Socioeconomic position, stress, and cortisol in relation to waist circumference in African American and White women

Peter T. Baltrus, Ruth Shim, Jaile Ye, Leah Watson, Sharon K. Davis

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: Abdominal fat deposition has been shown to be related to hypertension, dyslipidemia and diabetes. Studies have shown a correlation between cortisol (a stress hormone) and abdominal fat deposition. Low socioeconomic position (SEP) has also been shown to be related to abdominal fat deposition. It is hypothesized that chronic stress associated with low SEP leads to high cortisol levels which in turn lead to abdominal fat deposition. Previous research in this area has included mainly European subjects. The purpose of this study was to examine the evidence for the SEP-chronic stress-cortisol-abdominal fat hypothesis in a sample of African American and White American women. Design: Data from the Regional Assessment Health Surveillance Study (RAHSS), a survey and physical examination of a representative sample of African American and White adults residing in six counties in Georgia, were utilized. The study population included 111 African American and 119 White women. Abdominal fat deposition was measured by waist circumference (inches). Education and income were the measures of SEP. Other exposures examined included serum cortisol, self-reported daily stress level, cigarette smoking, marital status, and number of children. Associations were examined using multiple linear regression models adjusted for age and body mass index (BMI). Results: Among White women, less-educated women had a waist circumference 2.22 inches larger (P<.05) than more highly educated women. Among African American women, separated or divorced women (+2.29 in, P<.05) and widowed women (+3.13 in, P<.01) had larger waist circumferences than married women. No other factors were significantly associated with waist circumference. Conclusions: The SEP-chronic stress abdominal fat accumulation hypothesis was only partially supported by the data. Different stressors and pathways may be important in producing abdominal fat accumulation in African American and White women.

Original languageEnglish (US)
Pages (from-to)376-382
Number of pages7
JournalEthnicity and Disease
Volume20
Issue number4
StatePublished - Sep 1 2010
Externally publishedYes

Fingerprint

Waist Circumference
Abdominal Fat
African Americans
Hydrocortisone
Linear Models
Widowhood
Divorce
Marital Status
Dyslipidemias
Physical Examination
Body Mass Index
Smoking
Hormones
Hypertension
Education
Health

Keywords

  • Cortisol
  • HPA
  • Obesity
  • SEP
  • SES
  • Socioeconomic
  • Stress
  • Waist circumference

ASJC Scopus subject areas

  • Epidemiology
  • Medicine(all)

Cite this

Socioeconomic position, stress, and cortisol in relation to waist circumference in African American and White women. / Baltrus, Peter T.; Shim, Ruth; Ye, Jaile; Watson, Leah; Davis, Sharon K.

In: Ethnicity and Disease, Vol. 20, No. 4, 01.09.2010, p. 376-382.

Research output: Contribution to journalArticle

Baltrus, Peter T. ; Shim, Ruth ; Ye, Jaile ; Watson, Leah ; Davis, Sharon K. / Socioeconomic position, stress, and cortisol in relation to waist circumference in African American and White women. In: Ethnicity and Disease. 2010 ; Vol. 20, No. 4. pp. 376-382.
@article{d3503fd96a67442898664d1c58f5f5f3,
title = "Socioeconomic position, stress, and cortisol in relation to waist circumference in African American and White women",
abstract = "Objective: Abdominal fat deposition has been shown to be related to hypertension, dyslipidemia and diabetes. Studies have shown a correlation between cortisol (a stress hormone) and abdominal fat deposition. Low socioeconomic position (SEP) has also been shown to be related to abdominal fat deposition. It is hypothesized that chronic stress associated with low SEP leads to high cortisol levels which in turn lead to abdominal fat deposition. Previous research in this area has included mainly European subjects. The purpose of this study was to examine the evidence for the SEP-chronic stress-cortisol-abdominal fat hypothesis in a sample of African American and White American women. Design: Data from the Regional Assessment Health Surveillance Study (RAHSS), a survey and physical examination of a representative sample of African American and White adults residing in six counties in Georgia, were utilized. The study population included 111 African American and 119 White women. Abdominal fat deposition was measured by waist circumference (inches). Education and income were the measures of SEP. Other exposures examined included serum cortisol, self-reported daily stress level, cigarette smoking, marital status, and number of children. Associations were examined using multiple linear regression models adjusted for age and body mass index (BMI). Results: Among White women, less-educated women had a waist circumference 2.22 inches larger (P<.05) than more highly educated women. Among African American women, separated or divorced women (+2.29 in, P<.05) and widowed women (+3.13 in, P<.01) had larger waist circumferences than married women. No other factors were significantly associated with waist circumference. Conclusions: The SEP-chronic stress abdominal fat accumulation hypothesis was only partially supported by the data. Different stressors and pathways may be important in producing abdominal fat accumulation in African American and White women.",
keywords = "Cortisol, HPA, Obesity, SEP, SES, Socioeconomic, Stress, Waist circumference",
author = "Baltrus, {Peter T.} and Ruth Shim and Jaile Ye and Leah Watson and Davis, {Sharon K.}",
year = "2010",
month = "9",
day = "1",
language = "English (US)",
volume = "20",
pages = "376--382",
journal = "Ethnicity and Disease",
issn = "1049-510X",
publisher = "ISHIB",
number = "4",

