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Biomedical subjects

E J de Geus

Publications and source records attributed to E J de Geus.

32 records · Page 2Linked to original sources

A religious upbringing reduces the influence of genetic factors on disinhibition: evidence for interaction between genotype and environment on personality.

Information on personality, on anxiety and depression and on several aspects of religion was collected in 1974 Dutch families consisting of adolescent and young adult twins and their parents. Analyses of these data showed that differences between individuals in religious upbringing, in religious affiliation and in participation in church activities are not influenced by genetic factors. The familial resemblance for different aspects of religion is high, but can be explained entirely by environmental influences common to family members. Shared genes do not contribute to familial resemblances in religion. The absence of genetic influences on variation in several dimensions of religion is in contrast to findings of genetic influences on a large number of other traits that were studied in these twin families. Differences in religious background are associated with differences in personality, especially in Sensation Seeking. Subjects with a religious upbringing, who are currently religious and who engage in church activities score lower on the scales of the Sensation Seeking Questionnaire. The most pronounced effect is on the Disinhibition scale. The resemblances between twins for the Disinhibition scale differ according to their religious upbringing. Receiving a religious upbringing seems to reduce the influence of genetic factors on Disinhibition, especially in males.

Adolescent↗

Individual differences in P300 amplitude: a genetic study in adolescent twins.

Using quantitative genetic research designs, we decomposed phenotypic variance in P300 parameters into genetic and environmental components. The twin method was used to carry out this decomposition. Event related potentials (ERPs) were measured during a visual oddball paradigm in a sample of 213 adolescent twin pairs. The presence of male and female same-sex and opposite-sex twins in the sample enabled us to study sex differences in the contributions of genetic and environmental effects to P300 parameters. For targets and nontargets, half of the variance in the P300 amplitude is attributable to factors shared by the family members. However, it remains unclear whether this resemblance is attributable to shared environmental or genetic influences. The same factors (genetic or shared environmental) were found to contribute to the individual differences in males and females. The contributions do, however, differ across gender. Multivariate genetic analyses investigated the covariance among various brain areas to determine whether the covariance between two or more leads is attributable to the same genetic and/or the same environmental factors. The covariance of the P300 amplitude measured at different locations was attributable both to unshared environmental and to shared factors. Again it was not possible to show that the shared factors where either genetic or shared environmental.

Adolescent↗

Genetic influences on EEG coherence in 5-year-old twins.

Electroencephalographic (EEG) coherence has been suggested to be an index of the connectivity of the brain. It represents the coupling between two EEG signals from different brain areas and is mathematically analogous to a cross-correlation in the frequency domain. We obtained data from 167 pairs of 5-year-old twins to study genetic and environmental influences on individual differences in intrahemispheric coherences. Coherence was computed in the theta band (4.0 to 7.5 cycles/s) between prefrontal, frontal, central, parietal, and occipital regions during quiet rest. Univariate genetic analyses of the data showed moderate to strong genetic influences for all coherences. Broad heritabilities ranged from 30 to 71%, with a mean heritability of 49%. With one exception, no sex differences were found. Split-half reliabilities varied with interelectrode distances, ranging from .91 for the shortest distance to .62 for the longest distance. When split-half reliabilities are compared with heritabilities, the data suggest that for corticocortical connections between adjacent brain areas, a large part of the variance is explained by "true" environmental influences, whereas for longer connections, that is, sensory to frontal areas, the variance is mostly genetic in origin.

Analysis of Variance↗

Genetic and environmental influences on EEG coherence.

EEG coherence measures the covariation in electrical brain activity between two locations on the scalp and is used to study connectivity between cortical regions. The aim of this study was to determine the heritability of EEG coherence. Coherence was measured in a group of 213 16-yr-old twin pairs. By including male and female twin pairs in the sample, sex differences in genetic architecture were systematically examined. The EEG was obtained during quiet supine resting. Coherence was estimated for short and long distance combinations of electrode pairs along the anterior-posterior axis within a hemisphere for four frequency bands (delta, theta, alpha and beta). Averaged over all electrode combinations about 60% of the variance was explained by genetic factors for coherence in the theta, alpha and beta bands. For the delta band, the heritability was somewhat lower. No systematic sex differences in genetic architecture were found. All environmental influences were nonshared, i.e., unique factors including measurement error. Environmental factors shared by twin siblings did not influence variation in EEG coherence. These results suggest that individual differences in coherence form a potential candidate for (molecular) genetic studies on brain function.

