An analysis of baseline examination data from the Multi-Ethnic Study of Artherosclerosis was conducted in order to investigate predictors of cardiovascular health (CVH) - a global measure of one's burden of cardiovascular risk factors. Neighborhood environment - such as favorable food stores, physical activity resources, and walking/physical activity environment - and neighborhood socioeconomic status were found to be associated with ideal CVH.
This study examined the relationship between psychological well being (using measures of vitality and optimism) and hypertension, finding that high emotional vitality but not optimism significantly predicted a reduced risk of hypertension.
Positive psychological well-being, especially optimism, protects against the incidence, and somewhat against the progression, of cardiovascular disease through a broad array of mechanisms, according to this extensive literature review.