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Neuroendocrine biomarkers, allostatic load, and the challenge of measurement: A commentary on Gersten

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  • Loucks, Eric B.
  • Juster, Robert P.
  • Pruessner, Jens C.

Abstract

In this commentary, we discuss Gersten's findings particularly in relation to the challenge of accurately measuring stress, neuroendocrine markers and allostatic load. Allostatic load is a timely, potentially useful tool to measure the degree in which the body's physiological function is outside of optimal range. As with most biomarkers early on in development, there are sound opportunities to advance methods that will help understand the etiology of allostatic load and allow it to become more accurately measured. We present a biomarker development framework that should aid in furthering measurement of allostatic load, emphasizing the importance of biomarker measurement accuracy, standardization of methods, and relevance to clinically meaningful outcomes.

Suggested Citation

  • Loucks, Eric B. & Juster, Robert P. & Pruessner, Jens C., 2008. "Neuroendocrine biomarkers, allostatic load, and the challenge of measurement: A commentary on Gersten," Social Science & Medicine, Elsevier, vol. 66(3), pages 525-530, February.
    • Handle: RePEc:eee:socmed:v:66:y:2008:i:3:p:525-530
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    References listed on IDEAS

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    1. Jan Born & Kirsten Hansen & Lisa Marshall & Matthias Mölle & Horst L. Fehm, 1999. "Timing the end of nocturnal sleep," Nature, Nature, vol. 397(6714), pages 29-30, January.
    2. Gersten, Omer, 2008. "Neuroendocrine biomarkers, social relations, and the cumulative costs of stress in Taiwan," Social Science & Medicine, Elsevier, vol. 66(3), pages 507-519, February.
    3. Jane Xu & Scott L. Zeger, 2001. "The Evaluation of Multiple Surrogate Endpoints," Biometrics, The International Biometric Society, vol. 57(1), pages 81-87, March.
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    1. Gersten, Omer, 2008. "The path traveled and the path ahead for the allostatic framework: A rejoinder on the framework's importance and the need for further work related to theory, data, and measurement," Social Science & Medicine, Elsevier, vol. 66(3), pages 531-535, February.
    2. Mattei, Josiemer & Demissie, Serkalem & Falcon, Luis M. & Ordovas, Jose M. & Tucker, Katherine, 2010. "Allostatic load is associated with chronic conditions in the Boston Puerto Rican Health Study," Social Science & Medicine, Elsevier, vol. 70(12), pages 1988-1996, June.
    3. Panter-Brick, Catherine & Eggerman, Mark, 2018. "The field of medical anthropology in Social Science & Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 233-239.
    4. Marie‐Anne S. Rosemberg & Yang Li & Julia Seng, 2017. "Allostatic load: a useful concept for advancing nursing research," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 5191-5205, December.

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