Abstract
Chronic stress exposure is associated with diverse negative health outcomes. It has been hypothesised that stress may also negatively affect the body's mineral status. This study investigates the association between chronic stress and long-term mineral concentrations of calcium (Ca), copper (Cu), iron (Fe), magnesium (Mg), phosphorus (P) and zinc (Zn) in scalp hair among elementary school girls. Complete information on child-reported stress estimates (Coddington Life Events Scale (CLES)), hair cortisone and hair mineral concentrations, and predefined confounders in the stress–mineral relationship (i.e. age, body mass index, physical activity, diet, hair colour and parental education) was provided cross-sectionally for 140 girls (5–10 years old). The relationship between childhood stress measures (predictor) and hair minerals (outcome) was studied using linear regression analysis, adjusted for the abovementioned confounders. Hair cortisone concentrations were inversely associated with hair mineral concentrations of Ca, Mg, Zn and the Ca/P ratio. Children at risk by life events (CLES) presented an elevated Ca/Mg ratio. These findings were persistent after adjustment for confounders. This study demonstrated an independent association between chronic stress measures and hair mineral levels in young girls, indicating the importance of physiological stress–mineral pathways independently from individual or behavioural factors. Findings need to be confirmed in a more heterogeneous population and on longitudinal basis. The precise mechanisms by which stress alters hair mineral levels should be further elucidated.
Similar content being viewed by others
References
Cohen S, Kessler RC, Gordon LU (1997) Measuring stress: a guide for health and social scientists. Oxford University Press, New York
Schneiderman N, Ironson G, Siegel SD (2005) Stress and health: psychological, behavioral, and biological determinants. Annu Rev Clin Psychol 1:607–628
Mcewen BS (1998) Protective and damaging effects of stress mediators. N Engl J Med 338:171–179
Pizent A, Jurasovic J, Pavlovic M, Telisman S (1999) Serum copper, zinc and selenium levels with regard to psychological stress in men. J Trace Elem Med Biol 13:34–39
Singh A, Smoak BL, Patterson KY, Lemay LG, Veillon C, Deuster PA (1991) Biochemical indexes of selected trace minerals in men—effect of stress. Am J Clin Nutr 53:126–131
Takase B, Akima T, Uehata A, Ohsuzu F, Kurita A (2004) Effect of chronic stress and sleep deprivation on both flow-mediated dilation in the brachial artery and the intracellular magnesium level in humans. Clin Cardiol 27:223–227
Cernak I, Savic V, Kotur J, Prokic V, Kuljic B, Grbovic D et al (2000) Alterations in magnesium and oxidative status during chronic emotional stress. Magnes Res 13:29–36
Seelig MS (1994) Consequences of magnesium deficiency on the enhancement of stress reactions—preventive and therapeutic implications (a review). J Am Coll Nutr 13:429–446
Grases G, Perez-Castello JA, Sanchis P, Casero A, Perello J, Isern B et al (2006) Anxiety and stress among science students. Study of calcium and magnesium alterations. Magnes Res 19:102–106
Moore RJ, Friedl KE, Tulley RT, Askew EW (1993) Maintenance of iron status in healthy men during an extended period of stress and physical activity. Am J Clin Nutr 58:923–927
Dallman MF, Pecoraro NC, la Fleur SE (2005) Chronic stress and comfort foods: self-medication and abdominal obesity. Brain Behav Immun 19:275–280
Torres SJ, Nowson CA (2007) Relationship between stress, eating behavior, and obesity. Nutrition 23:887–894
Rabinovitz S (2006) Stress and food craving. In: Yehuda S, Mostofsky DI (eds) Nutrients, stress and medical disorders. Human, New Jersey, pp 155–164
Kaidar-Person O, Person B, Szomstein S, Rosenthal RJ (2008) Nutritional deficiencies in morbidly obese patients: a new form of malnutrition? Obes Surg 18:1028–1034
Costantini D, Marasco V, Moller AP (2011) A meta-analysis of glucocorticoids as modulators of oxidative stress in vertebrates. J Comp Physiol B 181:447–456
Vertuani S, Angusti A, Manfredini S (2004) The antioxidants and pro-antioxidants network: an overview. Curr Pharm Des 10:1677–1694
Kiecolt-Glaser JK (2010) Stress, food, and inflammation: psychoneuroimmunology and nutrition at the cutting edge. Psychosom Med 72:365–369
Yin J, Levanon D, Chen JDZ (2004) Inhibitory effects of stress on postprandial gastric myoelectrical activity and vagal tone in healthy subjects. Neurogastroenterol Motil 16:737–744
Mayer EA (2000) The neurobiology of stress and gastrointestinal disease. Gut 47:861–869
