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Whelan E, O'Shea J, Hunt E, et al. Evaluating measures of allostatic load in adolescents: A systematic review. Psychoneuroendocrinology. 2021;131:105324doi: 10.1016/j.psyneuen.2021.105324.
Whelan, E., O'Shea, J., Hunt, E., & Dockray, S. (2021). Evaluating measures of allostatic load in adolescents: A systematic review. Psychoneuroendocrinology, 131105324. https://doi.org/10.1016/j.psyneuen.2021.105324
Whelan, Eadaoin, et al. "Evaluating measures of allostatic load in adolescents: A systematic review." Psychoneuroendocrinology vol. 131 (2021): 105324. doi: https://doi.org/10.1016/j.psyneuen.2021.105324
Whelan E, O'Shea J, Hunt E, Dockray S. Evaluating measures of allostatic load in adolescents: A systematic review. Psychoneuroendocrinology. 2021 Sep;131:105324. doi: 10.1016/j.psyneuen.2021.105324. Epub 2021 Jun 12. PMID: 34198124.
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Psychoneuroendocrinology. 2021 Sep;131:105324. doi: 10.1016/j.psyneuen.2021.105324. Epub 2021 Jun 12.

Evaluating measures of allostatic load in adolescents: A systematic review.

Psychoneuroendocrinology

Eadaoin Whelan, Jen O'Shea, Eithne Hunt, Samantha Dockray

Affiliations

  1. School of Applied Psychology, University College Cork, Ireland. Electronic address: [email protected].
  2. School of Applied Psychology, University College Cork, Ireland.
  3. Dept. of Occupational Science and Occupational Therapy, University College Cork, Ireland.

PMID: 34198124 DOI: 10.1016/j.psyneuen.2021.105324

Abstract

BACKGROUND: Adolescents can experience heightened stress due to biopsychosocial changes that occur during this developmental stage. The 'wear and tear' of the physiological systems responsible for managing our stress response can lead to dysregulation of these systems, known as allostatic load (AL). AL is commonly measured within adult populations, however, inconsistencies exist across measures used to quantify the effects of stress on health. The aim of this review was to identify variations in measures across AL studies, and to consider how specific measures may be more appropriate for use within adolescent populations.

METHOD: Pubmed, PsycINFO, PsycARTICLES, Academic Search Complete, were searched in July 2020, using search terms 'allostatic load' and 'adolescence'. AL studies (1988-2020) with an adolescent population (age 10-24 years) were included. 354 records were screened by two reviewers and 41 full-text articles were assessed for eligibility.

RESULTS: 25 studies were included in final synthesis. Biomarkers of AL ranged from 1 to 14. The most common index of AL consisted of 6 biomarkers; cortisol, epinephrine, norepinephrine, systolic blood pressure, diastolic blood pressure, and body-mass index.

FINDINGS: Defining measures of AL during adolescence may help to identify vulnerabilities specific to adolescents, which may shape their lifelong health trajectories.

Copyright © 2021. Published by Elsevier Ltd.

Keywords: Adolescence; Adolescents; Allostasis; Allostatic load; Stress

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