The Prospective Contribution of Hostility Characteristics to High Fasting Glucose Levels


Show simple item record Shen, Biing-Jiun en_US Countryman, Amanda J. en_US Spiro, Avron en_US Niaura, Raymond en_US 2011-12-29T22:41:32Z 2011-12-29T22:41:32Z 2011-12-29
dc.identifier.citation Shen, Biing-Jiun, Amanda J. Countryman, Avron Spiro, Raymond Niaura. "The Prospective Contribution of Hostility Characteristics to High Fasting Glucose Levels" Diabetes Care 31(7): 1293-1298. (2008) en_US
dc.identifier.issn 1935-5548 en_US
dc.description.abstract OBJECTIVE: To assess whether psychological constructs of hostility, anger, type A behavior pattern, and depressive symptom severity 1) were associated with concurrent and prospective fasting glucose levels and 2) whether this association was moderated by marital status. RESEARCH DESIGN AND METHODS: Participants were 485 healthy men ([mean ± SD] age 59 ± 7 years) without a history of heart disease, diabetes, or taking related medications in the Veterans Affairs Normative Aging Study. Their fasting glucose levels between 1986 and 1995 were examined. Hierarchical linear regressions were conducted to investigate whether hostility, anger, type A behavior, and depressive symptoms were associated with concurrent fasting glucose levels as well as fasting glucose 9 years later, controlling for standard sociodemographic and biomedical covariates, including baseline fasting glucose, age, education, marital status, BMI, total cholesterol, and systolic blood pressure. RESULTS: Although none of the psychological variables were associated with concurrent fasting glucose, Cook-Medley hostility (β = 0.105), anger (β = 0.091), and type A behavior (β = 0.152) each were associated with prospective fasting glucose 9 years later, controlling for standard covariates. Depressive symptom severity was not associated with either concurrent or follow-up glucose levels. Further analysis showed that marital status moderated the effects of these characteristics on follow-up fasting glucose such that hostility, anger, and type A behavior were significant only among those who were not married (β = 0.348, 0.444, 0.439, respectively; all P <0.001). CONCLUSIONS: Hostility, anger, and type A behavior appear to be independent risk factors for impaired glucose metabolism among unmarried older men. en_US
dc.description.sponsorship American Heart Association; National Alliance for Research on Schizophrenia and Depression; The Mental Health Research Association; Cooperative Studies Program/Epidemiology Research and Information Center; U.S. Department of Veterans Affairs; Massachusetts Veterans Epidemiology Research and Information Center en_US
dc.language.iso en en_US
dc.publisher American Diabetes Association en_US
dc.rights Copyright 2008, American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See for details. en_US
dc.title The Prospective Contribution of Hostility Characteristics to High Fasting Glucose Levels en_US
dc.type article en_US
dc.identifier.doi 10.2337/dc07-1945 en_US
dc.identifier.pubmedid 18460671 en_US
dc.identifier.pmcid 2453669 en_US

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