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 μg/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 β: -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.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Brown CL,Myers K,South AM,Shaltout HA,Jensen ET,Nixon PA,Washburn LK

doi

10.1038/s41390-019-0682-3

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

1100-1105

issue

6

eissn

0031-3998

issn

1530-0447

pii

10.1038/s41390-019-0682-3

journal_volume

87

pub_type

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