Abstract
The association of Type A/B behavior pattern and changes in blood pressure, total serum cholesterol, serum triglyceride, body mass, and smoking was estimated in a cohort of 375 young Black and White men and women from a rural county in Central Kentucky between 1978-79 and 1985-88. Type A participants experienced significant increases in systolic (2.90 +/- 1.29 mmHg) and diastolic (3.80 +/- 1.17 mmHg) blood pressure and in cigarette smoking (3.26 +/- 0.89 cigarettes per day) over the eight-year follow-up period, but Type B participants experienced no change. Type A and B individuals showed similar changes in total serum cholesterol, serum triglyceride, or body mass. Differences between behavioral types in blood pressure were present for women but not men, and for Blacks but not for Whites. These findings suggest a possible significance of the Type A pattern for the development of cardiovascular risk of young adults.
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Selected References
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- Bergman L. R., Magnusson D. Type A behavior: a longitudinal study from childhood to adulthood. Psychosom Med. 1986 Jan-Feb;48(1-2):134–142. doi: 10.1097/00006842-198601000-00012. [DOI] [PubMed] [Google Scholar]
- Clarke W. R., Schrott H. G., Leaverton P. E., Connor W. E., Lauer R. M. Tracking of blood lipids and blood pressures in school age children: the Muscatine study. Circulation. 1978 Oct;58(4):626–634. doi: 10.1161/01.cir.58.4.626. [DOI] [PubMed] [Google Scholar]
- Criqui M. H., Klauber M. R., Barrett-Connor E., Holdbrook M. J., Suarez L., Wingard D. L. Adjustment for obesity in studies of cardiovascular disease. Am J Epidemiol. 1982 Oct;116(4):685–691. doi: 10.1093/oxfordjournals.aje.a113451. [DOI] [PubMed] [Google Scholar]
- Dembroski T. M., MacDougall J. M., Costa P. T., Jr, Grandits G. A. Components of hostility as predictors of sudden death and myocardial infarction in the Multiple Risk Factor Intervention Trial. Psychosom Med. 1989 Sep-Oct;51(5):514–522. doi: 10.1097/00006842-198909000-00003. [DOI] [PubMed] [Google Scholar]
- Friedman M., Thoresen C. E., Gill J. J., Ulmer D., Powell L. H., Price V. A., Brown B., Thompson L., Rabin D. D., Breall W. S. Alteration of type A behavior and its effect on cardiac recurrences in post myocardial infarction patients: summary results of the recurrent coronary prevention project. Am Heart J. 1986 Oct;112(4):653–665. doi: 10.1016/0002-8703(86)90458-8. [DOI] [PubMed] [Google Scholar]
- Hubert H. B., Eaker E. D., Garrison R. J., Castelli W. P. Life-style correlates of risk factor change in young adults: an eight-year study of coronary heart disease risk factors in the Framingham offspring. Am J Epidemiol. 1987 May;125(5):812–831. doi: 10.1093/oxfordjournals.aje.a114598. [DOI] [PubMed] [Google Scholar]
- Johnson G. L., Kotchen J. M., McKean H. E., Cottrill C. M., Kotchen T. A. Blood pressure related echocardiographic changes in adolescents and young adults. Am Heart J. 1983 Jan;105(1):113–118. doi: 10.1016/0002-8703(83)90287-9. [DOI] [PubMed] [Google Scholar]
- Kotchen J. M., Kotchen T. A., Guthrie G. P., Jr, Cottrill C. M., McKean H. E. Correlates of adolescent blood pressure at five-year follow-up. Hypertension. 1980 Jul-Aug;2(4 Pt 2):124–129. [PubMed] [Google Scholar]
- Ragland D. R., Brand R. J. Type A behavior and mortality from coronary heart disease. N Engl J Med. 1988 Jan 14;318(2):65–69. doi: 10.1056/NEJM198801143180201. [DOI] [PubMed] [Google Scholar]
- Shekelle R. B., Hulley S. B., Neaton J. D., Billings J. H., Borhani N. O., Gerace T. A., Jacobs D. R., Lasser N. L., Mittlemark M. B., Stamler J. The MRFIT behavior pattern study. II. Type A behavior and incidence of coronary heart disease. Am J Epidemiol. 1985 Oct;122(4):559–570. doi: 10.1093/oxfordjournals.aje.a114135. [DOI] [PubMed] [Google Scholar]
