Raymond F Palmer

Summary

Affiliation: University of Texas Health Science Center
Country: USA

Publications

  1. doi request reprint Association of suboptimal prescribing and change in lower extremity physical function over time
    Mary Jo V Pugh
    South Texas Veterans Health Care System Verdict, University of Texas Health Science Center at San Antonio, San Antonio, Tex, USA
    Gerontology 53:445-53. 2007
  2. ncbi request reprint Environmental mercury release, special education rates, and autism disorder: an ecological study of Texas
    Raymond F Palmer
    University of Texas Health Science Center, San Antonio Department of Family and Community Medicine, 7703 Floyd Curl Drive, San Antonio, Texas 78229 3900, USA
    Health Place 12:203-9. 2006
  3. pmc Explaining low rates of autism among Hispanic schoolchildren in Texas
    Raymond F Palmer
    Department of Family and Community Medicine, University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio TX 78229 3900, USA
    Am J Public Health 100:270-2. 2010
  4. pmc Methods for evaluating practice change toward a patient-centered medical home
    Carlos Roberto Jaen
    Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
    Ann Fam Med 8:S9-20; S92. 2010
  5. doi request reprint δ Scores are Exportable Across Cultural and Linguistic Boundaries
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 49:561-70. 2016
  6. pmc The role of physical activity and diabetes status as a moderator: functional disability among older Mexican Americans
    Raymond F Palmer
    Family and Community Medicine, The University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78230, USA
    Age Ageing 41:752-8. 2012
  7. pmc Alzheimer's disease pathology does not mediate the association between depressive symptoms and subsequent cognitive decline
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    Alzheimers Dement 9:318-25. 2013
  8. pmc The default mode network may be the key substrate of depressive symptom-related cognitive changes
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 34:547-59. 2013
  9. pmc The default mode network and related right hemisphere structures may be the key substrates of dementia
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 32:467-78. 2012
  10. pmc Estimating the temporal evolution of Alzheimer's disease pathology with autopsy data
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 32:23-32. 2012

Detail Information

Publications51

  1. doi request reprint Association of suboptimal prescribing and change in lower extremity physical function over time
    Mary Jo V Pugh
    South Texas Veterans Health Care System Verdict, University of Texas Health Science Center at San Antonio, San Antonio, Tex, USA
    Gerontology 53:445-53. 2007
    ..This study explores the relationship between suboptimal prescribing, comorbid disease, and change in lower extremity functional limitation (LEFL)...
  2. ncbi request reprint Environmental mercury release, special education rates, and autism disorder: an ecological study of Texas
    Raymond F Palmer
    University of Texas Health Science Center, San Antonio Department of Family and Community Medicine, 7703 Floyd Curl Drive, San Antonio, Texas 78229 3900, USA
    Health Place 12:203-9. 2006
    ..These results have implications for policy planning and cost analysis...
  3. pmc Explaining low rates of autism among Hispanic schoolchildren in Texas
    Raymond F Palmer
    Department of Family and Community Medicine, University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio TX 78229 3900, USA
    Am J Public Health 100:270-2. 2010
    ..These findings raise questions: Is autism underdiagnosed among Hispanics? Are there protective factors associated with Hispanic ethnicity?..
  4. pmc Methods for evaluating practice change toward a patient-centered medical home
    Carlos Roberto Jaen
    Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
    Ann Fam Med 8:S9-20; S92. 2010
    ..We describe the methods used to evaluate the country's first national demonstration project of the PCMH concept, with an emphasis on the quantitative measures and lessons for multimethod evaluation approaches...
  5. doi request reprint δ Scores are Exportable Across Cultural and Linguistic Boundaries
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 49:561-70. 2016
    ..Valid d-score composites can be abstracted from a subset of δ's indicators. Moreover, those composites are exportable across cultural and linguistic boundaries...
  6. pmc The role of physical activity and diabetes status as a moderator: functional disability among older Mexican Americans
    Raymond F Palmer
    Family and Community Medicine, The University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78230, USA
    Age Ageing 41:752-8. 2012
    ....
  7. pmc Alzheimer's disease pathology does not mediate the association between depressive symptoms and subsequent cognitive decline
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    Alzheimers Dement 9:318-25. 2013
    ....
