Journal of Behavioral Medicine

, Volume 25, Issue 1, pp 1–16 | Cite as

Anger, and Plasma Lipid, Lipoprotein, and Glucose Levels in Healthy Women: The Mediating Role of Physical Fitness

  • Aron Wolfe Siegman
  • Amy R. Malkin
  • Stephen Boyle
  • Mark Vaitkus
  • William Barko
  • Edward Franco
Article

Abstract

The association between anger, lipid profiles, and glucose levels were examined in this study of 103 middle aged, healthy women. A principal component factor analysis of Spielberger's Trait Anger and Anger Expression scales yielded two anger factors: Impulsive Anger-Out and Neurotic Anger. Impulsive anger-out significantly predicted a negative lipid profile (high total serum cholesterol (TSC), low density lipoproteins (LDL), TSC/HDL (high density lipids), and triglyceride levels) and heightened glucose levels, but only in physically unfit women. Neurotic anger did not predict lipid and glucose levels. These findings parallel previous findings regarding the two anger dimensions and CHD, with only impulsive anger-out predicting CHD. Furthermore, our findings indicate that the protective effect of physical fitness, previously documented for men, also occurs in women.

impulsive anger neurotic anger cholesterol glucose levels physical fitness 

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REFERENCES

  1. American College of Sports Medicine. (1995). ACSM's Guidelines for Exercise Testing and Prescription, 5th ed., Wilkins & Wilkins, Baltimore.Google Scholar
  2. Blumenthal, J., Emery, C. F., Walsh, M. A., Cox, D. R., Kuhn, C. M., Williams, R. B., and Williams, R. S. (1988). Exercise training in healthy Type A middle aged men: Effects of behavioral and cardiovascular responses. Psychosom. Med. 50(4): 418–433.Google Scholar
  3. Boyle, S. (2001). Dimensions of anger expression and cardiovascular reactivity: A test of the matching hypothesis, PhD Dissertation, University of Maryland, Baltimore County.Google Scholar
  4. Bricker, P. L. (1990). Anger expression, lipids, and lipoproteins, Poster presented at the Eleventh Annual Scientific Sessions of the Society of Behavioral Medicine, April 1990, Chicago, Illinois.Google Scholar
  5. Dembroski, T. M., and Costa, P. T. (1988). Assessment of coronary-prone behavior: A current overview. Ann. Behav. Med. 10: 60–63.Google Scholar
  6. Dembroski, T. M., MacDougall, J. M., Costa, P. T., and Grandits, G. A. (1989). Components of hostility as predictors of sudden death in the Multiple Risk Factor Intervention Trial. Psychosom. Med. 51: 514–522.Google Scholar
  7. Dujovne, V. F., Houston, B. K., and Holleran, S. A. (1991). Hostility-related variables and plasma lipid levels. J. Behav. Med. 14: 555–565.Google Scholar
  8. Engebretson, T. O., and Stoney, C.M. (1995). Anger expression and lipid concentrations. Int. J. Behav. Med. 2: 281–298.Google Scholar
  9. Forgays, D. K., Spielberger, C. D., Ottaway, S. A., and Forgays, D. G. (1998). Factor structure of the state-trait anger expression inventory for middle-aged men and women. Assessment 5: 141–155.Google Scholar
  10. Fuqua, D. R., Leonard, E., Masters, M. A., Smith, R. J., Campbell, J. L., and Fisher, P.C. (1991).A structural analysis of the StateTrait Anger Expression Inventory. Educ. Psychol. Measurem. 51: 439–446.Google Scholar
  11. Greene, R. E., Houston, B. K., and Holleran, S. A. (1995). Aggressiveness, dominance, developmental factors, and serum cholesterol level in college males. J. Behav. Med., 569–580.Google Scholar
  12. Helmig, L., Houston, B. K., Vavak, C. R., and Mullin, J. (1991). Hostility related variables, self-schemata, and CHD. Paper presented at the Meetings of the Society for Behavioral Medicine,Washington, DC.Google Scholar
  13. Johnson, E. H., Collins, P., Nazzaro, P., and Gilbert (1992). Psychological and physiological predictors of lipids in black males. J. Behav. Med. 15: 285–298.Google Scholar
  14. Kannel, W. B., Castelli, W. P., and Gordon, T. (1979). Cholesterol in the prediction of atherosclerotic disease: New perspectives based on the Framingham Study. Ann. Intern. Med. 90: 85–91.Google Scholar
  15. Kawachi, I., Sparrow, D., Spiro, A., Vokonas, P., and Weiss, S. T. (1996). A prospective study of anger and coronary heart disease: The Normative Aging Study. Circulation 94: 2090–2095.Google Scholar
  16. Lippel, K., Tyroler, H., Eder, H., Gotto, A., and Vahouny, G. (1981). Meeting summary: Relationship of hypertriglygeridemia to atherosclerosis. Atherosclerosis 1: 406–417.Google Scholar
  17. Matthews, K. A., Glass, D. C., Rosenman, R. H., and Bortner, R.W. (1977). Competitive drive, pattern A, and coronary heart disease: A further analysis of some data from the Western Collaborative Group Study. J. Chron. Dis. 30: 489–498.Google Scholar
