The immediate and long-term impact of physical and/or emotional stress from motor vehicle accidents on circulating stress hormones and adipo-cytokines in XXXX and adolescents.

@entity1 @entity650 @entity64 @entity1254 @entity701 @entity2922 @entity130
@entity64 ( @entity64 ) represent a complex physical and emotional stressor. Consequent short- and/or long-term alterations on the circulating concentrations of stress hormones and adipo-cytokines may have potential health implications. Fifty-nine @entity1 and adolescents, aged 7-18 years, were evaluated within 24 h after hospitalization for a @entity64 , and 1 and 6 months later; 40 @entity1 served as controls. We examined longitudinally the effects of physical injury-associated (PI) group vs. emotional-only stress (ES) group on circulating @entity701 , @entity2922 , @entity650 , leptin and @entity1254 concentrations. Within 24 h after the accident, serum @entity701 concentration was greater than the controls in the PI but not the ES group (p = 0.02), while serum @entity650 concentration was greater in both @entity130 groups than in the controls (p = 0.004 for PI, p = 0.04 for ES). @entity1254 concentration was lower in the PI than the ES (p = 0.031) and the control (p = 0.019) groups and this was mainly attributed to females. The @entity2922 and leptin concentrations were similar in the three groups. At the 1 and 6 month evaluations, @entity701 and @entity650 concentrations in both @entity130 groups became normal. @entity1254 concentration in females, however, remained low 1 and 6 months after the accident (p = 0.03 for month six). In conclusion, circulating @entity650 concentration was influenced equally by the physical and emotional stress shortly after the @entity130 . Physical but not emotional-only stress lowered the circulating @entity1254 concentrations in females and this effect persisted for at least 6 months.
