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Personality associations with lung function and dyspnea: Evidence from six studies

Published:January 21, 2023DOI:https://doi.org/10.1016/j.rmed.2023.107127

      Highlights

      • Personality traits are related to lung function and associated symptomatology.
      • Higher neuroticism was related to worse lung function and higher risk of dyspnea.
      • Extraversion, openness and conscientiousness were related to better lung function.
      • Extraversion and conscientiousness were related to lower risk of dyspnea.
      • Agreeableness was related to higher peak expiratory flow and lower risk of dyspnea.

      Abstract

      Objective

      The present study examined the association between Five Factor Model personality traits and lung function and dyspnea.

      Methods

      Participants were middle aged and older adults aged 34–103 years old (N > 25,000) from the Midlife in the United States Study (MIDUS), the Health and Retirement Study (HRS), the English Longitudinal Study of Ageing (ELSA), the National Health and Aging Trends Survey (NHATS), and the Wisconsin Longitudinal Study graduate (WLSG) and sibling (WLSS) samples. Data on peak expiratory flow (PEF), dyspnea, personality traits, smoking, physical activity, body mass index (BMI), emotional/psychiatric problems, and demographic factors were obtained in each sample.

      Results

      A meta-analysis indicated that higher neuroticism was related to lower PEF, higher risk of PEF less than 80% of predicted value, and higher risk of dyspnea. In contrast, higher extraversion and conscientiousness were associated with higher PEF, lower likelihood of PEF lower than 80% of the predicted value, and lower risk of dyspnea. Higher openness was related to higher PEF and lower risk of PEF less than 80%, whereas agreeableness was related to higher PEF and lower risk of dyspnea. Smoking, physical activity, BMI and emotional/psychiatric problems partially accounted for these associations. There was little evidence that lung disease moderated the association between personality and PEF and dyspnea.

      Conclusions

      Across cohorts, this study found replicable evidence that personality is associated with lung function and associated symptomatology.