Adolescent↗

Heritability of blood pressure increases during mental stress.

We studied the influence of mental stress on the contributions of genes and environment to individual variation in systolic (SBP) and diastolic (DBP) blood pressure by structural equation modelling in 320 adolescent male and female twins. Blood pressure data were collected during rest and during a reaction time and a mental arithmetic task. Univariate analyses of SBP and DBP showed familial aggregation for blood pressure. A genetic explanation for this resemblance was most likely, although during rest conditions a model that attributed familial resemblance to shared environmental factors, also fitted the data. There was no evidence for sex differences in heritabilities. Multivariate analyses showed significant heterogeneity between sexes for the intercorrelations of the blood pressure data measured under different rest and task conditions. Multivariate genetic analyses were therefore carried out separately in males and females. For SBP and DBP in females and for SBP in males an increase in heritabilities was seen for blood pressure measured during stress, as compared to rest measurements. The influence of shared environmental factors decreased during stress. For DBP in males no significant contributions of shared environment were found. The multivariate analyses indicated that the same genetic and environmental influences are expressed during rest and stress conditions.

Adolescent↗

Heritability of human brain functioning as assessed by electroencephalography.

To study the genetic and environmental contributions to individual differences in CNS functioning, the electroencephalogram (EEG) was measured in 213 twin pairs age 16 years. EEG was measured in 91 MZ and 122 DZ twins. To quantify sex differences in the genetic architecture, EEG was measured in female and male same-sex twins and in opposite-sex twins. EEG was recorded on 14 scalp positions during quiet resting with eyes closed. Spectral powers were calculated for four frequency bands: delta, theta, alpha, and beta. Twin correlations pointed toward high genetic influences for all these powers and scalp locations. Model fitting confirmed these findings; the largest part of the variance of the EEG is explained by additive genetic factors. The averaged heritabilites for the delta, theta, alpha and beta frequencies was 76%, 89%, 89%, and 86%, respectively. Multivariate analyses suggested that the same genes for EEG alpha rhythm were expressed in different brain areas in the left and right hemisphere. This study shows that brain functioning, as indexed by rhythmic brain-electrical activity, is one of the most heritable characteristics in humans.

Adolescent↗

Ambulatory measurement of respiratory sinus arrhythmia and respiration rate.

The present study describes a device (AMD43) for ambulatory measurement of respiration rate and respiratory sinus arrhythmia from the combined electrocardiogram (ECG) and thoracic impedance signals. Respiratory time intervals derived from this ambulatory device closely corresponds to those derived from simultaneous recordings with a 'classical' laboratory set-up. Good cross-instrument comparison was also found for respiratory sinus arrhythmia parameters derived with both the peak-to-trough and spectral analyses methods. It is discussed how simultaneous measurement of respiration rate, respiratory sinus arrhythmia may be used to assess cardiac vagal tone in real-life situations.

Adult↗

Effects of exercise training on plasminogen activator inhibitor activity.

Plasminogen activator inhibitor (PAI) activity, an important regulator within the fibrinolytic system, has been shown to be a risk indicator for venous and arterial thrombosis. The present study aimed to test the effects of exercise training on PAI activity, and to link possible changes in PAI activity to changes in cardiovascular fitness, body composition, and the lipid profile. Four groups of previously sedentary subjects were studied thrice in an 8-month period. A long-term training group (N = 11) trained during the entire 8-month period. A detraining group (N = 14) trained for 4 months and then reverted to sedentary habits. A postponed training group (N = 16) trained only during the second 4-month period, and a no-training control group (N = 9) remained untrained throughout the entire 8-month period. PAI activity always decreased in response to training, but the training effects were small and spontaneous seasonal shifts in PAI activity of the control groups clouded their interpretation. Furthermore, detraining failed to influence PAI activity and training-induced changes in PAI activity were not related to simultaneous changes in maximal oxygen consumption, diastolic blood pressure, triglycerides, or percentage body fat, and inconsistently related to the training-induced changes in LDL-cholesterol and HDL-cholesterol. The occurrence of simultaneous changes in body fat, blood pressure, and the lipid profile underscores the potential of regular exercise to protect against cardiovascular disease. Whether these beneficial effects are accompanied by changes in the fibrinolytic system remains to be proven.

Adult↗

Existing and training induced differences in aerobic fitness: their relationship to physiological response patterns during different types of stress.

