Prevention & lipids

Long-term cortisol exposure and echocardiographic measures of cardiac structure and function

HeartPublished population-based cohort

Authors' conclusion

Taken together, in this population-based study, these findings provide little evidence that HCC is associated with clinically meaningful differences in cardiac structure or function in generally healthy middle-aged adults.

Study context

Population
Individuals aged 50–64 years in Sweden
Participants
3,005 individuals
Exposure
Hair cortisol concentration (HCC) in relation to 19 echocardiographic parameters reflecting cardiac morphology and function
Outcome
Three broad principal component analysis-derived cardiac phenotypes

Main finding

As reported in the abstract

  • No significant association between HCC and three broad principal component analysis-derived cardiac phenotypes

Observational data: associations, not effects.

Further findings

Outcomeβ (SD per one-unit increase in log10-HCC)
Left Atrial End-Systolic Volume Index (LAESVI)Higher LAESVI with higher HCC · magnitude of this association was modest0.178
Left Atrial End-Systolic Volume Index (LAESVI) — LAESVI higher across the IQR of HCC
≈0.734 mL/m²
Left Atrial End-Systolic Volume Index (LAESVI) — Share of the cohort median
≈2.9%
  • Left Atrial End-Systolic Volume Index (LAESVI): only measure showing a false discovery rate-adjusted significant association with HCC

19 individual echocardiographic measures

Effect estimates were generally small and CIs largely included the null

Original publication

Long-term cortisol exposure and echocardiographic measures of cardiac structure and function. Heart. Published 7 October 2026. doi:10.1136/heartjnl-2026-328566

Composed by AI from the published abstract and checked against it. How Briefs are made →

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