  8. pmc The default mode network may be the key substrate of depressive symptom-related cognitive changes
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 34:547-59. 2013
    ..This conclusion suggests new opportunities for the latter's diagnosis, prevention, and treatment...
  9. pmc The default mode network and related right hemisphere structures may be the key substrates of dementia
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 32:467-78. 2012
    ..The latent variable d localizes to elements of the default mode network and related structures in the R hemisphere...
  10. pmc Estimating the temporal evolution of Alzheimer's disease pathology with autopsy data
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 32:23-32. 2012
    ..The mediation effect of cognitive change on both AD lesion models effectively dates them within the period of cognitive surveillance. Additional analyses could lead to an improved understanding of lesion propagation in AD...
  11. doi request reprint Getting Past "g": testing a new model of dementing processes in persons without dementia
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Neuropsychiatry Clin Neurosci 24:37-46. 2012
    ..These results have implications for the clinical assessment of dementia and suggest that functional status should assume a more important role...
  12. ncbi request reprint Association between acculturation and structural assimilation and mini-mental state examination-assessed cognitive impairment in older Mexican Americans: findings from the San Antonio Longitudinal Study of Aging
    Marc P Simpao
    Division of Community Geriatrics, Department of Family and Community Medicine, Frederic C Bartter General Clinical Research Center, San Antonio, TX, USA
    J Am Geriatr Soc 53:1234-9. 2005
    ..These findings highlight the need for geriatricians to take contextual factors (including age, education, and structural assimilation) into account when interpreting MMSE scores of MA patients...
  13. doi request reprint Validation of a latent construct for dementia case-finding in Mexican-Americans
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 37:89-97. 2013
    ..Ethnicity has a small effect on dMA's performance. These results suggest that it may be possible to validly export dMA into other MA populations, or to export δ homolog factor scores from one population to another. ..
  14. pmc Chemical intolerance in primary care settings: prevalence, comorbidity, and outcomes
    David A Katerndahl
    University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
    Ann Fam Med 10:357-65. 2012
    ..We evaluated comorbid medical and psychiatric disorders, functional status, and rates of health care use...
  15. doi request reprint Validation of a latent variable representing the dementing process
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX 78229 3900, USA
    J Alzheimers Dis 30:639-49. 2012
    ..Our approach results in "error free" continuous variables. This suggests that δ can serve as a dementia specific endophenotype. As a result, future studies may be able to associate δ with inflammatory and genetic biomarkers...
  16. doi request reprint Proximity to point sources of environmental mercury release as a predictor of autism prevalence
    Raymond F Palmer
    University of Texas Health Science Center, San Antonio Department of Family and Community Medicine, 7703 Floyd Curl Drive, San Antonio Texas, Mail Code 7794, TX 78229 3900, USA
    Health Place 15:18-24. 2009
    ..0% and 1.4%, respectively (p<.05). While design limitations preclude interpretation of individual risk, further investigations of environmental risks to child development issues are warranted...
  17. doi request reprint Depression, disability and intermediate pathways: a review of longitudinal studies in elders
    Jason E Schillerstrom
    Department of Psychiatry The University of Texas Health Seience Center, San Antonio, TX 78229, USA
    J Geriatr Psychiatry Neurol 21:183-97. 2008
    ....
  18. ncbi request reprint The value of ecologic studies: mercury concentration in ambient air and the risk of autism
    K Stephen Blanchard
    Department of Sociology, Our Lady of the Lake University, 411 SW 24th Street, San Antonio, TX 78207, USA
    Rev Environ Health 26:111-8. 2011
    ..Although this does not indicate a cause, these results should not be dismissed, but rather seen as a preliminary step for generating a hypothesis for further investigation...
  19. ncbi request reprint Construct validity in health behavior research: interpreting latent variable models involving self-report and objective measures
    Raymond F Palmer
    Department of Biobehavioral Health, Pennsylvania State University, University Park, Pennsylvania 16802, USA
    J Behav Med 25:525-50. 2002
    ....
  20. ncbi request reprint A randomized trial of the effects of remote intercessory prayer: interactions with personal beliefs on problem-specific outcomes and functional status
    Raymond F Palmer
    Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
    J Altern Complement Med 10:438-48. 2004
    ..Investigate the relevance of interpersonal belief factors as modifiers of the effectiveness of intercessory prayer...
