Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Psychosocial Stress & CV Health in Older Women

Circulation; ePub 2019 Feb 28; Burroughs-Peña, et al

In women participating in the Women’s Health Study follow-up cohort, both cumulative psychosocial stress (CPS) and ideal cardiovascular health (ICH) varies by race/ethnicity. The follow-up cohort included 25,062 women (n=24,053 white; n=256 Hispanic; n=440 black; n=313 Asian). The health metric included smoking, body mass index (BMI), physical activity, diet, blood pressure, total cholesterol, and glucose; with higher levels indicating more ideal CV health and less CV risk (score range: 0‒7). Researchers created a CPS score which summarized acute and chronic stressors and traumatic life event stress reported on a stress questionnaire administered in 2012‒2013. They found:

  • White women had the lowest mean CPS scores.
  • Mean CPS scores remained higher in Hispanic, black, and Asian women compared to white women after adjusting for age, socioeconomic status, and psychological status (depression and anxiety).
  • Mean ICH scored varies by race/ethnicity and were significantly lower in black women and higher in Asian women compared to white women.


Burroughs-Peña MS, Mbassa RS, Slopen NB, et al. Cumulative psychosocial stress and ideal cardiovascular health in older women: Data by race/ethnicity. [Published online ahead of print February 28, 2019]. Circulation. doi:10.1161/CIRCULATIONAHA.118.033915.

This Week's Must Reads

Acute Illness and Cannabis Use in Adults, Ann Intern Med; ePub 2019 Mar 26; Monte, et al

Pregnancy History and Risk of Miscarriage, BMJ; ePub 2019 Mar 20; Magnus, et al

Firearms Mortality Among US Schoolchildren, Am J Med; ePub 2019 Mar 25; Rubenstein, et al

Rapid Point of Care Test for Influenza, J Am Board Fam Med; 2019 Mar; Dale, et al

Sleep Disturbance and Chronic Pain Intensity, Clin J Pain; ePub 2019 Mar 25; Burgess, et al

Must Reads in Cardiology

Consumption of SSBs & Risk of Mortality, Circulation; ePub 2019 Mar 18; Malik, et al

Dietary Cholesterol or Egg Consumption & CVD, JAMA; 2019 Mar 19; Zhong, Van Horn, et al

Physical Activity & Incidence of CHD & CVD in Women, JAMA Netw Open; ePub 2019 Mar 15; LaCroix, et al

Intensive BP Control in Adults with Hypertension Who Smoke, JAMA Netw Open; ePub 2019 Mar 8; Scarpa, et al

Leisure-Time Physical Activity Across Adulthood, JAMA Netw Open; ePub 2019 Mar 8; Saint-Maurice, et al