Talea Cornelius1, Jeffrey L Birk, Donald Edmondson, Joseph E Schwartz. 1. From the Center for Behavioral Cardiovascular Health (Cornelius, Birk, Edmondson, Schwartz), Columbia University Irving Medical Center, New York; and Applied Behavioral Medicine Research Institute (Schwartz), Stony Brook University, Stony Brook, New York.
Abstract
OBJECTIVE: Lower blood pressure (BP) during romantic partner interactions may underlie the association between romantic relationships and better long-term cardiovascular health. This secondary analysis examined the effect of momentary ambulatory BP (ABP) response to partner interactions on between-person changes in left ventricular mass index and mean systolic and diastolic BP over time. METHODS: Participants were 538 married, working adults (mean [SD] = 46.9 [8.8] years, 56.7% female) with a screening BP of ≤160/105 mm Hg. Participants completed questionnaires, 24-hour ABP monitoring, and an echocardiogram at waves 1 and 2 (mean [SD] = 6.2 [1.0] years later). Associations between ABP response to partner (versus nonpartner) interactions and cardiovascular outcomes were examined using multilevel structural equation models. RESULTS: Participants with lower diastolic BP during partner interactions at wave 1 had a lesser increase in systolic BP at wave 2 (B = 1.68, SE = 0.61, p = .006; 9.84 mm Hg differential change in systolic BP for participants at +1/-1 SD diastolic ABP response to partner interactions). Participants with lower diastolic ABP during partner-specific interactions at wave 1 also had a lesser increase in diastolic BP (B = 0.83, SE = 0.42, p = .045; 4.89 mm Hg differential change in diastolic BP at +1/-1 SD). Systolic ABP response to partner-specific interactions did not predict changes in cardiovascular outcomes; diastolic ABP response did not predict changes in left ventricular mass index. CONCLUSIONS: Momentary diastolic ABP response to partner-specific interactions may function as a mechanism underlying the cardioprotective effect of romantic relationships on long-term BP outcomes.
OBJECTIVE: Lower blood pressure (BP) during romantic partner interactions may underlie the association between romantic relationships and better long-term cardiovascular health. This secondary analysis examined the effect of momentary ambulatory BP (ABP) response to partner interactions on between-person changes in left ventricular mass index and mean systolic and diastolic BP over time. METHODS: Participants were 538 married, working adults (mean [SD] = 46.9 [8.8] years, 56.7% female) with a screening BP of ≤160/105 mm Hg. Participants completed questionnaires, 24-hour ABP monitoring, and an echocardiogram at waves 1 and 2 (mean [SD] = 6.2 [1.0] years later). Associations between ABP response to partner (versus nonpartner) interactions and cardiovascular outcomes were examined using multilevel structural equation models. RESULTS: Participants with lower diastolic BP during partner interactions at wave 1 had a lesser increase in systolic BP at wave 2 (B = 1.68, SE = 0.61, p = .006; 9.84 mm Hg differential change in systolic BP for participants at +1/-1 SD diastolic ABP response to partner interactions). Participants with lower diastolic ABP during partner-specific interactions at wave 1 also had a lesser increase in diastolic BP (B = 0.83, SE = 0.42, p = .045; 4.89 mm Hg differential change in diastolic BP at +1/-1 SD). Systolic ABP response to partner-specific interactions did not predict changes in cardiovascular outcomes; diastolic ABP response did not predict changes in left ventricular mass index. CONCLUSIONS: Momentary diastolic ABP response to partner-specific interactions may function as a mechanism underlying the cardioprotective effect of romantic relationships on long-term BP outcomes.
Authors: Joseph E Schwartz; Matthew M Burg; Daichi Shimbo; Joan E Broderick; Arthur A Stone; Joji Ishikawa; Richard Sloan; Tyla Yurgel; Steven Grossman; Thomas G Pickering Journal: Circulation Date: 2016-12-06 Impact factor: 29.690
Authors: Beate Ditzen; Janine Germann; Nathalie Meuwly; Thomas N Bradbury; Guy Bodenmann; Markus Heinrichs Journal: Psychosom Med Date: 2019-01 Impact factor: 4.312