Heshmati HM, Riggs BL, Burritt MF, McAlister CA, Wollan P, Khosla S (1998) Effects of the circadian variation in serum cortisol on markers of bone turnover and calcium homeostasis in normal postmenopausal women. J Clin Endocrin Metab 83:751–756
Teicher MH, Andersen SL, Polcari A, Anderson CM, Navalta CP, Kim DM (2003) The neurobiological consequences of early stress and childhood maltreatment. Neurosci Biobehav Rev 27:33–44
Michels N, Sioen I, Huybrechts I, Bammann K, Vanaelst B, De Vriendt T et al (2012) Negative life events, emotions and psychological difficulties as determinants of salivary cortisol in Belgian primary school children. Psychoneuroendocrinology 37:1506–1515
Vanaelst B, De Vriendt T, Ahrens W, Bammann K, Hadjigeorgiou C, Konstabel K et al (2012) Prevalence of psychosomatic and emotional symptoms in European school-aged children and its relationship with childhood adversities: results from the IDEFICS study. Eur Child Adolesc Psychiatry 21:253–265
Washington TD (2009) Psychological stress and anxiety in middle to late childhood and early adolescence: manifestations and management. J Pediatr Nurs 24:302–313
Kempson IM, Lombi E (2011) Hair analysis as a biomonitor for toxicology, disease and health status. Chem Soc Rev 40:3915–3940
Meyer JS, Novak MA (2012) Minireview: hair cortisol: a novel biomarker of hypothalamic–pituitary–adrenocortical activity. Endocrinology 153:4120–4127
Vanaelst B, Huybrechts I, Michels N, Vyncke K, Sioen I, De Vriendt T et al (2012) Mineral concentrations in hair of Belgian elementary school girls: reference values and relationship with food consumption frequencies. Biol Trace Elem Res 150:56–67
Chojnacka K, Zielinska A, Michalak I, Gorecki H (2010) The effect of dietary habits on mineral composition of human scalp hair. Environ Toxicol Pharmacol 30:188–194
Chojnacka K, Gorecka H, Gorecki H (2006) The effect of age, sex, smoking habit and hair color on the composition of hair. Environ Toxicol Pharmacol 22:52–57
Wang CT, Chang WT, Jeng LH, Liu PE, Liu LY (2005) Concentrations of calcium, copper, iron, magnesium, and zinc in young female hair with different body mass indexes in Taiwan. J Heal Sci 51:70–74
Nielsen FH, Lukaski HC (2006) Update on the relationship between magnesium and exercise. Magnes Res 19:180–189
Huybrechts I, Lin Y, De Keyzer W, Sioen I, Mouratidou T, Moreno LA et al (2011) Dietary sources and sociodemographic and economic factors affecting vitamin D and calcium intakes in Flemish preschoolers. Eur J Clin Nutr 65:1039–1047
Montain SJ, Cheuvront SN, Lukaski HC (2007) Sweat mineral-element responses during 7 h of exercise–heat stress. Int J of Sport Nutr Exerc Metab 17:574–582
Ahrens W, Bammann K, Siani A, Buchecker K, De Henauw S, Iacoviello L et al (2011) The IDEFICS cohort: design, characteristics and participation in the baseline survey. Int J Obes 35:S3–S15
Michels N, Vanaelst B, Vyncke K, Sioen I, Huybrechts I, De Vriendt T et al (2012) Children's body composition and stress—the ChiBS study: aims, design, methods and population characteristics. Arch Publ Health 70:17
Harkey MR (1993) Anatomy and physiology of hair. Forensic Sci Int 63:9–18
Wang CT, Chang WT, Zeng WF, Lin CH (2005) Concentrations of calcium, copper, iron, magnesium, potassium, sodium and zinc in adult female hair with different body mass indexes in Taiwan. Clin Chem Lab Med 43:389–393
Bialkowska M, Hoser A, Szostak WB, Dybczynski R, Sterlinski S, Nowicka G et al (1987) Hair zinc and copper concentration in survivors of myocardial infarction. Ann Nutr Metab 31:327–332
Park SB, Choi SW, Nam AY (2009) Hair tissue mineral analysis and metabolic syndrome. Biol Trace Elem Res 130:218–228
Coddington RD (1972) Significance of life events as etiologic factors in diseases of children. 2. Study of normal population. J Psychosom Res 16:205–213
Villalonga-Olives E, Valderas JM, Palacio-Vieira JA, Herdman M, Rajmil L, Alonso J (2008) The adaptation into Spanish of the Coddington Life Events Scales (CLES). Qual Life Res 17:447–452
Welberg LAM, Thrivikraman KV, Plotsky PM (2005) Chronic maternal stress inhibits the capacity to up-regulate placental 11 beta-hydroxysteroid dehydrogenase type 2 activity. J Endocrinol 186:R7–R12
Altuna ME, Lelli SM, de Viale LCSM, Damasco MC (2006) Effect of stress on hepatic 11 beta-hydroxysteroid dehydrogenase activity and its influence on carbohydrate metabolism. Can J Physiol Pharmacol 84:977–984
Romer B, Lewicka S, Kopf D, Lederbogen F, Hamann B, Gilles M et al (2009) Cortisol metabolism in depressed patients and healthy controls. Neuroendocrinology 90:301–306
