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A型因素作为青少年和青年代谢综合征前驱症状变化的预测指标——一项为期3年的随访研究。

Type A factors as predictors of changes in the metabolic syndrome precursors in adolescents and young adults--a 3-year follow-up study.

作者信息

Ravaja N, Keltikangas-Järvinen L, Keskivaara P

机构信息

Department of Psychology, University of Helsinki, Finland.

出版信息

Health Psychol. 1996 Jan;15(1):18-29. doi: 10.1037//0278-6133.15.1.18.

DOI:10.1037//0278-6133.15.1.18
PMID:8788537
Abstract

The predictive associations of Type A factors with changes in some essential parameters of the cluster of disorders known as metabolic syndrome (Syndrome X) were studied during a 3-year follow-up period in 1,147 randomly selected healthy adolescents and young adults. Type A behavior was measured with the Hunter Wolf A-B Rating Scale. Physiological parameters studied were serum insulin, high-density and low-density lipoprotein cholesterol, triglycerides (TG), systolic and diastolic blood pressure, body-mass index (BMI), subscapular skinfold thickness (SSF), and centrality index. Among the Type A factors in boys and men, high baseline Aggression predicted an increase in the individual parameters of metabolic syndrome (i.e., insulin, TG, SSF, and BMI) as well as a global aggravation of the cluster of metabolic parameters. In girls and women, increases in Eagerness-Energy and Responsibility across the 3 years of follow-up predicted an increase in serum insulin and a decrease in SSF, respectively.

摘要

在对1147名随机选取的健康青少年和青年成年人进行的3年随访期间,研究了A型因素与被称为代谢综合征(X综合征)的一组疾病的某些基本参数变化之间的预测关联。A型行为通过亨特-沃尔夫A-B评定量表进行测量。所研究的生理参数包括血清胰岛素、高密度和低密度脂蛋白胆固醇、甘油三酯(TG)、收缩压和舒张压、体重指数(BMI)、肩胛下皮褶厚度(SSF)和中心性指数。在男孩和男性的A型因素中,高基线攻击性预示着代谢综合征的个体参数(即胰岛素、TG、SSF和BMI)增加,以及代谢参数组的整体恶化。在女孩和女性中,随访3年期间热情-活力和责任感的增加分别预示着血清胰岛素增加和SSF降低。

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