  21. pmc Practical Opportunities for Healthy Diet and Physical Activity: Relationship to Intentions, Behaviors, and Body Mass Index
    Robert L Ferrer
    Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas
    Ann Fam Med 14:109-16. 2016
    ..Because the choices people make depend on the choices they have, we examined how practical opportunities for diet and physical activity shape behavioral intentions and achieved behaviors...
  22. doi request reprint Towards an aging-specific cognitive phenotype: the freedom house study
    Donald R Royall
    a Departments of Psychiatry, Medicine, and Family and Community Medicine, The University of Texas Health Science Center, San Antonio, Texas, USA
    Exp Aging Res 40:245-65. 2014
    ..Only one trajectory class can be interpreted as the effect of Aging Proper. The goal of the study was to describe an aging-specific cognitive phenotype (ASCP)...
  23. pmc School district resources and identification of children with autistic disorder
    Raymond F Palmer
    University of Texas Health Science Center San Antonio, Department of Family and Community Medicine, 7703 Floyd Curl Drive, San Antonio, TX 78229 7795, USA
    Am J Public Health 95:125-30. 2005
    ..We estimated the effect of community and school district resources on the identification of children with autistic disorder...
  24. ncbi request reprint Suboptimal medication use and mortality in an older adult community-based cohort: results from the Hispanic EPESE Study
    David V Espino
    Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, MC 7795, 7703 Floyd Curl Dr, 78229 3900, USA
    J Gerontol A Biol Sci Med Sci 61:170-5. 2006
    ..Our objective was to evaluate the relationship between polypharmacy, drug-drug interactions, and inappropriate medication use on the mortality of a community-based population of Mexican American older adults...
  25. ncbi request reprint Prevalence and patterns of executive impairment in community dwelling Mexican Americans: results from the Hispanic EPESE Study
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX 78284 7792, USA
    Int J Geriatr Psychiatry 19:926-34. 2004
    ..We have determined the prevalence of cognitive impairment and impaired ECF in a community dwelling Mexican American elderly population, and their associations with functional status...
  26. pmc Clock-drawing potentially mediates the effect of depression on mortality: replication in three cohorts
    Donald R Royall
    Department of Psychiatry, The South Texas Veterans Health System Audie L Murphy Division GRECC and the University of Texas Health Science Center, San Antonio, TX, USA
    Int J Geriatr Psychiatry 23:821-9. 2008
    ..Previously studies have associated visuospatial tasks, particularly 'clock-drawing', with mortality. We sought to determine whether clock-drawing also mediates the association between depressive symptoms and mortality...
  27. ncbi request reprint Exportation and Validation of Latent Constructs for Dementia Case Finding in a Mexican American Population-based Cohort
    Donald R Royall
    Department of Psychiatry, University of Texas Health Science Center, San Antonio Audie L Murphy Division GRECC, South Texas Veterans Health System, San Antonio Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio
    J Gerontol B Psychol Sci Soc Sci . 2016
    ..We used δ composites ("d-scores") to estimate the prevalence of dementia in the Hispanic Established Population for Epidemiological Studies in the Elderly (H-EPESE)...
  28. doi request reprint Serum IGF-BP2 strongly moderates age's effect on cognition: a MIMIC analysis
    Donald R Royall
    Department of Psychiatry, University of Texas Health Science Center, San Antonio, TX, USA Department of Medicine, University of Texas Health Science Center, San Antonio, TX, USA Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio, TX, USA South Texas Veterans Health System Audie L Murphy Division GRECC, San Antonio, TX, USA Electronic address
    Neurobiol Aging 36:2232-40. 2015
    ..This suggests that age-specific cognitive decline may be moderated by IGF-BP2 and that modulation of that protein's function(s) might ameliorate age-specific cognitive impairments...
  29. pmc Neuropsychiatric symptoms in community-dwelling Mexican-Americans: results from the Hispanic Established Population for Epidemiological Study of the Elderly (HEPESE) study
    Ricardo Salazar
    Department of Psychiatry and Behavioral Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
    Int J Geriatr Psychiatry 30:300-7. 2015
    ..We report the frequency of NPI symptoms in a community-dwelling older Mexican-American (MA) population cohort and the degree of symptom-related distress experienced by participant informants...
  30. pmc Serum interleukin (IL)-15 as a biomarker of Alzheimer's disease
    Ram J Bishnoi
    Department of Psychiatry, University of Texas Health Science Center, San Antonio, Texas, United States of America
    PLoS ONE 10:e0117282. 2015
    ..Our finding warrants the need for further research to determine the changes in structural and functional networks corresponding to serum based biomarkers levels. ..
