Modeling multisystem physiological dysregulation

Joshua F. Wiley, Tara L. Gruenewald, Arun S. Karlamangla, Teresa E. Seeman

Research output: Contribution to journalArticleResearchpeer-review

82 Citations (Scopus)


Objectives: The purposes of this study were to compare the relative fit of two alternative factor models of allostatic load (AL) and physiological systems, and to test factor invariance across age and sex. Methods: Data were from the Midlife in the United States II Biomarker Project, a large (n = 1255) multisite study of adults aged 34 to 84 years (56.8% women). Specifically, 23 biomarkers were included, representing seven physiological systems: metabolic lipids, metabolic glucose, blood pressure, parasympathetic nervous system, sympathetic nervous system, hypothalamic-pituitary-adrenal axis, and inflammation. For factor invariance tests, age was categorized into three groups (≤45, 45-60, and >60 years). Results: A bifactor model where biomarkers simultaneously load onto a common AL factor and seven unique systemspecific factors provided the best fit to the biomarker data (comparative fit index = 0.967, root mean square error of approximation = 0.043, standardized root mean square residual = 0.028). Results from the bifactor model were consistent with invariance across age groups and sex. Conclusions: These results support the theory that represents and operationalizes AL as multisystem physiological dysregulation and operationalizing AL as the shared variance across biomarkers. Results also demonstrate that in addition to the variance in biomarkers accounted for by AL, individual physiological systems account for unique variance in systemspecific biomarkers. A bifactor model allows researchers greater precision to examine both AL and the unique effects of specific systems.
Original languageEnglish
Pages (from-to)290-301
Number of pages12
JournalPsychosomatic Medicine
Issue number3
Publication statusPublished - Apr 2016
Externally publishedYes


  • Allostatic load
  • Biomarkers
  • Midlife in the United States
  • Physiological dysregulation

Cite this