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pubmed-article:16250713pubmed:abstractTextCardiovascular mortality rates of middle-aged men are 4 times higher in Lithuania than in Sweden The difference is not explained by standard risk factors, but our previous findings of pronounced psychosocial stress in Lithuanian men offer a possible explanation. We investigated cortisol and cardiovascular reactivity to a standardized laboratory stress test in population-based random samples of 50-year-old men from Vilnius, Lithuania and Linköping, Sweden. Repeated measures analysis of variance showed that cortisol responses differed between cities (p's < .0001). Mean change of serum cortisol from baseline to 30 min was 18.1 and 88.4 nmol/1 for Vilnius and Linkoping men, respectively (p < .001). In a multivariate analysis, a low peak cortisol response was significantly related to high baseline cortisol, current smoking, and vital exhaustion. The findings suggest a physiological mechanism of chronic psychosocial stress, which may contribute to increased risk for cardiovascular death.lld:pubmed
pubmed-article:16250713pubmed:languageenglld:pubmed
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pubmed-article:16250713pubmed:authorpubmed-author:OlssonA GAGlld:pubmed
pubmed-article:16250713pubmed:authorpubmed-author:BergdahlBBlld:pubmed
pubmed-article:16250713pubmed:authorpubmed-author:Orth-GomérKKlld:pubmed
pubmed-article:16250713pubmed:authorpubmed-author:KristensonMMlld:pubmed
pubmed-article:16250713pubmed:authorpubmed-author:KucinskienëZZlld:pubmed
pubmed-article:16250713pubmed:authorpubmed-author:CalkauskasHHlld:pubmed
pubmed-article:16250713pubmed:authorpubmed-author:BalinkynieneI...lld:pubmed
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pubmed-article:16250713pubmed:pagination17-30lld:pubmed
pubmed-article:16250713pubmed:year1998lld:pubmed
pubmed-article:16250713pubmed:articleTitleAttenuated cortisol response to a standardized stress test in Lithuanian versus Swedish men: the LiVicordia study.lld:pubmed
pubmed-article:16250713pubmed:affiliationDepartment of Environment and Health, Facutly of Health Sciences, Linköping University, Linköping, Sweden. Margareta.Kristenson@fhvc.lio.selld:pubmed
pubmed-article:16250713pubmed:publicationTypeJournal Articlelld:pubmed
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