      Keywords

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      References

        • Jackson H.
        • Hubbard R.
        Detecting chronic obstructive pulmonary disease using peak flow rate: cross sectional survey.
        BMJ. 2003; 327: 653-654
        • Goodwin R.D.
        • Chuang S.
        • Simuro N.
        • Davies M.
        • Pine D.S.
        Association between lung function and mental health problems among adults in the United States: findings from the First National Health and Nutrition Examination Survey.
        Am. J. Epidemiol. 2007 15; 165: 383-388
        • Fragoso C.A.
        • Gahbauer E.A.
        • Van Ness P.H.
        • Concato J.
        • Gill T.M.
        Peak expiratory flow as a predictor of subsequent disability and death in community-living older persons.
        J. Am. Geriatr. Soc. 2008; 56: 1014-1020
        • Trevisan C.
        • Rizzuto D.
        • Maggi S.
        • Sergi G.
        • Welmer A.K.
        • Vetrano D.L.
        Cross-Sectional and longitudinal associations between peak expiratory flow and frailty in older adults.
        J. Clin. Med. 2019; 8: 1901
        • Roberts M.H.
        • Mapel D.W.
        Limited lung function: impact of reduced peak expiratory flow on health status, health-care utilization, and expected survival in older adults.
        Am. J. Epidemiol. 2012; 176: 127-134
        • Smith M.
        • Zhou M.
        • Wang L.
        • Peto R.
        • Yang G.
        • Chen Z.
        Peak flow as a predictor of cause-specific mortality in China: results from a 15-year prospective study of ∼170,000 men.
        Int. J. Epidemiol. 2013; 42: 803-815
        • Trevisan C.
        • Rizzuto D.
        • Sergi G.
        • Maggi S.
        • Welmer A.K.
        • Vetrano D.L.
        Peak expiratory flow, walking speed and survival in older adults: an 18-year longitudinal population-based study.
        Exp. Gerontol. 2020; 135110941
        • DeCarlo C.A.
        • MacDonald S.W.
        • Vergote D.
        • Jhamandas J.
        • Westaway D.
        • Dixon R.A.
        Vascular health and genetic risk affect mild cognitive impairment status and 4-year stability: evidence from the Victoria longitudinal study.
        J. Gerontol. B Psychol. Sci. Soc. Sci. 2016; 71: 1004-1014
        • Russ T.C.
        • Kivimäki M.
        • Batty G.D.
        Respiratory disease and lower pulmonary function as risk factors for dementia: a systematic review with meta-analysis.
        Chest. 2020; 157: 1538-1558
        • Hallberg J.
        • Iliadou A.
        • Anderson M.
        • et al.
        Genetic and environmental influence on lung function impairment in Swedish twins.
        Respir. Res. 2010; 11: 92
        • Melbourne C.A.
        • Mesut Erzurumluoglu A.
        • Shrine N.
        • et al.
        Genome-wide gene-air pollution interaction analysis of lung function in 300,000 individuals.
        Environ. Int. 2022; 159107041
        • Tarnoki D.L.
        • Tarnoki A.D.
        • Lazar Z.
        • et al.
        Genetic and environmental factors on the relation of lung function and arterial stiffness.
        Respir. Med. 2013; 107: 927-935
        • McCrae R.R.
        • John O.P.
        An introduction to the five‐factor model and its applications.
        J. Pers. 1992; 60: 175-215
        • Friedman H.S.
        • Kern M.L.
        Personality, well-being, and health.
        Annu. Rev. Psychol. 2014; 65: 719-742
        • Hakulinen C.
        • Hintsanen M.
        • Munafò M.R.
        • Virtanen M.
        • Kivimäki M.
        • Batty G.D.
        • Jokela M.
        Personality and smoking: individual-participant meta-analysis of nine cohort studies.
        Addiction. 2015; 110: 1844-1852
        • Stephan Y.
        • Sutin A.R.
        • Luchetti M.
        • Hognon L.
        • Canada B.
        • Terracciano A.
        Personality and self-rated health across eight cohort studies.
        Soc. Sci. Med. 2020; 263113245
        • Luchetti M.
        • Barkley J.M.
        • Stephan Y.
        • Terracciano A.
        • Sutin A.R.
        Five-factor model personality traits and inflammatory markers: new data and a meta-analysis.
        Psychoneuroendocrinology. 2014; 50: 181-193
        • Stephan Y.
        • Sutin A.R.
        • Luchetti M.
        • Canada B.
        • Terracciano A.
        Personality and HbA1c: findings from six samples.
        Psychoneuroendocrinology. 2020; 120104782
        • Aschwanden D.
        • Strickhouser J.E.
        • Luchetti M.
        • Stephan Y.
        • Sutin A.R.
        • Terracciano A.
        Is personality associated with dementia risk? A meta-analytic investigation.
        Ageing Res. Rev. 2021; 67101269
        • Graham E.K.
        • Rutsohn J.P.
        • Turiano N.A.
        • et al.
        Personality predicts mortality risk: an integrative data analysis of 15 international longitudinal studies.
        J. Res. Pers. 2017; 70: 174-186
        • Stephan Y.
        • Sutin A.R.
        • Bovier-Lapierre G.
        • Terracciano A.
        Personality and walking speed across adulthood: prospective evidence from five samples.
        Soc. Psychol. Personal. Sci. 2018; 9: 773-780
        • Stephan Y.
        • Sutin A.R.
        • Canada B.
        • Deshayes M.
        • Kekäläinen T.
        • Terracciano A.
        Five-factor model personality traits and grip strength: meta-analysis of seven studies.
        J. Psychosom. Res. 2022; 160110961
        • Terracciano A.
        • Schrack J.A.
        • Sutin A.R.
        • Chan W.
        • Simonsick E.M.
        • Ferrucci L.
        Personality, metabolic rate and aerobic capacity.
        PLoS One. 2013; 8e54746
        • Stephan Y.
        • Sutin A.R.
        • Canada B.
        • Terracciano A.
        Personality and frailty: evidence from four samples.
        J. Res. Pers. 2017; 66: 46-53
        • Magave J.A.
        • Bezerra S.J.S.
        • Matos A.P.
        • Pinto A.C.P.N.
        • Pegorari M.S.
        • Ohara D.G.
        Peak expiratory flow as an index of frailty syndrome in older adults: a cross-sectional study.
