Vásquez Priscilla M, Durazo-Arvizu Ramon A, Marquez David X, Argos Maria, Lamar Melissa, Odoms-Young Angela, Gallo Linda C, Sotres-Alvarez Daniela, Carríon Violeta D, Perreira Krista M, Castañeda Sheila F, Isasi Carmen R, Talavera Gregory A, Lash James P, Daviglus Martha L
Department of Urban Public Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.
Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA.
Prev Med Rep. 2020 Aug 28;20:101190. doi: 10.1016/j.pmedr.2020.101190. eCollection 2020 Dec.
We assess whether the cross-sectional associations between moderate-vigorous physical activity (MVPA) and CVD risk factors are modified by various stress types. Complete baseline data from 4,000 participants, ages 18-74 years, of the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study (HCHS/SOL SCAS) were analyzed using complex survey design methods. Accelerometer-measured MVPA was assessed continuously (average minutes per day). CVD risk factors assessed were diabetes, hypercholesterolemia, hypertension, and obesity. Stress was assessed using the Chronic Burden Scale for chronic stress, Traumatic Stress Schedule for traumatic stress, and the Perceived Stress Scale for perceived stress. Poisson regression models estimated prevalence ratios of CVD risk factors. The interaction was evaluated by cross-product terms with p <0.10. There was a significant interaction between chronic stress and MVPA among those with prevalent diabetes (p = 0.09). Among those reporting low chronic stress, higher MVPA was associated with a low prevalence of diabetes, however among those reporting high chronic stress, the prevalence of diabetes remained high even with higher MVPA. We did not observe interactions between chronic stress and MVPA for the remaining CVD risk factors, or interactions between traumatic stress or perceived stress and MVPA. This study provides initial evidence on the role of chronic stress on the association between MVPA and diabetes for Hispanic/Latino adults. Mostly, however, chronic stress, traumatic stress, and perceived stress did not modify the associations between MVPA and CVD risk factors for Hispanic/Latino adults.
我们评估中度至剧烈身体活动（MVPA）与心血管疾病风险因素之间的横断面关联是否会因各种压力类型而发生改变。使用复杂的调查设计方法，对西班牙裔社区健康研究/拉丁裔社会文化辅助研究（HCHS/SOL SCAS）中4000名年龄在18 - 74岁的参与者的完整基线数据进行了分析。通过加速度计连续测量MVPA（每天平均分钟数）。评估的心血管疾病风险因素包括糖尿病、高胆固醇血症、高血压和肥胖症。使用慢性应激慢性负担量表评估慢性应激，使用创伤应激量表评估创伤应激，使用感知应激量表评估感知应激。泊松回归模型估计心血管疾病风险因素的患病率比值。通过交叉乘积项评估交互作用，p < 0.10。在患有糖尿病的人群中，慢性应激与MVPA之间存在显著交互作用（p = 0.09）。在报告慢性应激水平较低的人群中，较高的MVPA与较低的糖尿病患病率相关；然而，在报告慢性应激水平较高的人群中，即使MVPA较高，糖尿病患病率仍然很高。对于其余心血管疾病风险因素，我们未观察到慢性应激与MVPA之间的交互作用，也未观察到创伤应激或感知应激与MVPA之间的交互作用。本研究为慢性应激在西班牙裔/拉丁裔成年人MVPA与糖尿病关联中的作用提供了初步证据。然而，总体而言，慢性应激、创伤应激和感知应激并未改变西班牙裔/拉丁裔成年人MVPA与心血管疾病风险因素之间的关联。
