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NHLBI study finds hostility, impatience increase hypertension risk

Impatience and hostility--two hallmarks of the "type A" behavior pattern--increase young adults' long-term risk of developing high blood pressure, according to a study funded by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health. Further, the more intense the behaviors, the greater the risk.

However, other psychological and social factors, such as competitiveness, depression, and anxiety, did not increase hypertension risk. The research appears in the October 22/29, 2003, issue of The Journal of the American Medical Association. It was conducted by scientists at the Northwestern University Feinberg School of Medicine in Chicago, the University of Pittsburgh in PA, the University of Alabama at Birmingham, and the Birmingham Veterans Affairs Medical Center.

The research is the first prospective study to examine as a group the effects of key type A behaviors, depression, and anxiety on the long-term risk for high blood pressure. Earlier studies had mostly looked at individual psychological and social behaviors, and found conflicting results.

"The notion that a 'type A' behavior pattern is 'bad' for your health has been around for many years," said NHLBI Acting Director Dr. Barbara Alving. "This study helps us understand which aspects of that behavior pattern may be unhealthy.

"High blood pressure is a complicated condition," she continued. "Biological and dietary factors are involved in its development. The study suggests that behavior and lifestyle play a role in preventing and managing the condition."

High blood pressure, also known as hypertension, is a major risk factor for heart disease, kidney disease, and congestive heart failure, and the chief risk factor for stroke. Normal blood pressure is a systolic of less than 120 millimeters of mercury (mm Hg) and a diastolic of less than 80 mm Hg; high blood pressure is a systolic of 140 mm Hg or higher, or a diastolic of 90 mm Hg or hi
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Contact: NHLBI Communications Office
301-496-4236
NIH/National Heart, Lung, and Blood Institute
21-Oct-2003


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