Associations of Type A Behavior in Children With Risk Factors for Coronary Artery Disease

Betsy D. Kennard, David Fixler, Sarah Blumenschein, Robert Gatchel, Cheryl F. Hughes, Catherine Bass

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Abstract

To determine the association of Type A behavior and coronary heart disease risk factors in children with a familial predisposition for premature atherosclerosis, subjects 6 to 16 years of age were evaluated on psychological and coronary risk measures. Subjects were classified as being Type A or Type B using the Student Structured Interview. Type A subjects had lower total serum and LDL cholesterol levels and lower systolic and diastolic blood pressure than Type B subjects. In addition, Type A subjects had more social competence skills and less behavioral disturbance relative to Type B subjects. Type A subjects tended to have better endurance on treadmill stress testing. These results suggest that in children with increased risk for coronary artery disease, the Type A behavior pattern may be associated with better fitness, better psychological health, and lower serum cholesterol levels. We hypothesized that the psychological and physiological characteristics of children with Type A behavior may enable them to adopt hygienic lifestyles more readily than children with Type B behavior.

Original languageEnglish
Pages (from-to)287-296
Number of pages10
JournalChildren's Health Care
Volume22
Issue number4
DOIs
StatePublished - Oct 1993

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    Kennard, B. D., Fixler, D., Blumenschein, S., Gatchel, R., Hughes, C. F., & Bass, C. (1993). Associations of Type A Behavior in Children With Risk Factors for Coronary Artery Disease. Children's Health Care, 22(4), 287-296. https://doi.org/10.1207/s15326888chc2204_4