  31. doi request reprint Acetaminophen, pesticide, and diethylhexyl phthalate metabolites, anandamide, and fatty acids in deciduous molars: potential biomarkers of perinatal exposure
    David E Camann
    Analytical and Environmental Chemistry Department, Southwest Research Institute, San Antonio, TX 78228 0510, USA
    J Expo Sci Environ Epidemiol 23:190-6. 2013
    ..Validation studies are necessary to verify that each detected chemical in molars provides a biomarker of perinatal exposure...
  32. pmc Modeling regional vulnerability to Alzheimer pathology
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX 78284 7792, USA
    Neurobiol Aging 33:1556-63. 2012
    ..This is the first application of LGC models to spatially-ordered data. The result is a quantification of the interindividual variation in the interregional vulnerability to Alzheimer's disease lesions...
  33. ncbi request reprint Evaluation of the mini-mental state examination's internal consistency in a community-based sample of Mexican-American and European-American elders: results from the San Antonio Longitudinal Study of Aging
    David V Espino
    Division of Community Geriatrics, Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
    J Am Geriatr Soc 52:822-7. 2004
    ....
  34. doi request reprint Missing data? Plan on it!
    Raymond F Palmer
    Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio, Texas 78284, USA
    J Am Geriatr Soc 58:S343-8. 2010
    ..How the purposeful planning of missing data in research designs can reduce subject burden, improve data quality and statistical power, and manage costs is then described...
  35. pmc Serum protein mediators of dementia and aging proper
    Donald R Royall
    Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
    Aging (Albany NY) 8:3241-3254. 2016
    ..Those proteins may offer targets for the specific treatment of age-related effects on dementia severity and conversion risk...
  36. pmc Thrombopoietin is associated with δ's intercept, and only in Non-Hispanic Whites
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA Department of Medicine, The University of Texas Health Science Center, San Antonio, TX, USA Department of Family and Community Medicine, The University of Texas Health Science Center, San Antonio, TX, USA South Texas Veterans Health System, Audie L Murphy Division GRECC, San Antonio, TX, USA
    Alzheimers Dement (Amst) 3:35-42. 2016
    ..In this analysis, we examine ethnicity's effect on THPO's association with change in δ scores, in the Texas Alzheimer's Research and Care Consortium (TARCC)...
  37. pmc Aging is a weak but relentless determinant of dementia severity
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    Oncotarget 7:13307-18. 2016
    ..Our findings also constrain age's dementing effects on cognition to the age-related fraction of "general intelligence" (Spearman's "g"). That has broad biological and pathophysiological implications. ..
  38. pmc Reflections on DSM classification and its utility in primary care: case studies in "mental disorders"
    David A Katerndahl
    Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, 78229, USA
    Prim Care Companion J Clin Psychiatry 7:91-9. 2005
    ..This case series was conducted to demonstrate the limitations of the DSM system in primary care patients...
  39. pmc A group randomized trial of a complexity-based organizational intervention to improve risk factors for diabetes complications in primary care settings: study protocol
    Michael L Parchman
    VERDICT Health Services Research Center, South Texas Veterans Health Care System, San Antonio, TX, USA
    Implement Sci 3:15. 2008
    ..PF creates time for learning and reflection by members of the team in each clinic, improves their communication, and promotes an individualized approach to implement a strategy to improve patient outcomes...
  40. pmc Organic Compounds Detected in Deciduous Teeth: A Replication Study from Children with Autism in Two Samples
    Raymond F Palmer
    Department of Family and Community Medicine, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229 3900, USA
    J Environ Public Health 2015:862414. 2015
    ....
  41. doi request reprint Future Dementia Severity is Almost Entirely Explained by the Latent Variable δ's Intercept and Slope
    Raymond F Palmer
    Department of Family and Community Medicine, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 49:521-9. 2016
    ..The resulting latent construct "δ" (for dementia) provides a relatively "error free" continuously varying dementia-specific phenotype...
  42. doi request reprint Greater than the Sum of Its Parts: δ can be Constructed from Item Level Data
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 49:571-9. 2016
    ..2014. A dTEXAS score of -0.58 best discriminated between dementia versus controls with 90.1% sensitivity and 80.0% specificity...
