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Ensayo controlado aleatorizado1998

Hypothalamic-pituitary-adrenocortical responses to psychological stress and caffeine in men at high and low risk for hypertension

al'Absi M, Lovallo WR, McKey B, Sung BH, Whitsett TL, Wilson MF

Psychosomatic medicine · 69 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
NHLBI NIH HHS
Subvenciones
National Heart, Lung, and Blood Institute (HL32050)

Según 2 financiadores declarados.

Publicación

Publicado
1998-01-01 · Psychosom Med · vol. 60 · número 4 · págs. 521–527
Editorial
Lippincott Williams & Wilkins
Citado
98 citas · más que el 73% de estudios similares · 1.0× el promedio de su campo
Referencias
33 trabajos
Acceso
De pago
Áreas de investigación
Stress Responses and Cortisol · Coffee research and impacts · Blood Pressure and Hypertension Studies
Palabras clave
hypothalamic-pituitary-adrenal axis, caffeine, psychological stress, hypertension risk, ACTH, cortisol, men, dietary caffeine
MeSH
pituitary-adrenal system, hypothalamo-hypophyseal system, humans, hypertension, genetic predisposition to disease, caffeine, hydrocortisone, risk factors, cross-over studies, double-blind method, stress, psychological, arousal, blood pressure, adult, male, adrenocorticotropic hormone

6 autores

  • Mustafa Al’Absi🇺🇸University of Minnesota; United States Department of Veterans Affairs; University of Minnesota, Duluth; University of Oklahoma Health Sciences Center
  • William R. Lovallo🇺🇸United States Department of Veterans Affairs; University of Oklahoma Health Sciences Center
  • Barbara S. McKey🇺🇸United States Department of Veterans Affairs; University of Oklahoma Health Sciences Center
  • Bong Hee Sung🇺🇸United States Department of Veterans Affairs; University of Oklahoma Health Sciences Center
  • Thomas L. Whitsett🇺🇸United States Department of Veterans Affairs; University of Oklahoma Health Sciences Center
  • Michael F. Wilson🇺🇸United States Department of Veterans Affairs; University of Oklahoma Health Sciences Center

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

This study examined pituitary-adrenocortical responses to dietary doses of caffeine (3.3 mg/kg, equivalent to 2 to 3 cups of coffee), alone and combined with behavioral stress, in men at high risk versus low risk for hypertension. A randomized, double-blind, caffeine-placebo crossover design was used.

Method

Adrenocorticotropic hormone (ACTH) and cortisol levels in plasma were assessed at rest and in response to 60-minutes of continuous work on a mental stressor (arithmetic) and a psychomotor task (reaction time) on four test sessions held on separate days.

Results

Tasks alone caused greater ACTH and cortisol increases in high risk men than in the low risk group. Caffeine alone elevated ACTH and cortisol in both groups, with more immediate responses in the high risk group. Both groups showed significant ACTH and cortisol responses to caffeine plus tasks, with the high risk group showing more persistent elevations. The high risk group also showed the highest levels of ACTH and cortisol after caffeine plus tasks.

Conclusions

These findings demonstrate for the first time the combined effects of caffeine plus stress on ACTH and demonstrate greater corticosteroid effects in hypertension-prone men. As such, they may have implications for the dietary use of caffeine during periods of stress and in those at risk for hypertension.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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