40세 이상 여성에서 우울, 스트레스와 건강행동 및 대사증후군의 관련성
Depression, Stress and How They are Related with Health Behaviors and Metabolic Syndrome among Women Over 40 Years
2
조회
0
다운로드
36
인용
0
참고문헌
키워드
초록
Objectives: In this study, the relationship between psychologic factors (depression and stress) and health behaviors, metabolic syndrome were evaluated. Methods: The study population was 1,559 women, aged over 40 years, April to December in 2009. We used modified National Cholesterol Education Program Adult Treatment Panel-III (modified NCEP ATP-lll) criteria for metabolic syndrome, Center for Epidemiologic Studies-Depression scale (CES-D) for depression and Psychosocial Wellbeing Index-Short Form (PWI-SF) for stress. Analysis of covariance (ANCOVA) were used to compare the mean scores of depression, stress by the number of metabolic syndrome components present. Logistic regression analyses were used to explore the variables associated with depression, stress, health behaviors and metabolic syndrome. Results: The prevalence of depression, stress and metabolic syndrome were 18.8%, 15.8%, 22.1%. Metabolic syndrome and negative health behaviors were more frequently observed in depressed and stressed groups. CES-D and PWI-SF scores increased with the number of components metabolic syndrome present. After covariates (age, education) adjusted, the odds ratios of bad health behaviors with depression and stress were 1.67 (95% CI=1.21~2.28) and 2.77 (95% CI=1.15~ 2.55). After covariates (age, education, BMI, smoking, drinking, exercise) adjusted, the odds ratios of metabolic syndrome with depression and stress were 1.48 (95% CI=1.07~2.06) and 1.75 (95 % CI=1.23~2.48). Conclusion: Depression and stress were independently associated with health behaviors and metabolic syndrome.
Abstract
Objectives: In this study, the relationship between psychologic factors (depression and stress) and health behaviors, metabolic syndrome were evaluated. Methods: The study population was 1,559 women, aged over 40 years, April to December in 2009. We used modified National Cholesterol Education Program Adult Treatment Panel-III (modified NCEP ATP-lll) criteria for metabolic syndrome, Center for Epidemiologic Studies-Depression scale (CES-D) for depression and Psychosocial Wellbeing Index-Short Form (PWI-SF) for stress. Analysis of covariance (ANCOVA) were used to compare the mean scores of depression, stress by the number of metabolic syndrome components present. Logistic regression analyses were used to explore the variables associated with depression, stress, health behaviors and metabolic syndrome. Results: The prevalence of depression, stress and metabolic syndrome were 18.8%, 15.8%, 22.1%. Metabolic syndrome and negative health behaviors were more frequently observed in depressed and stressed groups. CES-D and PWI-SF scores increased with the number of components metabolic syndrome present. After covariates (age, education) adjusted, the odds ratios of bad health behaviors with depression and stress were 1.67 (95% CI=1.21~2.28) and 2.77 (95% CI=1.15~ 2.55). After covariates (age, education, BMI, smoking, drinking, exercise) adjusted, the odds ratios of metabolic syndrome with depression and stress were 1.48 (95% CI=1.07~2.06) and 1.75 (95 % CI=1.23~2.48). Conclusion: Depression and stress were independently associated with health behaviors and metabolic syndrome.
참고문헌 (38)
- 배성우, "CES-D 척도(The Center for Epidemiologic Studies-Depression Scale)의 요인구조 분석: 확인적 요인분석 방법의 적용", 보건과 사회과학, 18(1), pp.134~155 (2005), 한국보건사회학회
- 조정진, "직무스트레스 요인과 심혈관질환위험요인 및 대사증후군", Annals of Occupational and Environmental Medicine, 18(3), pp.209~220 (2006), 대한직업환경의학회
- 김정은, "대사증후군의 각 요소들과 우울증과의 상관성", Korean Journal of Health Promotion, 7(1), pp.52~59 (2007), 대한임상건강증진학회
- Lee CY, "Reliability and Validity of PWI (Psychosocial Wellbeing Index)", Peventive Medicine, 29(2), pp.255~264 (1996)
- 성기월, "노인 당뇨병 환자의 규칙적 걷기운동 프로그램이 대사증후군, 심혈관 위험도 및 우울정도에 미치는 효과", 지역사회간호학회지, 21(4), pp.409~418 (2010), 지역사회간호학회
- Yoon DH, "Depressive Symptomatology and Metabolic Syndrome in Korean Women", Korean Society for the Study of Obesity, 14(4), pp.213~222 (2005)
- Adriaanse MC, "Associations between depressive symptoms and insulin resistance: the Hoorn Study", Diabetologia, 49(12), pp.2874~2877 (2006)