  18. Mendes de Leon, C. F. (1992). Anger and impatience/irritability in patients of low socioeconomic status with acute coronary heart disease. J. Behav. Med. 15: 273–284.Google Scholar
  19. Mittleman, M. A., Maclure, M., Sherwood, J. B., Mubry, R. P., Tofler, M. B., Friedman, R., Benson, H., and Muller, J. E. (1995). Triggering of acute myocardial infarction onset by episodes of anger. Circulation 92: 1720–1726.Google Scholar
  20. Muller, M. M., Rau, H., Brody, S., Elbert, T., and Heinler, H. (1995). The relationship between habitual anger coping style and serum lipid and lipoprotein concentrations. Biol. Psychol. 41: 69–81.Google Scholar
  21. Raikkonen, K., Keltikang-Jarvinen, L., and Hautanene, A. (1994). The role of psychological coronary risk factors in insulin and glucose metabolism. J. Psychosom. Med. 38: 705–713. 16 Siegman, Malkin, Boyle, Vaitkus, Barko, and FrancoGoogle Scholar
  22. Siegman, A. W. (1987). In search of coronary prone behavior. In R. Rieber (Ed.), Man, Communication, and Society: Essays in Honor of Gregory Bateson, Cambridge University Press, Cambridge.Google Scholar
  23. Siegman, A. W. (1996). Young Adults' Anger and Anxiety Levels as a Function of Parental Childrearing Style, Unpublished manuscript, Department of Psychology, University of Maryland, Baltimore County.Google Scholar
  24. Siegman, A. W., and Cappel Snow, S. (1997). The outward expression of anger, the inward experience of anger and CVR: The role of vocal expression. J. Behav. Med. 20: 29–45.Google Scholar
  25. Siegman, A. W., Dembroski, T. M., and Ringel, N. (1987). Components of hostility and the severity of coronary artery disease. Psychosom. Med. 49: 127–135.Google Scholar
  26. Siegman, A. W., Townsend, S. T., Blumenthal, R. S., Sorkin, J. D., and Civelek, A. C. (1998). Dimensions of anger and CHD in men and women: Self-ratings versus spouse ratings. J. Behav. Med. 21: 315–336.Google Scholar
  27. Spielberger, C. D. (1988). Manual for the State-Trait Anger Expression Inventory (STAXI), Psychological Assessment Resources, Inc., Odessa, FL.Google Scholar
  28. Spielberger, C. D., Jacobs, G. A., Russel, S. F., and Crane, R. J. (1983). Assessment of anger: The State-Trait Anger Scale. In Butcher, J., and Spielberger, C. D. (Eds.), Advances in Personality Assessment, Vol. 2, Erlbaum, Hillsdale, NJ, pp. 161–189.Google Scholar
  29. Spielberger, C.D., Reheiser, E. C., and Sydeman, S. J. (1995). Measuring the experience, expression, and control of anger. In Kassinove, H. (Ed.), Anger Disorders: Definitions, Diagnosis, and Treatment, Taylor & Francis, Washington, DC.Google Scholar
  30. Suarez, E. C., Bates, B. A., and Harralson, T. L. (1998). The relation of hostility to lipids and lipoproteins in women: Evidence for the role of antagonistic hostility. Ann. Behav. Med. 20: 59–63.Google Scholar
  31. Vitalliano, P. R., Scanlan, J. M., Kranz, C., and Fujimoto, W. (1996). Insulin and glucose: Relationships with hassles, anger, and hostility on nondiabetic older adults. Psychosom. Med. 58: 489–499.Google Scholar
  32. Waldstein, S. R., Manuck, S. B., Backen, E. A., Muldoon, M. F., and Bricker, P. L. (1990). Anger expression, lipids, and lipoproteins. Poster presented at the Eleventh Annual Scientific Sessions of the Society of Behavioral Medicine, April 1990, Chicago, Illinois.Google Scholar
  33. Waldstein, S. R., Polefrone, J. M., Backen, E. A., Muldoon, M. F., Kaplan, J. R., and Manuck, S. B. (1993). J. Psych. Res. 37: 249–256.Google Scholar
  34. Williams, J. E., Paton, D. C., Siegler, I. C., Eigenbrodt, M. L., Nieto, F. J., and Tyroler, H. A. (2000). Anger proneness predicts coronary heart disease risk: Prospective analysis from the Atherosclerosis Risk in Communities (ARIC) Study. Circulation 101: 2034–2039.Google Scholar
  35. Wilson, W. F. (1989). The epidemiology of hypercholesterolemia: A global perspective. Am. J. Med. (Suppl. 4A): 5S–13S.Google Scholar
  36. Wolthius, R. A., Froelicker, V. F., Fisher, J., Noguera, I., Davis, G., Stewart, A. J., and Triebovasser, J. H. (1977). New practical treadmill protocol for clinical use. Am. J. Cardiol. 39: 697–700.Google Scholar

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • Aron Wolfe Siegman
    • 1
    • 2
  • Amy R. Malkin
    • 1
    • 2
  • Stephen Boyle
    • 1
    • 2
  • Mark Vaitkus
    • 1
    • 2
  • William Barko
    • 1
    • 2
  • Edward Franco
    • 1
    • 2
  1. 1.University of MarylandBaltimore County
  2. 2.U.S. Army Physical Fitness Research InstituteCarlisle

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