The association between type A behavior and a cluster of parameters of
the metabolic syndrome was studied in 919 randomly selected healthy y
oung adults. Type A behavior was measured using the Type A Behavior Qu
estionnaire for the Finnish Multicenter Study and the Hunter Wolf A-B
Rating Scale. The results showed that type A men scored higher on the
''Metabolic Syndrome Precursors Factor,'' representing a metabolic ent
ity, than did non-type A men. In addition, type A behavior had a moder
ating effect on the relationship between parameters of the metabolic s
yndrome, that is, interdependence of these somatic factors was stronge
r in type A men than in non type A men. These findings were not true o
f women. It is discussed whether type A behavior might affect bodily f
unctions through increased activity along the pituitary-adrenal system
resulting in insulin resistance, compensatory hyperinsulinemia, and o
ther characteristics of the metabolic syndrome.