平。线性和逻辑回归模型检查了乐观与血脂水平的横断面关联,同时考虑了人口统计学特征(例如教育)和健康状况(例如慢性疾病)等协变量。在调整协变量后,结果表明,更大的乐观与更高的高密度脂蛋白胆固醇和更低的甘油三酯有关。乐观与低密度脂蛋白或总胆固醇无关。这些发现对于各种考虑胆固醇问题治疗效果的建模策略都是稳健的。研究结果还表明,饮食和体重指数可能将乐观与脂质联系起来。总之,这是第一项表明乐观与健康的血脂谱相关的研究;此外,这些关联可以部分解释为存在更健康的行为和更低的体重指数。

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