{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T12:46:19Z","timestamp":1776689179263,"version":"3.51.2"},"reference-count":57,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Infant birth weight influences numerous health outcomes throughout the life course including childhood obesity and metabolic morbidities. Maternal experience of stress, both before and during pregnancy, has been hypothesized to influence fetal growth and birth outcomes. However, these associations currently are not fully understood, due to conflicting results in the published literature. Salivary cortisol is often used as a biological biomarker to assess the diurnal pattern of the hypothalamic\u2013pituitary\u2013adrenal axis (HPA-axis) functioning. Cortisol metrics include both the total cortisol concentration secreted during waking hours, reflected by the area under the curve (AUC), and cortisol dynamics, which include the diurnal cortisol slope (DCS) and the cortisol awakening response (CAR). This study examined the association of these cortisol metrics measured during the third trimester of pregnancy and infant birth weight among 240 mother-infant dyads participating in the Maternal and Developmental Risks from Environmental and Social Stressors (MADRES) pregnancy cohort study, which is predominately comprised of Hispanic low-income women. There were no significant associations with the maternal biological stress response and infant birth weight in this study. More research is needed in larger studies to better understand how the biological stress response influences birth weight in populations facing health disparities.<\/jats:p>","DOI":"10.3390\/ijerph17186896","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T21:01:21Z","timestamp":1600722081000},"page":"6896","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Prenatal Maternal Cortisol Levels and Infant Birth Weight in a Predominately Low-Income Hispanic Cohort"],"prefix":"10.3390","volume":"17","author":[{"given":"Alicia","family":"Peterson","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1228-9070","authenticated-orcid":false,"given":"Claudia M.","family":"Toledo-Corral","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"},{"name":"Department of Health Sciences, California State University Northridge, Northridge, CA 91330, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Chavez","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1575-6308","authenticated-orcid":false,"given":"Christine","family":"Naya","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandrah","family":"Eckel","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Lerner","sequence":"additional","affiliation":[{"name":"Eisner Health, Los Angeles, CA 90015, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan","family":"Grubbs","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohreh","family":"Farzan","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4129-3829","authenticated-orcid":false,"given":"Genevieve","family":"Dunton","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"},{"name":"Department of Psychology, University of Southern California, Los Angeles, CA 90089, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Bastain","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carrie","family":"Breton","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Belbasis, L., Savvidou, M.D., Kanu, C., Evangelou, E., and Tzoulaki, I. (2016). Birth weight in relation to health and disease in later life: An umbrella review of systematic reviews and meta-analyses. BMC Med., 14.","DOI":"10.1186\/s12916-016-0692-5"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Camerota, M., and Bollen, K.A. (2016). Birth Weight, Birth Length, and Gestational Age as Indicators of Favorable Fetal Growth Conditions in a US Sample. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0153800"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Barker, D.J., Hales, C.N., Fall, C.H., Osmond, C., Phipps, K., and Clark, P.M. (1993). Type 2 (non-insulin-dependent) diabetes mellitus, hypertension and hyperlipidaemia (syndrome X): Relation to reduced fetal growth. Diabetologia, 36.","DOI":"10.1007\/BF00399095"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"6492","DOI":"10.1016\/j.vaccine.2017.01.049","article-title":"Low birth weight: Case definition & guidelines for data collection, analysis, and presentation of maternal immunization safety data","volume":"35","author":"Cutland","year":"2017","journal-title":"Vaccine"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e015576","DOI":"10.1136\/bmjopen-2016-015576","article-title":"The relation between birthweight, childhood body mass index, and overweight and obesity in late adolescence: A longitudinal cohort study from Norway, The Troms\u00f8 Study, Fit Futures","volume":"7","author":"Evensen","year":"2017","journal-title":"BMJ Open"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s12933-016-0389-2","article-title":"Low