Kids who face stress during childhood are more likely to heart patients later

New Delhi: Stress may have a greater impact than we realise on the hectic path from childhood to adulthood. A worrying link between childhood stress and the impending risk of cardiovascular disease in later life is being revealed by recent research. Journal of the American Heart Association, 2024, mentions that young adults who report heightened stress from adolescence to adulthood face a higher likelihood of high blood pressure, obesity, and other cardiometabolic risk factors.

An individual's health journey may be clouded by childhood stress, a complex web of experiences that can leave a lasting impression on cardiometabolic well-being. The complex mechanisms by which childhood stress affects the development of cardiovascular disease risk factors have been elucidated by a multitude of studies.

How childhood stress takes its toll

1. Hormonal havoc: The balance of the hypothalamic-pituitary-adrenal (HPA) axis, responsible for stress hormone regulation, takes center stage. Stress-induced cortisol and adrenaline can sway blood pressure, blood sugar, inflammation, and lipid metabolism, amplifying the risk of cardiovascular disease.


2. Nervous system navigation: The autonomic nervous system, the conductor of heart rate, blood vessel tone, and blood flow, faces disruption under chronic stress. The balance between the sympathetic and parasympathetic branches can be disturbed, resulting in increased heart rate, blood pressure, and vascular resistance.

3. Immune impact: Stress, acting as an unwelcome trigger, activates the immune system, releasing pro-inflammatory cytokines. This event can harm the endothelial cells lining blood vessels, paving the way for atherosclerosis.

4. Epigenetic edits: The epigenome, the subtle script that influences gene expression without altering the DNA sequence, undergoes modifications. Stress leaves its mark on genes associated with cardiometabolic regulation, potentially contributing to long-term health risks.

5. Lifestyle lens: Childhood stress plays puppeteer to individuals' behaviors and lifestyle choices. From dietary habits to physical activity, smoking, alcohol consumption, and sleep quality – all threads that weave into the fabric of cardiometabolic risk.

What does the research reveal?

Journal of the American Heart Association, 2020: Children exposed to severe adversity had a 50 per cent higher likelihood of developing cardiovascular disease later in life.

Circulation, 2019: Women with a history of childhood adversity exhibited higher inflammation, insulin resistance, and dyslipidemia in adulthood.

Implications and intervention: Breaking the chain

These studies underscore the impact of childhood stress on cardiometabolic health. Early interventions to reduce stress and create coping skills emerge as potential shields against the development of cardiovascular diseases. The need of the hour is to uncover the complexity of childhood stress and pave the way for a healthier, resilient future.