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Biomedical subjects

C M Stoney

Publications and source records attributed to C M Stoney.

40 records · Page 3Linked to original sources

Hemodynamic adjustments to laboratory stress: the influence of gender and personality.

Exaggerated cardiovascular reactivity to psychological stress is a potential pathophysiological mechanism linking behavior and cardiovascular disease. Because of the recognized gender differences in incidence of cardiovascular disease, potential gender differences in cardiovascular reactivity to laboratory stressors have been evaluated. The current study examined the cardiovascular responses of a total of 42 young women (N = 22) and men (N = 20) undergoing a laboratory protocol including the following: a nonverbal math task, a mirror tracing task, the Stroop Color-Word interference task, and an isometric handgrip task. In addition to the assessment of heart rate and blood pressure, cardiac output, stroke volume, total peripheral resistance and preejection period were assessed by impedance cardiography. A number of personality characteristics that vary in prevalence by gender were also measured to evaluate their ability to explain potential gender differences in cardiovascular responses. Results indicated that men responded with greater total peripheral resistance and systolic and diastolic blood pressure responses than did women on a subset of tasks, whereas women exhibited larger increases in heart rate on a subset of tasks. Thus, men were more likely to be "vascular" reactors, with women being more likely to be "cardiac" reactors. Personality characteristics did differ between men and women, but did not explain significant variance in the gender differences in cardiovascular responses. We conclude that additional studies should focus on experimental manipulations of potential physiological mechanisms responsible for these differences, such as reproductive hormones.

Arousal↗

Hostility and the metabolic syndrome in older males: the normative aging study.

OBJECTIVE: Several studies have shown that hostility, as measured by the Minnesota Multiphasic Personality Inventory-derived Cook-Medley Hostility Scale (Ho), is positively associated with several cardiovascular risk factors, possibly accounting for the relationship between Ho scores and cardiovascular mortality. This study was undertaken to examine associations between hostility and cardiovascular risk factors representing the metabolic syndrome in 1,081 older men who participated in the Normative Aging Study. METHODS: Subjects included men who completed the Minnesota Multiphasic Personality Inventory in 1986 and who participated in a subsequent laboratory examination within 1 to 4 years. Total and subscale Ho scores were computed, and associations with anthropometric data, cigarette smoking, dietary information, serum lipids, blood pressure, and fasting glucose and insulin levels were examined. RESULTS: The total Ho score was positively associated with waist/hip ratio, body mass index, total caloric intake, fasting insulin level, and serum triglycerides. The Ho score was inversely related to education and high-density lipoprotein cholesterol concentration. Path analysis also suggested that the effects of hostility on insulin, triglycerides, and high-density lipoprotein cholesterol were mediated by its effects on body mass index and waist/hip ratio, which, in turn, exerted their effects on lipids and blood pressure through insulin. CONCLUSIONS: The results are consistent with those of prior research and also suggest that, in older men, hostility may be associated with a pattern of obesity, central adiposity, and insulin resistance, which can exert effects on blood pressure and serum lipids. Furthermore, effects of hostility on the metabolic syndrome appear to be mediated by body mass index and waist/hip ratio.

Adult↗

Depressed mood is related to high-frequency heart rate variability during stressors.

OBJECTIVE: The purpose of this study was to examine the relationships between depressed mood and parasympathetic control of the heart in healthy men and women at rest and during two stressors. METHODS: Fifty-three healthy college students completed a laboratory stress protocol that included a baseline resting period, a challenging speech task, and a forehead cold pressor task. Depressed mood was assessed using the Beck Depression Inventory (BDI). Parasympathetic cardiac control was measured as the high-frequency (0.12-0.40 Hz) component (HF) of heart rate variability using power spectrum analysis. Blood pressure, respiration rate, and respiration amplitude were measured simultaneously. RESULTS: Participants were categorized as having a high or low depressed mood on the basis of median splits of their BDI scores. Those in the high depressed mood group had significantly greater reductions in HF during the speech task and significantly smaller increases in HF during the forehead cold pressor task than those in the low depressed mood group. Women had significantly greater reductions in HF during the speech task and smaller increases in HF during the forehead cold pressor task than men. However, gender and depressed mood did not interact to predict changes in HF. CONCLUSIONS: Depressed mood is related to the magnitude of decrease in parasympathetic cardiac control during stressors in healthy men and women. These findings extend those of previous studies, in which a similar phenomenon was observed among patients with cardiac disease. Because the participants in this study were healthy, the relationship between depressed mood and parasympathetic cardiac control does not seem to be secondary to cardiovascular disease.

Adolescent↗

Is the hypertensive rat really hyperreactive?

This study investigated the behavior of hypertensive-prone and nonhypertensive-prone rat strains to see whether there are differences in behavioral reactivity to environmental stimulation. Of primary interest was general activity, because investigators have assumed it to be an index of reactivity to environmental stimulation and to be correlated with the elevation of blood pressure in spontaneously hypertensive rats (SHR) but not in normotensive Wistar-Kyoto (WKY) rats. Therefore, general activity was assessed in SHRs and WKYs as a function of walking and rearing in an open field (Experiments 1 and 2) and crossings in a shuttlebox test (Experiments 3, 4, and 5). Activity was assessed under a constant level of environmental stimulation in the open field (Experiment 1) and shuttlebox (Experiment 3) or under varying degrees of stimulation in the open field (Experiment 2) and shuttlebox (Experiments 4 and 5). In the open field and the shuttlebox, SHR activity was above WKY activity when the degree of environmental stimulation was constant. However, when stimulation was manipulated, the SHR activity level was similar for all intensity levels, while the WKY activity was inversely related to stimulus intensity. These results suggest that while the SHRs may generally be more active than WKYs, WKYs display a greater behavioral reactivity to environmental stimulation than SHRs.

Acoustic Stimulation↗