}

TY - JOUR

T1 - Socioeconomic position, stress, and cortisol in relation to waist circumference in African American and White women

AU - Baltrus, Peter T.

AU - Shim, Ruth

AU - Ye, Jaile

AU - Watson, Leah

AU - Davis, Sharon K.

PY - 2010/9/1

Y1 - 2010/9/1

N2 - Objective: Abdominal fat deposition has been shown to be related to hypertension, dyslipidemia and diabetes. Studies have shown a correlation between cortisol (a stress hormone) and abdominal fat deposition. Low socioeconomic position (SEP) has also been shown to be related to abdominal fat deposition. It is hypothesized that chronic stress associated with low SEP leads to high cortisol levels which in turn lead to abdominal fat deposition. Previous research in this area has included mainly European subjects. The purpose of this study was to examine the evidence for the SEP-chronic stress-cortisol-abdominal fat hypothesis in a sample of African American and White American women. Design: Data from the Regional Assessment Health Surveillance Study (RAHSS), a survey and physical examination of a representative sample of African American and White adults residing in six counties in Georgia, were utilized. The study population included 111 African American and 119 White women. Abdominal fat deposition was measured by waist circumference (inches). Education and income were the measures of SEP. Other exposures examined included serum cortisol, self-reported daily stress level, cigarette smoking, marital status, and number of children. Associations were examined using multiple linear regression models adjusted for age and body mass index (BMI). Results: Among White women, less-educated women had a waist circumference 2.22 inches larger (P<.05) than more highly educated women. Among African American women, separated or divorced women (+2.29 in, P<.05) and widowed women (+3.13 in, P<.01) had larger waist circumferences than married women. No other factors were significantly associated with waist circumference. Conclusions: The SEP-chronic stress abdominal fat accumulation hypothesis was only partially supported by the data. Different stressors and pathways may be important in producing abdominal fat accumulation in African American and White women.

AB - Objective: Abdominal fat deposition has been shown to be related to hypertension, dyslipidemia and diabetes. Studies have shown a correlation between cortisol (a stress hormone) and abdominal fat deposition. Low socioeconomic position (SEP) has also been shown to be related to abdominal fat deposition. It is hypothesized that chronic stress associated with low SEP leads to high cortisol levels which in turn lead to abdominal fat deposition. Previous research in this area has included mainly European subjects. The purpose of this study was to examine the evidence for the SEP-chronic stress-cortisol-abdominal fat hypothesis in a sample of African American and White American women. Design: Data from the Regional Assessment Health Surveillance Study (RAHSS), a survey and physical examination of a representative sample of African American and White adults residing in six counties in Georgia, were utilized. The study population included 111 African American and 119 White women. Abdominal fat deposition was measured by waist circumference (inches). Education and income were the measures of SEP. Other exposures examined included serum cortisol, self-reported daily stress level, cigarette smoking, marital status, and number of children. Associations were examined using multiple linear regression models adjusted for age and body mass index (BMI). Results: Among White women, less-educated women had a waist circumference 2.22 inches larger (P<.05) than more highly educated women. Among African American women, separated or divorced women (+2.29 in, P<.05) and widowed women (+3.13 in, P<.01) had larger waist circumferences than married women. No other factors were significantly associated with waist circumference. Conclusions: The SEP-chronic stress abdominal fat accumulation hypothesis was only partially supported by the data. Different stressors and pathways may be important in producing abdominal fat accumulation in African American and White women.

KW - Cortisol

KW - HPA

KW - Obesity

KW - SEP

KW - SES

KW - Socioeconomic

KW - Stress

KW - Waist circumference

UR - http://www.scopus.com/inward/record.url?scp=79952676055&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952676055&partnerID=8YFLogxK

M3 - Article

C2 - 21305825

AN - SCOPUS:79952676055

VL - 20

SP - 376

EP - 382

JO - Ethnicity and Disease

JF - Ethnicity and Disease

SN - 1049-510X

IS - 4

ER -