Evidence map›Paper›PMID 29298716›Full record

ArticleLipids in health and disease2018

Persistently high psychological well-being predicts better HDL cholesterol and triglyceride levels: findings from the midlife in the U.S. (MIDUS) longitudinal study.

Barry T Radler, Attilio Rigotti, Carol D Ryff

Open access · goldAbstract read
In one paragraph

Article in Lipids in health and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
14.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 110 citations in OpenAlex.

  1. Trial
  2. Trial
  3. The association of environmental mastery and diabetes distress among young adults with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2025
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  7. Are there sociodemographic-specific associations of coping with heart disease and diabetes incidence?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
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  11. The Cardiovascular Cost of Silence: Relationships Between Self-silencing and Carotid Atherosclerosis in Midlife Women.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
    Article
  12. Article
  13. Is more, better? Relationships of multiple psychological well-being facets with cardiometabolic disease.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  14. Psychological resilience predicting cardiometabolic conditions in adulthood in the Midlife in the United States Study.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
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  17. Linking Amygdala Persistence to Real-World Emotional Experience and Psychological Well-Being.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
  18. Mediterranean Lifestyle to Promote Physical, Mental, and Environmental Health: The Case of Chile.International journal of environmental research and public health · 2020
    Review
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Barry T RadlerUniversity of Wisconsin-Madison Institute on Aging, 2245 Medical Science Center, Madison, WI, 53703, USA. bradler@wisc.edu.ORCID http://orcid.org/0000-0001-6217-9737
Attilio RigottiDepartamento de Gastroenterología, Pontificia Universidad Católica, Marcoleta #367, interior, Santiago, Chile.
Carol D RyffUniversity of Wisconsin-Madison Institute on Aging, 2245 Medical Science Center, Madison, WI, 53703, USA.
University of Wisconsin–Madison · USPontificia Universidad Católica de Chile · CL

Funding

U19 MIDlife in the United States-Diversity Supplement-WellsU19AG051426 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CHRISTOPHER L COE · 2016 to 2026
$74.8M
STATISTICS COREP01AG020166 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI RYFF, CAROL D. · 2002 to 2015
$50.6M
National Institute on Aging (US) P01-AG020166NIA NIH HHS P01 AG020166NIA NIH HHS U19 AG051426
6 · The paper itself

Abstract

backgroundPsychological correlates of blood lipid levels have been previously evaluated mostly in cross sectional studies. However, prospectively measured psychological factors might also predict favorable blood lipid profiles, thereby indicating a healthy mind/body interplay that is associated with less disease, better health and longer lives.

methodsThis paper examined whether longitudinal profiles of psychological well-being over 9-10 years are predictors of blood lipid profiles. Using the MIDUS (Midlife in the U.S.) biological subsample (n = 1054, aged 34 to 84, 55% female), cross-time trajectories of well-being were linked with three lipid outcomes (i.e., HDL cholesterol, triglycerides, and LDL cholesterol), measured for the first time at the 2nd wave of the study.

resultsMost adults showed largely stable profiles of well-being, albeit at different levels. Some showed persistently high well-being over time, while others revealed persistently low or moderate well-being. After adjusting for the effect of demographics, health behaviors, medications, and insulin resistance, adults with persistently high levels of environmental mastery and self-acceptance-two components of psychological well-being-had significantly higher levels of HDL as well as significantly lower levels of triglycerides compared to adults with persistently low levels of well-being. Converging with prior findings, no association was found between well-being and LDL cholesterol.

conclusionsOver 9-10 years, persistently high levels of psychological well-being measures predicted high HDL cholesterol and low triglycerides. These findings add longitudinal evidence to the growing body of research showing that positive psychological factors are linked with better lipoprotein profiles. A better blood lipid profile, particularly higher HDL-C, may be key in mediating how psychological well-being positively impacts health and length of life. Additional research is required to further validate this hypothesis as well as to establish potential underlying mechanisms.

Indexed as

Resilience, PsychologicalAdultAgedAged, 80 and overCholesterol, HDLCholesterol, LDLCross-Sectional StudiesFemaleHumansInsulin ResistanceLongitudinal StudiesMaleMiddle AgedQuality of LifeRisk FactorsSelf ConceptCholesterol, HDLCholesterol, LDLTriglyceridesBiomarkersCumulative trajectoriesHDL cholesterolLDL cholesterolLipidsLongitudinal studyMIDUSPsychological well-beingTriglycerides

Identifiers

PMID29298716
PMCPMC5751819
OpenAlexW2781908500

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.