birth weight leads to obesity, diabetes and increased leptin levels in adults: The CoLaus study","volume":"15","author":"Jornayvaz","year":"2016","journal-title":"Cardiovasc. Diabetol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1017\/S2040174414000440","article-title":"Birth weight and risk of coronary heart disease in adults: A meta-analysis of prospective cohort studies","volume":"5","author":"Wang","year":"2014","journal-title":"J. Dev. Orig. Health Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s12519-018-0218-7","article-title":"Association between fetal macrosomia and risk of obesity in children under 3 years in Western China: A cohort study","volume":"15","author":"Pan","year":"2019","journal-title":"World J. Pediatrics WJP"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1007\/s10995-012-1136-2","article-title":"Being macrosomic at birth is an independent predictor of overweight in children: Results from the IDEFICS study","volume":"17","author":"Sparano","year":"2013","journal-title":"Matern. Child Health J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1038\/ijo.2009.131","article-title":"Fetal macrosomia and adolescence obesity: Results from a longitudinal cohort study","volume":"33","author":"Wang","year":"2009","journal-title":"Int. J. Obes."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1592s","DOI":"10.1093\/jn\/133.5.1592S","article-title":"The epidemiology of adverse pregnancy outcomes: An overview","volume":"133","author":"Kramer","year":"2003","journal-title":"J. Nutr."},{"key":"ref_12","first-page":"207","article-title":"The weathering hypothesis and the health of African-American women and infants: Eidence and speculations","volume":"2","author":"Geronimus","year":"1992","journal-title":"Ethn. Dis."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/0277-9536(95)00159-X","article-title":"Black\/white differences in the relationship of maternal age to birthweight: A population-based test of the weathering hypothesis","volume":"42","author":"Geronimus","year":"1996","journal-title":"Soc. Sci. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1007\/s00737-014-0436-5","article-title":"Cumulative psychosocial stress, coping resources, and preterm birth","volume":"17","author":"McDonald","year":"2014","journal-title":"Arch. Women\u2019s Ment. Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1038\/sj.ejcn.1601526","article-title":"Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation","volume":"57","author":"Ferreira","year":"2003","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.wombi.2015.02.003","article-title":"The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review","volume":"28","author":"Staneva","year":"2015","journal-title":"Women Birth J. Aust. Coll. Midwives"},{"key":"ref_17","first-page":"167","article-title":"Health disparities: Gaps in access, quality and affordability of medical care","volume":"123","author":"Riley","year":"2012","journal-title":"Trans. Am. Clin. Climatol. Assoc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1196\/annals.1425.016","article-title":"Poverty, maternal health, and adverse pregnancy outcomes","volume":"1136","author":"Nagahawatte","year":"2008","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_19","first-page":"1","article-title":"Births: Final Data for 2017","volume":"67","author":"Martin","year":"2018","journal-title":"Natl. Vital Stat. Rep. Cent. Dis. Control Prev. Natl. Cent. Health Stat. Natl. Vital Stat. Syst."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1177\/0739986310373210","article-title":"Acculturative Stress Among Documented and Undocumented Latino Immigrants in the United States","volume":"32","author":"Arbona","year":"2010","journal-title":"Hisp. J. Behav. Sci."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s40985-016-0043-2","article-title":"Hispanic health in the USA: A scoping review of the literature","volume":"37","author":"Jimenez","year":"2016","journal-title":"Public Health Rev."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Adam, E.K., and Kumari, M. (2009). Assessing salivary cortisol in large-scale, epidemiological research. Psychoneuroendocrinology, 34.","DOI":"10.1016\/j.psyneuen.2009.06.011"},{"key":"ref_23","first-page":"67","article-title":"The cortisol awakening response (CAR): Facts and future directions","volume":"72","author":"Fries","year":"2009","journal-title":"Int. J. Psychophysiol. Off. J. Int. Organ. Psychophysiol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2539","DOI":"10.1016\/S0024-3205(97)01008-4","article-title":"Free cortisol levels after awakening: A reliable biological marker for the assessment of adrenocortical activity","volume":"61","author":"Pruessner","year":"1997","journal-title":"Life Sci."