        J. Nutr. Health Aging. 2020; 24: 993-998
        • Sutin A.R.
        • Stephan Y.
        • Luchetti M.
        • Artese A.
        • Oshio A.
        • Terracciano A.
        The Five-Factor Model of personality and physical inactivity: a meta-analysis of 16 samples.
        J. Res. Pers. 2016; 63: 22-28
        • Sutin A.R.
        • Terracciano A.
        Personality traits and body mass index: modifiers and mechanisms.
        Psychol. Health. 2015; 31: 259-275
        • Sutin A.R.
        • Costa Jr., P.T.
        • Uda M.
        • Ferrucci L.
        • Schlessinger D.
        • Terracciano A.
        Personality and metabolic syndrome.
        Age (Dordr). 2010; 32: 513-519
        • Baffi C.W.
        • Wood L.
        • Winnica D.
        • et al.
        Metabolic syndrome and the lung.
        Chest. 2016; 149: 1525-1534
        • Benadjaoud M.A.
        • Menai M.
        • van Hees V.T.
        • et al.
        The association between accelerometer-assessed physical activity and respiratory function in older adults differs between smokers and non-smokers.
        Sci. Rep. 2019; 910270
        • Littleton S.W.
        • Tulaimat A.
        The effects of obesity on lung volumes and oxygenation.
        Respir. Med. 2017; 124: 15-20
        • Oelsner E.C.
        • Balte P.P.
        • Bhatt S.P.
        • et al.
        Lung function decline in former smokers and low-intensity current smokers: a secondary data analysis of the NHLBI Pooled Cohorts Study.
        Lancet Respir. Med. 2020; 8: 34-44
        • Terracciano A.
        • Stephan Y.
        • Luchetti M.
        • Gonzalez-Rothi R.
        • Sutin A.R.
        Personality and lung function in older adults.
        J. Gerontol. B Psychol. Sci. Soc. Sci. 2017; 72: 913-921
        • Nunn A.J.
        • Gregg I.
        New regression equations for predicting peak expiratory flow in adults.
        BMJ. 1989; 298: 1068-1070
        • Zimprich D.
        • Allemand M.
        • Lachman M.E.
        Factorial structure and age-related psychometrics of the MIDUS personality adjective items across the life span.
        Psychol. Assess. 2012; 24: 173-186
        • John O.P.
        • Donahue E.M.
        • Kentle R.L.
        The Big Five Inventory—Versions 4a and 54.
        Institute of Personality and Social Research, University of California, Berkeley, CA1991
        • Strickhouser J.E.
        • Zell E.
        • Krizan Z.
        Does personality predict health and well-being? A metasynthesis.
        Health Psychol. 2017; 36: 797-810
        • Leger K.A.
        • Turiano N.A.
        • Bowling W.
        • Burris J.L.
        • Almeida D.M.
        Personality traits predict long-term physical health via affect reactivity to daily stressors.
        Psychol. Sci. 2021; 32: 755-765
        • Plourde A.
        • Lavoie K.L.
        • Raddatz C.
        • Bacon S.L.
        Effects of acute psychological stress induced in laboratory on physiological responses in asthma populations: a systematic review.
        Respir. Med. 2017; 127: 21-32
        • Holmes S.J.
        • Allen S.C.
        • Roberts H.C.
        Relationship between lung function and grip strength in older hospitalized patients: a pilot study.
        Int. J. Chronic Obstr. Pulm. Dis. 2017; 12: 1207-1212
        • Kanai M.
        • Kanai O.
        • Fujita K.
        • Mio T.
        • Ito M.
        Decreased handgrip strength can predict lung function impairment in male workers: a cross sectional study.
        BMC Pulm. Med. 2020; 20: 97
        • Son D.H.
        • Yoo J.W.
        • Cho M.R.
        • Lee Y.J.
        Relationship between handgrip strength and pulmonary function in apparently healthy older women.
        J. Am. Geriatr. Soc. 2018; 66: 1367-1371
        • Sutin A.R.
        • Stephan Y.
        • Luchetti M.
        • Terracciano A.
        The prospective association between personality traits and persistent pain and opioid medication use.
        J. Psychosom. Res. 2019; 123109721
        • Lehto K.
        • Pedersen N.L.
        • Almqvist C.
        • Lu Y.
        • Brew B.K.
        Asthma and affective traits in adults: a genetically informative study.
        Eur. Respir. J. 2019; 531802142
        • Stephan Y.
        • Sutin A.R.
        • Luchetti M.
        • Canada B.
        • Terracciano A.
        Personality and fatigue: meta-analysis of seven prospective studies.
        Sci. Rep. 2022; 12: 9156
        • Leger K.A.
        • Charles S.T.
        • Turiano N.A.
        • Almeida D.M.
        Personality and stressor-related affect.
        J. Pers. Soc. Psychol. 2016; 111: 917-928
        • Luo J.
        • Zhang B.
        • Cao M.
        • Roberts B.W.
        The stressful personality: a meta-analytical review of the relation between personality and stress.
        Pers. Soc. Psychol. Rev. 2022; 10888683221104002
        • Chan T.
        • Wanigatunga A.A.
        • Terracciano A.
        • et al.
        Traits and treadmills: association between personality and perceived fatigability in well-functioning community-dwelling older adults.
        Psychol. Aging. 2021; 36: 710-717
        • Simonsick E.M.
        • Glynn N.W.
        • Jerome G.J.
        • Shardell M.
        • Schrack J.A.
        • Ferrucci L.
        Fatigued, but not frail: perceived fatigability as a marker of impending decline in mobility-intact older adults.
        J. Am. Geriatr. Soc. 2016; 64: 1287-1292
        • Hancox R.J.
        • Gray A.R.
        • Sears M.R.
        • Poulton R.
        Systemic inflammation and lung function: a longitudinal analysis.
        Respir. Med. 2016; 111: 54-59
        • Jokela M.
        • Hakulinen C.
        • Singh-Manoux A.
        • Kivimäki M.
        Personality change associated with chronic diseases: pooled analysis of four prospective cohort studies.
        Psychol. Med. 2014; 44: 2629-2640
        • Stieger M.
        • Flückiger C.
        • Rüegger D.
        • Kowatsch T.
        • Roberts B.W.
        • Allemand M.
        Changing personality traits with the help of a digital personality change intervention.
        Proc. Natl. Acad. Sci. U. S. A. 2021; 118e2017548118