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. Author manuscript; available in PMC: 2014 Dec 1.
Published in final edited form as: Ann Epidemiol. 2013 Oct 5;23(12):797–811.e2. doi: 10.1016/j.annepidem.2013.09.006

Table 1.

Comparison of hair with other matrices of cortisol

Characteristics Hair Other Matrices (saliva, blood and
urine)
Length of cortisol
information
Chronic Acute
Storage Can be stored at room
temperature
Require specific storage (e.g.,
refrigeration or freezing)
Situational and
intra-individual
variability
Cortisol in hair is not easily
influenced by acute situational and
individual factors—although
evidence suggests that it might be
influenced by hair hygiene and
cosmetic related behavior (e.g.,
hair treatment and hair dyeing)
Measurements are vulnerable to
factors such as time of the day,
cigarette smoking, and acute stress
Repeated
Measurements
Less need for repeated
measurements—although some
individuals might be unwilling to
give hair
Need for repeated measurements—
expensive, burdensome for study
participants and likely to increase
incomplete sample collection and loss
to follow-up
Invasiveness Small amount of hair is needed;
not invasive
Although saliva and urine are less
invasive, obtainment of blood can be
invasive and painful for participants.

(Adapted from Stalder et al (2012) [9] and Russell et al (2012) [22]).