Adolescent girls may be better protected against the effects
of stress than teenage boys, according to a team of Georgia
researchers. In a study of teenagers' responses to mental
stress, they found that girls did not exhibit the same increase
in blood pressure as did their male peers.
"Very few studies have reported
a teenager's response to prolonged mental stress," Dr. Gaston
Kapuku, of the Medical College of Georgia said in a statement.
"Our findings indicate that females are protected against
the effects of stress as demonstrated by their ability to
maintain lower blood pressure."
The findings were presented Sunday during this year's meeting
of the International Society on Hypertension in Blacks (ISHIB),
held in Puerto Rico.
For the study, 190 African-American and European-American
teenagers, aged 16 to 18 years, with normal blood pressures
spent 60 minutes playing a competitive video game. The researchers
measured the teenagers' blood pressure and heart rates at
15-minute intervals during the two-hour rest period before
they began the stress activity -- i.e., playing the video
game -- as well as during the game, analyzing the change
that occurred between the two periods.
Based on heart rate alone, teenage boys and girls appear
to react similarly to mental stress, the results indicate.
Girls had a slightly higher heart rate than did their male
counterparts, but both groups seemed to be equally stimulated
by the game.
Changes in systolic blood pressure -- i.e., the upper reading,
pressure when the heart contracts -- varied between the
sexes, however, with teenage girls exhibiting smaller changes
in blood pressure than did teenage boys.
"Girls have some kind of protection in terms of blood pressure
response," Kapuku told Reuters Health. He added that "people
who react with high blood pressure are prone to develop
more cardiovascular disease."
White girls had even smaller changes in blood pressure
than did black girls, the study findings show. The reason
for this "puzzle" is unknown, Kapuku said, although it might
be related to differences in hormones or a number of other
pathways that influence stress reactions.
Other research has also pointed to the existence of ethnic
and sex differences in cardiovascular disease. Heart failure,
for example, has been found to be more prevalent among women
in comparison to men. Further, blacks are known to have
a higher incidence of premature heart attack, high blood
pressure and other factors that put them at risk for cardiovascular
disease.
The new findings suggest there is "already a difference
in childhood," in such risk factors, Kapuku said.
In light of these findings, Kapuku advises that patients,
especially those with heart disease, determine their doctor's
knowledge of ethnic and sex differences by asking if they
will receive the same treatment or if they are expected
to respond to treatment in the same way as patients of the
opposite sex or a different ethnicity.
In so doing, he said, they can have a "better chance of
better care."