  43. doi request reprint Ethnicity moderates dementia's biomarkers
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA Department of Medicine, The University of Texas Health Science Center, San Antonio, TX, USA Department of Family and Community Medicine, The University of Texas Health Science Center, San Antonio, TX, USA South Texas Veterans Health System, Audie L Murphy Division, GRECC, San Antonio, TX, USA
    J Alzheimers Dis 43:275-87. 2015
    ..These findings have yet to be validated in other cohorts, but may suggest cross-ethnic differences in dementia's pathobiological mechanisms between Hispanic Mexican-Americans and Non-Hispanic Whites. ..
  44. doi request reprint Vitamin D binding protein as a serum biomarker of Alzheimer's disease
    Ram J Bishnoi
    Department of Psychiatry, University of Texas Health Science Center, San Antonio, TX, USA
    J Alzheimers Dis 43:37-45. 2015
    ..Aβ affects the DMN early in the course of AD. Therefore, raised serum VDBP levels may be a useful indicator of future dementia and/or dementia conversion. This might be confirmed through longitudinal analysis of TARCC data. ..
  45. pmc The temporospatial evolution of neuritic plaque-related and independent tauopathies: implications for dementia staging
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA Department of Medicine, The University of Texas Health Science Center, San Antonio, TX, USA Department of Family and Community Medicine, The University of Texas Health Science Center, San Antonio, TX, USA South Texas Veterans Health System Audie L Murphy Division GRECC, San Antonio, TX, USA
    J Alzheimers Dis 40:541-9. 2014
    ..However, since the latter evolve corticofugally in time, this suggests that NP-related NFT do so as well. Corticotropic NFT formation must therefore be either unrelated to NP formation, a temporally distinct process, or both. ..
  46. pmc Latent variables may be useful in pain's assessment
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive MC 7792, San Antonio, TX 78229, USA
    Health Qual Life Outcomes 12:13. 2014
    ..Unobserved "latent" variables have the potential to minimize "measurement error" inherent to any single clinical assessment or categorical diagnosis...
  47. doi request reprint Does ethnicity moderate dementia's biomarkers?
    Donald R Royall
    Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA Department of Medicine, The University of Texas Health Science Center, San Antonio, TX, USA Department of Family and Community Medicine, The University of Texas Health Science Center, San Antonio, TX, USA South Texas Veterans Health System, Audie L Murphy Division GRECC, San Antonio, TX, USA Electronic address
    Neurobiol Aging 35:336-44. 2014
    ..Independent of covariates, δ is associated significantly with 12 serum biomarkers. These associations appear to be specific to non-Hispanic white participants. ..
  48. pmc Patient outcomes at 26 months in the patient-centered medical home National Demonstration Project
    Carlos Roberto Jaen
    Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
    Ann Fam Med 8:S57-67; S92. 2010
    ..The purpose of this study was to evaluate patient outcomes in the National Demonstration Project (NDP) of practices' transition to patient-centered medical homes (PCMHs)...
  49. pmc Participatory decision making, patient activation, medication adherence, and intermediate clinical outcomes in type 2 diabetes: a STARNet study
    Michael L Parchman
    VERDICT Health Services Research Program, South Texas Veterans Health Care System, San Antonio, Texas 78229 4404, USA
    Ann Fam Med 8:410-7. 2010
    ..Participatory decision making (PDM) is associated with improved diabetes control. We examine a causal model linking PDM to improved clinical outcomes that included patient activation and medication adherence...
  50. ncbi request reprint Association between change in systolic blood pressure and cognitive decline among elderly Mexican Americans: data from the Hispanic established population for epidemiology study of the elderly
    Kathleen C Insel
    University of Arizona, College of Nursing, Tuscon, AZ 85721 0203, USA
    Exp Aging Res 31:35-54. 2005
    ..These findings suggest an association between increasing SBP and cognitive decline for normotensive elderly in this study population...
  51. ncbi request reprint The metabolic syndrome mediates the relationship between cynical hostility and cardiovascular disease
    Tracy L Nelson
    Department of Health and Exercise Science, Colorado State University, Fort Collins, Colorado 80523, USA
    Exp Aging Res 30:163-77. 2004
    ..Results were adjusted for baseline CVD, smoking, and age. These findings suggest that a clustering of CVD risk factors partially mediate the association between cynicism and CVD in an older population...