Aerobic fitness has been associated with various desirable psychological and physiological characteristics. Recently, attenuation of physiological reactivity during stressful situations was added to this list, although comparison of the stress responses of sportsmen and sedentary subjects has yielded equivocal results. The present study examined cardiovascular patterns rather than single variables, and tried to clarify these matters. Tasks were used that were known to increase blood pressure through different combinations of changes in cardiac output and vascular resistance. Autonomic nervous system dynamics underlying these response patterns were studied using preejection period as an index of beta-adrenergic activity, and respiratory sinus arrhythmia as an index of vagal activity. Pre-existing differences in aerobic fitness in a sample of sedentary subjects were related to their responses during the stressful tasks and the recovery periods afterwards. This approach prevented confounding of the relationship between fitness and stress-reactivity with the psychological effects of regular exercise. Furthermore, it excluded the bias in psychological makeup that is introduced when subjects spontaneously engaged in sports are compared to non-exercising persons. To rule out a third (hereditary?) factor underlying both stress-reactivity and fitness, physiological responses before and after a seven-week training program were compared to those of subjects in a waiting list control group. Substantial individual differences in aerobic fitness were found in spite of the fact that all subjects reported low levels of habitual activity. During two active coping tasks, diastolic blood pressure reactivity and vagal withdrawal were negatively related to these pre-existing differences in fitness. No such relation was seen during a cold pressor test or during recovery from the tasks. Neither beta-adrenergic cardiac reactivity nor heart rate responses were related to fitness, but the absolute heart rate during the tasks was lower in the more fit subjects. Seven weeks of training were not effective in changing either reactivity or recovery of any of the variables. The discrepancy between cross-sectional and longitudinal results in the present study suggests that training of longer duration is necessary to induce the psychological or physiological changes underlying reduced reactivity. The latter may include changes in cardiac vagal/sympathetic balance or in adrenoceptor sensitivity. Alternatively, both psychological and physiological determinants of stress-reactivity may be related to aerobic fitness at a dispositional level.

Adolescent↗

Aerobic fitness and the cardiovascular response to stress.

The observation that aerobically fit persons react to physical load with a smaller sympathetic response than do less fit subjects suggests that their response to psychological stress might also be reduced. The evidence for this, however, is far from consistent. It was argued that this inconsistency might be due to the incomplete measurement of the response system involved. In the present experiment two groups, which differed strongly in maximal aerobic power, were compared with respect to their cardiovascular response to a laboratory stressor. In addition to the traditional heart rate and blood pressure measurements, pre-ejection period, cardiac output, and peripheral resistance were assessed. Since only the part of the stress response that is not accounted for by metabolic needs might have pathological significance, the so-called "additional" responses were also measured. Fitness was shown to be associated with smaller sympathetic effects on both heart and vessels. The decrement in pre-ejection period and the heart rate response were smaller in the high fit group. The total peripheral resistance and diastolic blood pressure responses pointed to a much stronger vascular reactivity in the low fit group. Unexpectedly cardiac output did not increase during stress. The strong heart rate response in the low fit group was compensated by a reduction in stroke volume, which probably originated in an increased peripheral resistance. The largest discrepancy between the effects of sympathetic activation during stress and exercise occurred in the vessels, as demonstrated by the large "additional" response in total peripheral resistance during stress. The data point to the often neglected role of vascular processes in experiments of this kind. Furthermore, it seems necessary to take the effect of fitness into account when comparing subjects with respect to their cardiovascular stress response.

Adolescent↗

Aerobic fitness and the physiological stress response: a critical evaluation.

Aerobically fit persons need less sympathetic activation to perform the same absolute workload than less fit persons. This led to the idea that aerobic fitness might reduce the physiological activation during psychological stress as well. Several experiments showed inconsistent results with regard to this supposed effect of fitness. The comparability of the results is hampered by the differences in operationalization of aerobic fitness and by the confusion of the terms aerobic fitness, training and habitual physical exercise. The expectancy of an effect of fitness on the physiological stress response is based on the assumption that this response resembles the response to exercise. The tenability of this assumption was examined for cardiac, vascular and hormonal responses respectively. It was concluded that the two types of responses only superficially have similarity. So a simple analogy between the stress and the exercise response does not allow a reliable prediction concerning the effect of fitness on the stress response. There are however other reasons to expect an effect. Especially the effect of fitness on adrenoceptor sensitivity suggests that the most important effect of fitness might be found in the vascular part of the stress response. It is argued that the measurement of complete response patterns, instead of isolated parameters, is a prerequisite for progress in this field. Future studies should address the question what the relative contribution of psychological and physiological factors is to the effect of fitness on the physiological stress response.