Plenis A, Konieczna L, Oledzka I, Kowalski P, Baczek T (2011) Simultaneous determination of urinary cortisol, cortisone and corticosterone in parachutists, depressed patients and healthy controls in view of biomedical and pharmacokinetic studies. Mol Biosyst 7:1487–1500
Yehuda R, Bierer LM, Andrew R, Schmeidler J, Seckl JR (2009) Enduring effects of severe developmental adversity, including nutritional deprivation, on cortisol metabolism in aging holocaust survivors. J Psychiatr Res 43:877–883
Vanaelst B, De Vriendt T, Huybrechts I, Michels N, Vyncke K, Sioen I et al (2013) Cortisone in hair of elementary-school girls and its relationship with childhood stress. Eur J Pediatr. doi:10.1007/s00431-013-1955-1, Revisions under review
Vanaelst B, Rivet N, Ludes B, De Henauw S, Raul JS (2013) Measurement of cortisol and cortisone in children's hair using ultra performance liquid chromatography and tandem mass spectrometry. Anal Methods. doi:10.1039/C3AY26570F, Revisions under review
UNESCO (1997) International Standard Classification of Education ISCED. http://www.unesco.org/education/information/nfsunesco/doc/isced_1997.htm. Accessed 1 Oct 2010
Burdette HL, Whitaker RC, Daniels SR (2004) Parental report of outdoor playtime as a measure of physical activity in preschool-aged children. Arch of Pediatrics Adolescent Med 158:353–357
Lanfer A, Hebestreit A, Ahrens W, Krogh V, Sieri S, Lissner L et al (2011) Reproducibility of food consumption frequencies derived from the Children's Eating Habits Questionnaire used in the IDEFICS study. Int J Obes 35:S61–S68
Huybrechts I, Bornhorst C, Pala V, Moreno LA, Barba G, Lissner L et al (2011) Evaluation of the Children's Eating Habits Questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children. Int J Obes 35:S69–S78
Feskanich D, Rockett HRH, Colditz GA (2004) Modifying the Healthy Eating Index to assess diet quality in children and adolescents. J Am Diet Assoc 104:1375–1383
Bammann K, Sioen I, Huybrechts I, Casajus JA, Vicente-Rodriguez G, Cuthill R et al (2011) The IDEFICS validation study on field methods for assessing physical activity and body composition in children: design and data collection. Int J Obes 35:S79–S87
Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Res Methods 39:175–191
Faul F, Erdfelder E, Buchner A, Lang AG (2009) Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Res Methods 41:1149–1160
Vanaelst B, De Vriendt T, Huybrechts I, Rinaldi S, De Henauw S (2012) Epidemiological approaches to measure childhood stress. Paediatr Perinat Epidemiol 26:280–297
Chen JB, Shen H, Chen CJ, Wang WY, Yu SY, Zhao M et al (2009) The effect of psychological stress on iron absorption in rats. BMC Gastroenterol 9:83
Roy A, Evers SE, Avison WR, Campbell MK (2010) Higher zinc intake buffers the impact of stress on depressive symptoms in pregnancy. Nutr Res 30:695–704
Acknowledgments
The project was financed by the European Community within the Sixth RTD Framework Program contract no. 016181 (FOOD) and the research council of Ghent University (Bijzonder Onderzoeksfonds). Barbara Vanaelst, Lieve Balcaen and Maite Aramendia are financially supported by the Research Foundation—Flanders (grant nos. 1.1.894.11.N.00, 1.2.031.09.N.01 and 1.2.031.09.N.01, respectively). Nathalie Michels is financially supported by the research council of Ghent University (Bijzonder onderzoeksfonds). María R. Flórez is financially supported by Gent University (project BOF 01SB0309) and the Spanish Ministry of Economy and Competitiveness (project CTQ2009-08606). The authors wish to thank the ChiBS children and their parents who generously volunteered and participated in this project.
Author information
Authors and Affiliations
Corresponding author
Additional information
Laboratory information
Elemental hair analysis: Atomic & Mass Spectrometry (A&MS) research unit, Department of Analytical Chemistry, Ghent University, Krijgslaan 281–S12, 9000 Ghent, Belgium
http://www.analchem.ugent.be/A&MS/
Hair cortisone determination: Toxicology Laboratory, Institute of Legal Medicine, Strasbourg University, 11 Rue Humann, 67085 Strasbourg Cedex, France
Rights and permissions
About this article
Cite this article
Vanaelst, B., Michels, N., Huybrechts, I. et al. Cross-Sectional Relationship Between Chronic Stress and Mineral Concentrations in Hair of Elementary School Girls. Biol Trace Elem Res 153, 41–49 (2013). https://doi.org/10.1007/s12011-013-9647-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12011-013-9647-2