The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.
Religious Service Attendance and Allostatic Load Among High-Functioning Elderly
Open accessAbstract
OBJECTIVE: To examine the association between frequency of religious service attendance and an index of cumulative physiological dysregulation as measured by allostatic load (AL) (systolic and diastolic blood pressure, waist/hip ratio, high-density lipoprotein and total cholesterol, glycosylated hemoglobin, cortisol, serum dihydroepiandrosterone sulfate, norepinephrine, and epinephrine). There is growing empirical evidence of a positive relationship between religious engagement and better clinical health outcomes. However, studies exploring the subclinical levels of physiological dysregulation are rare; hence, the physiological processes underpinning the religion-health relationship are not well understood. METHODS: In 1988, 853 participants from the MacArthur Successful Aging Study provided information on the frequency of religious service attendance as well as blood and urine samples needed to obtain measures for a ten-item cumulative AL index. Gender-stratified multivariate linear regression models were used to estimate the direction and magnitude of the association between weekly religious service attendance and AL. RESULTS: At least weekly religious service attendance was associated with lower AL levels among women (b = -0.47; p < .01), but not among men (b = 0.02; p = .88) in models that statistically controlled for age, income, education, marital status, and level of physical functioning. This relationship could not be attributed to the association between religious attendance and any one or two of the components of the AL index. It also was not explained by either higher physical functioning or social integration. CONCLUSION: Cumulative physiological dysregulation may be one mechanism through which religious engagement may influence a diverse range of clinically relevant health outcomes.
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“Among the 25 studies with the highest quality ratings, 11 (44%) reported greater weight among the more R/S [82, 317–322] and five (20%) found lower weight (or less underweight [323]).”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [321]
In the citing paper
“Ten of the 12 studies had quality ratings of 7 or higher; of those, seven (70%) reported significant inverse associations with infection/viral load [440, 441, 449–454].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [452]
Citations
Cites
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“Furthermore, studies using different forms of the AL score itself have found them to perform equivalently (20,21,36,37).”
BackgroundMethodSelf-citationHOUSE, J. S., ROBBINS, C., & METZNER, H. L. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113387 · Cited by 1,381 · cited 1×
“Given previous research suggesting the association between religious activity and health may differ for men and women (4,44), all models were stratified by gender and a formal test of a gender by attendance interaction was performed.”
BackgroundSeeman, T. E. (1997) · Archives of Internal Medicine · doi:10.1001/archinte.1997.00440400111013 · Cited by 1,368
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1 of the 52 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Kalb, 2003, Can religion improve health? While the debate rages in journals and medical schools, more patients ask for doctors' prayers., Newsweek, 10, 44
- Seeman, 2002, Social relationships, gender, and allostatic load across two age cohorts., Psychosom Med, 395, 10.1097/00006842-200205000-00004 · DOI · Paper page
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Koh, H. K. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.002.0006
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0028
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Ashe, J. J., Waldstein, S. R., Singh, R., Vieytes, C. A. M., Beydoun, M. A., Mode, N. A., Gamaldo, A. A., Hampton, M., Buxton, O. M., Evans, M. K., et al. (2025) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001376
Exploring the boundaries between epigenetics and religiosity/spirituality: a systematic review
Salatino‐Oliveira, A., Celeste, J. C. N., Sturmer, C. M., Padilha, M. D. M., Silveira, L. N., de Souza, Y. B. R., da Silva, L. H. T., Pereira, F. D., dos Santos, E. B., & Costa, M. D. A. (2026) · Epigenomics · doi:10.1080/17501911.2026.2711569
Metadata
- Authors
- Maselko, J., Kubzansky, L., Kawachi, I., Seeman, T., & Berkman, L.
- Affiliations
- Temple University (US)
- Harvard University (US)
- Corresponding author
- Maselko, Joanna
- Venue
- Psychosomatic Medicine
- Published
- 2007-06
- Volume
- 69
- Issue
- 5
- Pages
- 464-472
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2042594728
- Cited by
- 124
- References
- 52
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 41 · 2022: 5 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 1 · 2014: 7 · 2013: 4 · 2012: 7
- FWCI
- 4.77
- Type
- journal article
- Language
- en
- Open access
- green
- nrs.harvard.edu
- Licence
- cc-by
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Funders
- National Institute of Mental Health (MH-17119, T32MH017119)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- religious service attendance, allostatic load, religious involvement, physiological dysregulation, successful aging, older adults, sex differences, cortisol, blood pressure, cholesterol, HbA1c, norepinephrine, epinephrine, physical function, social integration
- MeSH terms
- Aged, Aged, 80 and over, Aging, Blood Pressure, Cardiovascular Diseases, Cardiovascular System, Female, Health Status, Humans, Hydrocortisone, Lipids, Male, Cohort Studies, Spirituality, Waist-Hip Ratio
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