TY - JOUR
T1 - Physical activity, stress, and cardiovascular disease risk
T2 - HCHS/SOL Sociocultural Ancillary Study
AU - Vásquez, Priscilla M.
AU - Durazo-Arvizu, Ramon A.
AU - Marquez, David X.
AU - Argos, Maria
AU - Lamar, Melissa
AU - Odoms-Young, Angela
AU - Gallo, Linda C.
AU - Sotres-Alvarez, Daniela
AU - Carríon, Violeta D.
AU - Perreira, Krista M.
AU - Castañeda, Sheila F.
AU - Isasi, Carmen R.
AU - Talavera, Gregory A.
AU - Lash, James P.
AU - Daviglus, Martha L.
N1 - Funding Information:
The authors thank the participants and staff of HCHS/SOL for their important contributions. http://www.cscc.unc.edu/hchs/PMV was funded by the T32 Training in CVD Epidemiology and Related Chronic Diseases in Minority Populations program (NIH/ NHLBI T-32-HL-125-294-01A1) to complete the present study at the University of Illinois at Chicago . PMV was most recently supported by the National Institutes of Health ( 3R01AG048642-04S1 ; P30AG059299 ; and 5T32HL079891-13 ). The Hispanic Community Health Study/Study of Latinos is a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (HHSN268201300001I/N01-HC-65233), University of Miami (HHSN268201300004I/N01-HC-65234), Albert Einstein College of Medicine (HHSN268201300002I/N01-HC-65235), University of Illinois at Chicago – HHSN268201300003I/N01-HC-65236 Northwestern Univ), and San Diego State University (HHSN268201300005I/N01-HC-65237). The following Institutes/Centers/Offices have contributed to the HCHS/SOL through a transfer of funds to the NHLBI : National Institute on Minority Health and Health Disparities , National Institute on Deafness and Other Communication Disorders , National Institute of Dental and Craniofacial Research , National Institute of Diabetes and Digestive and Kidney Diseases , National Institute of Neurological Disorders and Stroke , NIH Institution- Office of Dietary Supplements .
Funding Information:
The authors thank the participants and staff of HCHS/SOL for their important contributions. http://www.cscc.unc.edu/hchs/PMV was funded by the T32 Training in CVD Epidemiology and Related Chronic Diseases in Minority Populations program (NIH/NHLBI T-32-HL-125-294-01A1) to complete the present study at the University of Illinois at Chicago. PMV was most recently supported by the National Institutes of Health (3R01AG048642-04S1; P30AG059299; and 5T32HL079891-13). The Hispanic Community Health Study/Study of Latinos is a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (HHSN268201300001I/N01-HC-65233), University of Miami (HHSN268201300004I/N01-HC-65234), Albert Einstein College of Medicine (HHSN268201300002I/N01-HC-65235), University of Illinois at Chicago ? HHSN268201300003I/N01-HC-65236 Northwestern Univ), and San Diego State University (HHSN268201300005I/N01-HC-65237). The following Institutes/Centers/Offices have contributed to the HCHS/SOL through a transfer of funds to the NHLBI: National Institute on Minority Health and Health Disparities, National Institute on Deafness and Other Communication Disorders, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, NIH Institution-Office of Dietary Supplements. PMV developed the research question, provided the proposal and manuscript for this study to the HCHS/SOL Publications Committee, worked with RADA on all analyses, prepared the manuscript with the necessary changes based on co-authors feedback, and finalized the manuscript. RADA provided invaluable guidance to PMV throughout this study for the statistical analysis, and conducted the analyses for this work. RADA, MA, ML, AOY, MLD, and DXM were PMV's dissertation committee and were involved throughout the development of this manuscript and provided feedback at every stage of the research. VDC assisted with the statistical analysis for this work. LCG and DSA were instrumental in the development of the proposal and drafts of this manuscript. KMP, SFC, CRI, GAT, and JPL provided feedback on the manuscript that allowed for the finalization of this research. This study was part of PMV's dissertation and was a poster presentation at the 2017 AHA/EPILIFESTYLE meeting. The study website is http://www.cscc.unc.edu/hchs/ provides detailed information on data accessibility.
Publisher Copyright:
© 2020 The Authors
PY - 2020/12
Y1 - 2020/12
N2 - 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 (pinteraction = 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.
AB - 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 (pinteraction = 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.
KW - Accelerometer
KW - Cardiovascular Disease Risk Factors
KW - Hispanic
KW - Latino
KW - Physical Activity
KW - Stress
UR - http://www.scopus.com/inward/record.url?scp=85091049402&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85091049402&partnerID=8YFLogxK
U2 - 10.1016/j.pmedr.2020.101190
DO - 10.1016/j.pmedr.2020.101190
M3 - Article
AN - SCOPUS:85091049402
VL - 20
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
SN - 2211-3355
M1 - 101190
ER -