Type 2 & other diabetes

Evaluation of Stress Response in Middle-Aged Male Diabetic Hypertensive Patients

J Clin Endocrinol MetabPublished Interventional study

Authors' conclusion

The arithmetic problem-solving task used with the HT&DM and HT patients was useful as an acute stress test in the laboratory environment. There was no statistically significant difference for group × time interaction factor between the HT&DM and HT groups; however, the salivary cortisol and BP values increased significantly after acute stress within each group.

Study context

Population
Patients with Hypertension (HT)&DM and HT treated in the outpatient clinic of the Medical Pharmacology and Clinical Pharmacology Department, Istanbul University, Istanbul Medical Faculty Hospital
Participants
62 patients
Comparison
HT&DM vs HT: response to acute cognitive stress
Outcome
Salivary cortisol changes in the cognitive stress response
Methodological detailsacute laboratory stress test (arithmetic task), repeated-measures ANOVA
  • Acute laboratory stress test (arithmetic task)
  • Repeated-measures ANOVA

Main finding

As reported in the abstract

Salivary cortisol level (repeated ANOVA)

Main effect of time: F (1.842, 60)

8.771

P < .0001

Further findings

OutcomeP value
SBP and DBP values between groupsBetween HT&DM and HT · SBP; no statistically significant differenceP = 0.331
SBP and DBP values between groupsBetween HT&DM and HT · DBP; no statistically significant differenceP = 0.058
Systolic blood pressure (SBP) (repeated ANOVA) — Main effect of time: F (2.185, 60) · not significant
12.080, P < .0001 · P = 0.751
Diastolic blood pressure (DBP) (repeated ANOVA) — Main effect of time: F (2.793, 60) · not significant
6.043, P = .001 · P = 0.713
Heart rate (repeated ANOVA) — Main effect of time: F (2.073, 60) · not significant
13.259, P < .0001 · P = 0.506

Original publication

Evaluation of Stress Response in Middle-Aged Male Diabetic Hypertensive Patients. J Clin Endocrinol Metab. Published 6 March 2023. doi:10.1210/clinem/dgad122

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