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Temperament, health-related behaviors, and autonomic cardiac regulation: the cardiovascular risk in young Finns study
Authors:Puttonen Sampsa  Elovainio Marko  Kivimäki Mika  Koskinen Tuomas  Pulkki-Råback Laura  Viikari Jorma S A  Raitakari Olli T  Keltikangas-Järvinen Liisa
Affiliation:

aDepartment of Psychology, PO Box 9, University of Helsinki, FIN-00014 Helsinki, Finland

bFinnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FIN-00250 Helsinki, Finland

cNational Research and Development Centre for Welfare and Health, PO Box 220, FIN-00531 Helsinki, Finland

dInternational Centre for Health and Society, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, WC1E 6BT London, UK

eCardiorespiratory Research Unit, Kiinamyllynkatu 10, University of Turku, FIN-20520 Turku, Finland

fDepartment of Medicine, Kiinamyllynkatu 4-8, University of Turku, FIN-20520 Turku, Finland

gDepartment of Clinical Physiology, Kiinamyllynkatu 4-8, University of Turku, FIN-20521 Turku, Finland

Abstract:Temperament, as indicated by Cloninger's psychobiological model predicts coronary heart disease risk, but its association with autonomic cardiac regulation, a potential mediating mechanism, is unclear. We examined the associations between temperament traits and autonomic cardiac regulation in a resting situation in 798 women and 580 men derived from a population-based sample. After adjustment for age and sex, harm avoidance was associated with lower level of high-frequency (HF) variation, root mean square successive differences (RMSSDs), the percentage of successive R–R intervals >50 ms (pNN50) and higher heart rate (HR) (all p ≤ 0.005), suggesting that harm avoidance is related to low parasympathetic activity. Additional adjustments for behavioral factors attenuated these associations more than the adjustment for biological risk factors. Novelty seeking was associated with higher RMSSD (p = 0.007) and pNN50 (p = 0.012) and lower heart rate (p < 0.001). With adjustment for behavioral risk factors, the associations with RMSSD (p = 0.136) and pNN50 (p = 0.236) attenuated to the null, but adjustment for biological risk factors had little effect. Reward dependence and persistence were unrelated to indices of cardiac regulation.
Keywords:Temperament   Personality   Heart rate variability   Cardiac control   Temperament and character inventory   Health behaviors   Cholesterol   Blood pressure
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