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Allolio, B., Hoffmann, J., Linton, E.A., Winkelmann, W., Kusche, M., and Schulte, H.M. (1990). Diurnal salivary cortisol patterns during pregnancy and after delivery: Relationship to plasma corticotrophin-releasing-hormone. Clin. Endocrinol., 33.","DOI":"10.1111\/j.1365-2265.1990.tb00492.x"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1210\/jc.2010-2395","article-title":"A longitudinal study of plasma and urinary cortisol in pregnancy and postpartum","volume":"96","author":"Jung","year":"2011","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/S0006-3223(96)00005-4","article-title":"Pulsatile adrenocorticotropic hormone: An overview","volume":"41","author":"Gudmundsson","year":"1997","journal-title":"Biol. Psychiatry"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/S0076-6879(04)84004-7","article-title":"Deconvolution analysis as a hormone pulse-detection algorithm","volume":"384","author":"Johnson","year":"2004","journal-title":"Methods Enzymol."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Bloom, S.L., Sheffield, J.S., McIntire, D.D., and Leveno, K.J. (2001). Antenatal dexamethasone and decreased birth weight. Obstet. Gynecol., 97.","DOI":"10.1097\/00006250-200104000-00001"},{"key":"ref_30","first-page":"pt12","article-title":"Prenatal stress, telomere biology, and fetal programming of health and disease risk","volume":"5","author":"Entringer","year":"2012","journal-title":"Sci. Signal."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"French, N.P., Hagan, R., Evans, S.F., Godfrey, M., and Newnham, J.P. (1999). Repeated antenatal corticosteroids: Size at birth and subsequent development. Am. J. Obstet. Gynecol., 180.","DOI":"10.1016\/S0002-9378(99)70160-2"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.psyneuen.2012.08.012","article-title":"Glucocorticoid excess and the developmental origins of disease: Two decades of testing the hypothesis--2012 Curt Richter Award Winner","volume":"38","author":"Reynolds","year":"2013","journal-title":"Psychoneuroendocrinology"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"816","DOI":"10.4161\/epi.28703","article-title":"Epigenetic regulation of the placental HSD11B2 barrier and its role as a critical regulator of fetal development","volume":"9","author":"Togher","year":"2014","journal-title":"Epigenetics"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Crowther, C.A., Middleton, P.F., Voysey, M., Askie, L., Zhang, S., Martlow, T.K., Aghajafari, F., Asztalos, E.V., Brocklehurst, P., and Dutta, S. (2019). Effects of repeat prenatal corticosteroids given to women at risk of preterm birth: An individual participant data meta-analysis. PLoS Med., 16.","DOI":"10.1371\/journal.pmed.1002771"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s00737-010-0183-1","article-title":"Cortisol levels in pregnancy as a psychobiological predictor for birth weight","volume":"14","author":"Bolten","year":"2011","journal-title":"Arch. Women\u2018s Ment. Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1017\/S2040174418000181","article-title":"Associations between maternal prenatal cortisol and fetal growth are specific to infant sex: Findings from the Wirral Child Health and Development Study","volume":"9","author":"Braithwaite","year":"2018","journal-title":"J. Dev. Orig. Health Dis."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1097\/PSY.0b013e318244fbde","article-title":"Acculturation, maternal cortisol, and birth outcomes in women of Mexican descent","volume":"74","author":"Hoffman","year":"2012","journal-title":"Psychosom. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.psyneuen.2015.03.013","article-title":"Sexually dimorphic adaptations in basal maternal stress physiology during pregnancy and implications for fetal development","volume":"56","author":"Giesbrecht","year":"2015","journal-title":"Psychoneuroendocrinology"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.psyneuen.2018.04.022","article-title":"Maternal hypothalamus-pituitary-adrenal (HPA) system activity and stress during pregnancy: Effects on gestational age and infant\u2019s anthropometric measures at birth","volume":"94","author":"Gilles","year":"2018","journal-title":"Psychoneuroendocrinology"},{"key":"ref_40","first-page":"625","article-title":"Diurnal salivary cortisol patterns prior to pregnancy predict infant birth weight","volume":"35","author":"Guardino","year":"2016","journal-title":"Health Psychol. Off. J. Div. Health Psychol. Am. Psychol. Assoc."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1038\/pr.2012.70","article-title":"The influence of maternal cortisol and emotional state during pregnancy on fetal intrauterine growth","volume":"72","author":"Hompes","year":"2012","journal-title":"Pediatric Res."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1016\/j.psyneuen.2008.06.008","article-title":"Diurnal rhythm of cortisol during late pregnancy: Associations with maternal psychological well-being and fetal growth","volume":"33","author":"Kivlighan","year":"2008","journal-title":"Psychoneuroendocrinology"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.jpsychores.2013.07.001","article-title":"Ambulatory assessments of psychological and peripheral stress-markers predict birth outcomes in teen pregnancy","volume":"75","author":"Spicer","year":"2013","journal-title":"J. Psychosom. Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1080\/15402002.2016.1210147","article-title":"Maternal Sleep Quality and Diurnal Cortisol Regulation over Pregnancy","volume":"16","author":"Bublitz","year":"2018","journal-title":"Behav. Sleep Med."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Bublitz, M.H., Vergara-Lopez, C., O\u2019Reilly Treter, M., and Stroud, L.R. (2016). Association of Lower Socioeconomic Position in Pregnancy with Lower Diurnal Cortisol Production and Lower Birthweight in Male Infants. Clin. Ther., 38.","DOI":"10.1016\/j.clinthera.2015.12.007"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1111\/apa.14246","article-title":"Limited association between markers of stress during pregnancy and fetal growth in \u2018Born into Life\u2019, a new prospective birth cohort","volume":"107","author":"Smew","year":"2018","journal-title":"Acta Paediatrica"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.psyneuen.2018.04.023","article-title":"The effect of gestational period on the association between maternal prenatal salivary cortisol and birth weight: A systematic review and meta-analysis","volume":"94","author":"Cherak","year":"2018","journal-title":"Psychoneuroendocrinology"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.psyneuen.2017.05.018","article-title":"Diurnal cortisol slopes and mental and physical health outcomes: A systematic review and meta-analysis","volume":"83","author":"Adam","year":"2017","journal-title":"Psychoneuroendocrinology"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/j.psyneuen.2015.10.010","article-title":"Assessment of the cortisol awakening response: Expert consensus guidelines","volume":"63","author":"Stalder","year":"2016","journal-title":"Psychoneuroendocrinology"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Bastain, T.M., Chavez, T., Habre, R., Girguis, M.S., Grubbs, B., Toledo-Corral, C., Amadeus, M., Farzan, S.F., Al-Marayati, L., and Lerner, D. (2019). Study Design, Protocol and Profile of the Maternal And Developmental Risks from Environmental and Social Stressors (MADRES) Pregnancy Cohort: A Prospective Cohort Study in Predominantly Low-Income Hispanic Women in Urban Los Angeles. BMC Pregnancy Childbirth, 19.","DOI":"10.1186\/s12884-019-2330-7"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1016\/S0306-4530(02)00108-7","article-title":"Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change","volume":"28","author":"Pruessner","year":"2003","journal-title":"Psychoneuroendocrinology"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.neubiorev.2009.12.011","article-title":"The cortisol awakening response: More than a measure of HPA axis function","volume":"35","author":"Clow","year":"2010","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1981","DOI":"10.1016\/j.psyneuen.2012.04.014","article-title":"Stability of the diurnal cortisol profile in children and adolescents","volume":"37","author":"Rotenberg","year":"2012","journal-title":"Psychoneuroendocrinology"},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Committee on Obstetric Practice, American Institute of Ultrasound in Medicine, & Society for Maternal-Fetal Medicine (2017). Committee Opinion No 700: Methods for Estimating the Due Date. Obstet. Gynecol., 129, e150\u2013e154.","DOI":"10.1097\/AOG.0000000000002046"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"S228","DOI":"10.1067\/mob.2002.123054","article-title":"Motherisk-PUQE (pregnancy-unique quantification of emesis and nausea) scoring system for nausea and vomiting of pregnancy","volume":"186","author":"Koren","year":"2002","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1111\/j.1365-2796.2007.01817.x","article-title":"Impaired cortisol response to acute stressors in patients with coronary disease. Implications for inflammatory activity","volume":"262","author":"Nijm","year":"2007","journal-title":"J. Intern. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1080\/17437190802530812","article-title":"A field (researcher\u2019s) guide to cortisol: Tracking HPA axis functioning in everyday life","volume":"2","author":"Saxbe","year":"2008","journal-title":"Health Psychol. Rev."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/18\/6896\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:12:08Z","timestamp":1760177528000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/18\/6896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,21]]},"references-count":57,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2020,9]]}},"alternative-id":["ijerph17186896"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17186896","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,21]]}}}