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Influence of race on the effect of premature birth on salivary cortisol response to stress in adolescents.


ABSTRACT: BACKGROUND:Adolescents born preterm have altered hypothalamic-pituitary-adrenal axis function with a blunted cortisol stress response, however, the influences of intrauterine growth restriction and race are unclear. METHODS:We measured salivary cortisol before and 20?min after a maximal-exercise stress test and calculated the cortisol stress response. We used linear regression to compare cortisol stress responses between preterm and term groups, adjusting for birth weight z-score and maternal hypertension, and examined effect modification by race and sex. RESULTS:We evaluated 171 adolescents born preterm with very low birth weight and 50 born term. Adolescents born preterm had reduced cortisol stress response compared to term (0.03 vs. 0.08??g/dL, p?=?0.04). This difference was race dependent: non-Black adolescents born preterm had significantly reduced cortisol stress response compared to those born at term (adjusted ?: -0.74; 95% CI -1.34,?-0.15), while there was no difference in Black adolescents (0.53; -0.16,?1.22). Sex did not modify the relationship. CONCLUSIONS:Adolescents born preterm exhibit a reduced salivary cortisol response to exercise stress, suggesting long-term alterations in the hypothalamic-pituitary-adrenal axis. This relationship was evident in non-Black but not in Black adolescents, suggesting that race may modify the influence of preterm birth on stress alterations of the hypothalamic-pituitary-adrenal axis.

SUBMITTER: Brown CL 

PROVIDER: S-EPMC7196511 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Influence of race on the effect of premature birth on salivary cortisol response to stress in adolescents.

Brown Callie L CL   Myers Katherine K   South Andrew M AM   Shaltout Hossam A HA   Jensen Elizabeth T ET   Nixon Patricia A PA   Washburn Lisa K LK  

Pediatric research 20191129 6


<h4>Background</h4>Adolescents born preterm have altered hypothalamic-pituitary-adrenal axis function with a blunted cortisol stress response, however, the influences of intrauterine growth restriction and race are unclear.<h4>Methods</h4>We measured salivary cortisol before and 20 min after a maximal-exercise stress test and calculated the cortisol stress response. We used linear regression to compare cortisol stress responses between preterm and term groups, adjusting for birth weight z-score  ...[more]

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