Evidence map›Paper›PMID 29377738›Full record

ArticleJournal of women's health (2002)2018

Psychological Factors and Their Association with Ideal Cardiovascular Health Among Women and Men.

Lena Mathews, Oluseye Ogunmoroti, Khurram Nasir, Roger S Blumenthal, Ovie A Utuama, Maribeth Rouseff, Sankalp Das, Emir Veledar, Theodore Feldman, Arthur Agatston and 2 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of women's health (2002), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Chronic Stress and Cardiovascular Health: The MESA and MASALA Studies.American journal of preventive medicine · 2026
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  15. Association of Psychosocial Factors on COVID-19 Testing among YWCA Service Recipients.International journal of environmental research and public health · 2023
    Article
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  18. 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

12 authors at 3 institutions in 1 country.

Lena Mathews1 Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Oluseye Ogunmoroti2 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.
Khurram Nasir1 Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Roger S Blumenthal1 Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Ovie A Utuama3 Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida , Tampa, Florida.
Maribeth Rouseff4 Wellness Advantage Administration, Baptist Health South Florida , Miami, Florida.
Sankalp Das4 Wellness Advantage Administration, Baptist Health South Florida , Miami, Florida.
Emir Veledar2 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.
Theodore Feldman2 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.
Arthur Agatston2 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.
Di Zhao1 Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Erin D Michos1 Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Baptist Hospital of Miami · USJohns Hopkins University · USUniversity of South Florida · US

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
NHLBI NIH HHS T32 HL007024
6 · The paper itself

Abstract

backgroundThe cardiovascular effects of stress and other psychological factors may be different between women and men. We assessed whether self-perceived adverse psychological factors were associated with achievement of ideal cardiovascular health (CVH) as measured by the American Heart Association's Life's Simple Seven (LS7) and whether this differed by sex.

methodsThis was a cross-sectional study of employees from a large healthcare organization. The LS7 metrics (smoking, physical activity, diet, body mass index, blood pressure, cholesterol, and glucose) were each scored as ideal (2), intermediate (1), or poor (0). Total scores were categorized as optimal (11-14), average (9-10), and inadequate (0-8). Using logistic regression, we tested whether psychological factors obtained by questionnaire (self-perceived stress, low life satisfaction, hopelessness, sadness, depression, and anxiety) were associated with CVH, after adjustment for age, ethnicity, and education.

resultsAmong 9,056 participants, the mean (SD) age was 43 (12) years, 74% were women, 57% Hispanic/Latino, 17% white, and 16% black. Stress was associated with reduced odds of having optimal/average CVH [OR 0.58 (95% CI 0.50-0.66) and 0.63 (0.50-0.81), for women and men, respectively]. Similarly, depression was associated with reduced odds of optimal/average CVH [0.58 (0.43-0.78) and 0.44 (0.26-0.76), for women and men, respectively]. Low life satisfaction, hopelessness, sadness, and anxiety were also associated with statistically significantly lower odds of optimal/average CVH in women, but not in men; however, there were no interactions by sex.

conclusionsIn an ethnically diverse population, both women and men with several adverse self-perceived psychological factors were less likely to have optimal or adequate CVH. Future studies are needed to determine whether addressing psychological stressors can improve CVH.

Indexed as

Personal SatisfactionStress, PsychologicalAdultAgedAnxietyBlood PressureCardiovascular DiseasesCross-Sectional StudiesDepressionFemaleFloridaHumansLife StyleMaleMiddle AgedRisk Factorsgender differencesideal cardiovascular healthLife's Simple 7psychological factorssex differencesstress

Identifiers

PMID29377738
PMCPMC5962331
OpenAlexW2786955306

What OpenQuestion holds

Textmetadata
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.