Type D personality and the risk of coronary heart disease in obese patients

Jukić, Tomislav (author), Ihan, Alojz (author), Pavlović, Lana (author), Strojnik, Vojko (author), Štubljar, David (author), Starc, Andrej (author)

The aim of the paper is to analyze the association between heart function among obese patients and Type D personality to predict the potential risk for coronary heart disease (CHD). Overall, 30 obese patients were evaluated for the DS14 score. Body mass with body mass index (BMI), systolic and diastolic blood pressure, heart rate (HR), and heart rate variability (HRV) were measured before and after a 3-month period. Half of the subjects had been instructed to exercise 4-times weakly (walking 5 km/h) for an hour, the other half did not exercise. Additionally, STAX-1, SWLS, and QOLLTI-P questionnaires had been used. All participants had a normal CRP and sedimentation rate at the enrolment and after 3-month follow up. None of the psychological tests (STAX-1, SWLS and QLLTI-P) showed statistical difference in results between June and October. Participants who exercised showed lower HR compared to participants who did not exercise. Obese patients with high DS14 score showed reduced HRV as an additional risk factor for the future cardiovascular and other stress-related diseases. Type D personality was associated with an increased risk of CHD proved by the HRV measures when the individual was not exercising. Thus, individual personality in fact correlates to autonomic regulation of the heart.

• Language: English
• Keywords: coronary disease, medical anthropology, exercise, obesity, type D personality
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: ZF - Faculty of Health Sciences; MF - Faculty of Medicine
• Publication status: Published
• Publication version: Version of Record
• Publication date: 15.12.2022
• Year: 2022
• Number of pages: Str. 263-269
• Numbering: Vol. 46, no. 4
• PID: 20.500.12556/RUL-143630
• UDC: 616.1
• ISSN on article: 0350-6134
• DOI: 10.5671/ca.46.4.1
• COBISS.SI-ID: 136051203
• Publication date in RUL: 04.01.2023

Record is a part of a journal

• Title: Collegium antropologicum
• Shortened title: Coll. antropol.
• Publisher: Croatian Anthropological Society
• ISSN: 0350-6134
• COBISS.SI-ID: 5247234

Licences

• License: CC BY 3.0, Creative Commons Attribution 3.0 Unported
• Link: https://creativecommons.org/licenses/by/3.0/deed.en
• Description: You are free to reproduce and redistribute the material in any medium or format. You are free to remix, transform, and build upon the material for any purpose, even commercially. You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
• Licensing start date: 15.12.2022

Secondary language

• Language: Croatian
• Title: Tip D ličnosti i rizik od koronarne bolesti srca u pretilih pacijenata

Abstract

Cilj rada je analizirati povezanost između srčane funkcije kod pretilih pacijenata i osobina ličnosti tipa D kako bi se predvidio potencijalni rizik za koronarnu bolest srca (CHD). Tip DS14 je procijenjen u ukupno 30 pretilih pacijenata. Tjelesna masa s indeksom tjelesne mase (BMI), sistolički i dijastolički krvni tlak, broj otkucaja srca (HR) i varijabilnost otkucaja srca (HRV) mjereni su prije i nakon tromjesečnog razdoblja. Polovica ispitanika dobila je upute da vježba 4 puta lakše hodanje (5 km/h) po sat vremena, druga polovica nije vježbala. Dodatno su korišteni STAX-1, SWLS i QOLLTI-P upitnici. Svi su sudionici imali normalan CRP i brzinu sedimentacije na početku studije i nakon 3 mjeseca praćenja. Nijedan psihološki test (STAX-1, SWLS i QLLTI-P) nije pokazao statističku razliku između rezultata u lipnju i listopadu. Ispitanici koji su vježbali imali su niži HR u usporedbi sa sudionicima koji nisu vježbali. Pretili pacijenti s visokim re-zultatom DS14 pokazali su smanjen HRV kao dodatni čimbenik rizika za buduće kardiovaskularne i druge bolesti povezane sa stresom. Ličnost tipa D bila je povezana s povećanim rizikom od CHD-a, a to je dokazano mjerenjem HRV-a kada osoba nije vježbala. Rezultati ukazuju da je individualni tip ličnosti zapravo u korelaciji s autonomnom regulacijom srca.

• Keywords: koronarna bolezen, medicinska antropologija, vadba, debelost, tip D osebnosti