- Ahola AJ, "Depression is associated with the metabolic syndrome among patients with type 1 diabetes", Ann Med, 42(7), pp.495~501 (2010)
- Anisman H, "Cascading effects of stressors and inflammatory immune system activation: implications for major depressive disorder", J Psychiatry Neurosci, 34(1), pp.4~20 (2009)
- Bauer ME, "Chronic stress and immunosenescence: a review", Neuroimmunomodulation, 15(4-6), pp.241~250 (2008)
- Bianchi C, "Optimizing management of metabolic syndrome to reduce risk: focus on life-style", Internal And Emergency Medicine, 3(2), pp.87~98 (2008)
- Cohen BE, "Psychological risk factors and the metabolic syndrome in patients with coronary heart disease: findings from the Heart and Soul Study", Psychiatry Res, 175(1-2), pp.133~137 (2010)
- Diabetes Prevention Program Research Group, "Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin", N Engl J Med, 346(6), pp.393~340 (2002)
- Finnish Diabetes Prevention Study Group, "Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance", N Engl J Med, 344(18), pp.1343~1350 (2001)
- Goldbacher EM, "Are Psychological Characteristics Related to Risk of the Metabolic Syndrome?", A Review of the Literature Annals of Behavioral Medicine, 34, pp.240~252 (2007)
- Hartley TA, "Association between depressive symptoms and metabolic syndrome in police officers: results from two cross- sectional studies", J Environ Public Health, pp.8612~8619 (2012)
- Herman M, "Can stress cause depression?", World J Biol Psychiatry, 6(2), pp.5~22 (2005)
- Heuser I, "endocrinologically a syndrome of premature aging?", Maturitas, 1, pp.19~23 (2002)
- Holsboer F., "Stress, hypercortisolism and corticosteroid receptors in depression: implications for therapy", J Affect Disord, 62(1-2), pp.77~91 (2001)
- Lakka TA, "Physical activity in prevention and treatment of the metabolic syndrome", Applied Physiology, Nutrition & Metabolism, 32, pp.76~88 (2007)
- Laudisio A, "Depressive symptoms and metabolic syndrome: selective association in older women", J Geriatr Psychiatry Neurol, 22(4), pp.215~222 (2009)
- Muhtz C, "Depressive symptoms and metabolic risk: effects of cortisol and gender.", Psychoneuroendocrinology, 34(7), pp.1004~1111 (2009)
- Murphy JM, "Obesity and weight gain in relation to depression: findings from the Stirling County Study", International Journal of Obesity, 33(3), pp.335~341 (2009)
- Orchard TJ, "The effect of metformin and intensive lifestyle intervention on the metabolic syndrome: the Diabetes Prevention Program randomized trial", Ann Intern Med, 142(8), pp.611~619 (2005)
- Owen M, "Depression gets old fast: do stress and depression accelerate cell aging?", Depress Anxiety, 27(4), pp.327~338 (2010)
- Pouwer F, "Does emotional stress cause type 2 diabetes mellitus? A review from the European Depression in Diabetes", Discov Med, 9(45), pp.112~118 (2010)
- Rasmusson AM, "Adaptation to extreme stress: post- traumatic stress disorder, neuropeptide Y and metabolic syndrome", Exp Biol Med, 235(10), pp.1150~1162 (2010)
- Reaven GM, "Role of insuline resitance in human disease", Diabetes, 37(12), pp.1595~1607 (1988)
- Roland Rosmond, "Role of stress in the pathogenesis of the metabolic syndrome", Psychoneuroendocrinology, 30, pp.1~10 (2005)
- Rozanski A, "Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy", Circulation, 99(16), pp.2192~2217 (1999)
- Scott M. Grundy, "ATP III Update 2004: Implications of Recent Clinical Trials for the ATP III Guidelines", Circulation, 110, pp.227~239 (2004)
- 배성우, "CES-D 척도(The Center for Epidemiologic Studies-Depression Scale)의 요인구조 분석: 확인적 요인분석 방법의 적용", 보건과 사회과학, 18, pp.134~155 (2005), 한국보건사회학회
- Troxel WM, "Marital quality and occurance of the metabolic syndrome in women", Arch Intern Med, 165, pp.1022~1027 (2005)
- Toker S, "Depression and the metabolic syndrome: gender-dependent associations", Depress Anxiety, 25(8), pp.661~669 (2008)
- Vaccarino V, , Psychosom Med, 70(1), pp.40~48 (2008)
- Vanhala M, "Depressive symptoms predispose females to metabolic syndrome: a 7-year follow- up study", Acta Psychiatr Scand, 119(2), pp.137~142 (2009)
- Vogelzangs N, "Metabolic depression: a chronic depressive subtype? Findings from the In CHIANTI study of older persons", J Clin Psychiatry, 72(5), pp.598~604 (2011)
- Wolkowitz OM, "Depression gets old fast: do stress and depression accelerate cell aging?", Depress Anxiety, 27(4), pp.327~328 (2010)