Arousal↗

Regular exercise and aerobic fitness in relation to psychological make-up and physiological stress reactivity.

This study assessed the association of aerobic fitness with psychological make-up and physiological stress-reactivity in a group of untrained men, as well as the effects of 4 and 8 months of exercise training on these parameters. Psychological assessment included questionnaires on personality (Neuroticism, Type A, Hostility), coping styles (Anger In, Anger Out), negative affect (Depression, Anxiety), and self-esteem. Stress reactivity was measured as the cardiovascular and urinary catecholamine response to two competitive reaction time tasks and the cold pressor test. No cross sectional relationships were found between aerobic fitness, defined as the maximal oxygen consumption during an exhaustive exercise test, and any of the psychological variables. In addition, psychological make-up did not change as a consequence of exercise training. In further contrast to our hypothesis, aerobic fitness was associated with high, rather than low, cardiovascular reactivity. Longitudinal effects of training were limited to a reduction in the overall levels of heart rate and diastolic blood pressure. This suggests that regular exercise does not increase the resistance to stress-related disease by influencing psychological make-up or acute psychophysiologic reactivity.

Adaptation, Psychological↗

Work stress and metabolic and hemostatic risk factors.

OBJECTIVE: A high level of work stress has been associated with cardiovascular disease. However, the pathophysiological mechanisms underlying this association remain unclear. This study examined the effect of work stress on a cluster of metabolic and hemostatic risk factors. METHODS: Blood was collected three times, on the first, third, and fifth day of a work week, from 124 middle-aged, white-collar workers. Metabolic measures were insulin, glucose, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and total cholesterol. Hemostatic measures were fibrinogen, tissue-type plasminogen activator activity, tissue-type plasminogen activator antigen, and type 1 plasminogen activator inhibitor antigen. Chronic work stress was defined according to Siegrist's model as 1) a combination of high effort and low reward at work (effort-reward imbalance) or 2) high overcommitment (an exhaustive work-related coping style). RESULTS: Overcommitment, but not imbalance or the imbalance-overcommitment interaction, was associated with an impaired fibrinolytic system, as reflected in decreased tissue-type plasminogen activator activity levels and increased type 1 plasminogen activator inhibitor antigen levels on all three measurement occasions. After controlling for body mass index, total cholesterol, triglycerides, high-density lipoprotein/low-density lipoprotein cholesterol ratio, glucose, and insulin, the relation between overcom-mitment and the fibrinolytic factors was attenuated but remained significant. CONCLUSIONS: The results suggest that individuals with an exhaustive coping style at work have an impaired fibrinolytic capacity that is possibly due to the effects of chronic stress on insulin resistance.

Adaptation, Psychological↗

Salivary MUC5B-mediated adherence (ex vivo) of Helicobacter pylori during acute stress.

OBJECTIVE: Biochemical host defenses at mucosal sites, such as the oral cavity, play a key role in the regulation of microbial ecology and the prevention of infectious disease. These biochemical factors have distinct features, some of which benefit the host and some that benefit bacteria. We investigated the effects of acute stress on the salivary levels of the carbohydrate structure sulfo-Lewis (sulfo-Le), which is linked to the mucosal glycoprotein MUC5B. Sulfo-Le was recently identified as an adhesion molecule for Helicobacter pylori; therefore, we also measured saliva-mediated adherence (ex vivo) of H. pylori. The oral cavity is suspected to be involved in the transmission of H. pylori. METHODS: Saliva was collected from 17 undergraduates before (baseline), during (stress), and after (recovery) exposure to a video showing surgical procedures. In addition, blood pressure, an impedance cardiogram, and an electrocardiogram were recorded. RESULTS: During stressor exposure, participants reported increased state anxiety. In addition, stroke volume increased and heart rate decreased. The stressor induced a strong increase in salivary sulfo-Le concentration (U/ml), sulfo-Le output (U/min), sulfo-Le/total protein ratio (U/mg protein), and saliva-mediated adherence (ex vivo) of H. pylori. As expected, sulfo-Le concentration correlated with the adherence of H. pylori (r = 0.72, p < .05). It was demonstrated that the observed adherence was induced by MUC5B and that the carbohydrate structure sulfo-Le contributed to this process. CONCLUSIONS: Our study demonstrated a direct link between stress-mediated biochemical changes and altered host-microbe interactions in humans. Increased bacterial adherence may be a contributing factor in the observed relationship between stress and susceptibility to infectious disease.

Acute-Phase Reaction↗