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Association of type D personality with unhealthy lifestyle, and estimated risk of coronary events in the general Icelandic population.
Eur J Prev Cardiol 2013; 20(2):322-30EJ

Abstract

BACKGROUND

Type D personality is associated with an increased morbidity and mortality risk in cardiovascular disease patients, but the mechanisms explaining this risk are unclear. We examined whether Type D was associated with coronary artery disease (CAD) risk factors, estimated risk of developing CAD, and previous cardiac events.

DESIGN

Cross-sectional study in the general Icelandic population.

METHODS

A random sample of 4753 individuals (mean age 49.1 ± 12.0 years; 49% men) from the REFINE-Reykjavik study completed assessments for Type D personality and conventional CAD risk factors. Ten-year risk of developing CAD was estimated with the Icelandic risk calculator.

RESULTS

Type D personality (22% of sample) was associated with a higher prevalence of hypertension (35 vs. 31%, p = 0.009), but less use of hypertension medication (58 vs. 65%, p = 0.013) in hypertensives, more diabetes (6 vs. 4%, p = 0.023), wider waist circumference (p = 0.007), and elevated body mass index (p = 0.025) and blood lipids (p < 0.05). Type D individuals reported less physical exercise (p = 0.000) and more current (26 vs. 21%, p = 0.003) and former smoking (48 vs. 44%, p = 0.036). Estimates of 10-year risk of CAD were higher in Type D individuals (12.4%, 95% CI 1.9 to 23.8%), and Type Ds reported more previous cardiac events than non-Type Ds (5 vs. 3%, p < 0.01; OR 1.71, 95% CI 1.21 to 2.42).

CONCLUSIONS

In the general Icelandic population, Type D personality was associated with differences in lifestyle-related CAD risk factors, a higher estimated risk of developing CAD, and higher incidence of previous cardiac events. Unhealthy lifestyles may partly explain the adverse cardiovascular effect of Type D personality.

Authors+Show Affiliations

CoRPS Center of Research on Psychology in Somatic diseases, Tilburg, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22383854

Citation

Svansdottir, Erla, et al. "Association of Type D Personality With Unhealthy Lifestyle, and Estimated Risk of Coronary Events in the General Icelandic Population." European Journal of Preventive Cardiology, vol. 20, no. 2, 2013, pp. 322-30.
Svansdottir E, Denollet J, Thorsson B, et al. Association of type D personality with unhealthy lifestyle, and estimated risk of coronary events in the general Icelandic population. Eur J Prev Cardiol. 2013;20(2):322-30.
Svansdottir, E., Denollet, J., Thorsson, B., Gudnason, T., Halldorsdottir, S., Gudnason, V., ... Karlsson, H. D. (2013). Association of type D personality with unhealthy lifestyle, and estimated risk of coronary events in the general Icelandic population. European Journal of Preventive Cardiology, 20(2), pp. 322-30. doi:10.1177/2047487312441723.
Svansdottir E, et al. Association of Type D Personality With Unhealthy Lifestyle, and Estimated Risk of Coronary Events in the General Icelandic Population. Eur J Prev Cardiol. 2013;20(2):322-30. PubMed PMID: 22383854.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of type D personality with unhealthy lifestyle, and estimated risk of coronary events in the general Icelandic population. AU - Svansdottir,Erla, AU - Denollet,Johan, AU - Thorsson,Bolli, AU - Gudnason,Thorarinn, AU - Halldorsdottir,Sigrun, AU - Gudnason,Vilmundur, AU - van den Broek,Krista C, AU - Karlsson,Hrobjartur D, Y1 - 2012/03/01/ PY - 2012/3/3/entrez PY - 2012/3/3/pubmed PY - 2013/8/24/medline SP - 322 EP - 30 JF - European journal of preventive cardiology JO - Eur J Prev Cardiol VL - 20 IS - 2 N2 - BACKGROUND: Type D personality is associated with an increased morbidity and mortality risk in cardiovascular disease patients, but the mechanisms explaining this risk are unclear. We examined whether Type D was associated with coronary artery disease (CAD) risk factors, estimated risk of developing CAD, and previous cardiac events. DESIGN: Cross-sectional study in the general Icelandic population. METHODS: A random sample of 4753 individuals (mean age 49.1 ± 12.0 years; 49% men) from the REFINE-Reykjavik study completed assessments for Type D personality and conventional CAD risk factors. Ten-year risk of developing CAD was estimated with the Icelandic risk calculator. RESULTS: Type D personality (22% of sample) was associated with a higher prevalence of hypertension (35 vs. 31%, p = 0.009), but less use of hypertension medication (58 vs. 65%, p = 0.013) in hypertensives, more diabetes (6 vs. 4%, p = 0.023), wider waist circumference (p = 0.007), and elevated body mass index (p = 0.025) and blood lipids (p < 0.05). Type D individuals reported less physical exercise (p = 0.000) and more current (26 vs. 21%, p = 0.003) and former smoking (48 vs. 44%, p = 0.036). Estimates of 10-year risk of CAD were higher in Type D individuals (12.4%, 95% CI 1.9 to 23.8%), and Type Ds reported more previous cardiac events than non-Type Ds (5 vs. 3%, p < 0.01; OR 1.71, 95% CI 1.21 to 2.42). CONCLUSIONS: In the general Icelandic population, Type D personality was associated with differences in lifestyle-related CAD risk factors, a higher estimated risk of developing CAD, and higher incidence of previous cardiac events. Unhealthy lifestyles may partly explain the adverse cardiovascular effect of Type D personality. SN - 2047-4881 UR - https://www.unboundmedicine.com/medline/citation/22383854/Association_of_type_D_personality_with_unhealthy_lifestyle_and_estimated_risk_of_coronary_events_in_the_general_Icelandic_population_ L2 - http://journals.sagepub.com/doi/full/10.1177/2047487312441723?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -