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American Journal of Public Health, Vol. 80, Issue 11 1354-1357, Copyright © 1990 by American Public Health Association

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The association between Type A behavior and change in coronary risk factors among young adults.

T F Garrity, J M Kotchen, H E McKean, D Gurley and M McFadden

Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington 40536-0086.

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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L. L. Yan, K. Liu, K. A. Matthews, M. L. Daviglus, T. F. Ferguson, and C. I. Kiefe
Psychosocial Factors and Risk of Hypertension: The Coronary Artery Risk Development in Young Adults (CARDIA) Study
JAMA, October 22, 2003; 290(16): 2138 - 2148.
[Abstract] [Full Text] [PDF]




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