Abstract

BackgroundMetabolic syndrome (MetS) is caused by both genetic and environmental factors, such as daily calorie intake, smoking, and alcohol consumption. Lifestyle factors, such as alcohol consumption, are considered to be related to the prevalence of MetS and plays an essential role in the pathogenesis and prognosis of depression.MethodsWe investigated the bidirectional association between lifestyle factors and MetS among Korean adults with depressive symptoms in third wave of a community-based cohort study. A total of 1,578 individuals, aged 39–72 years, who had MetS at baseline were recruited. Participants were divided into two groups according to depressive symptoms. Logistic regression models were used to estimate the risk of MetS.ResultsThe percentage of heavy drinkers was lower in men with depressive symptoms compared to those who did not (7.0% vs. 7.1%), while the percentage of current smokers were higher in participants who had depressive symptoms (40.2% vs. 30.0%). After adjusting for age, education, monthly income, body mass index (BMI), sleep duration, and volume of drinking and smoking status, logistic regression analysis demonstrated that male heavy drinkers with depressive symptoms were 2.75 times more likely to have MetS than those without depressive symptom. Conversely, depressive women with a high BMI were 3.70 times more likely to have MetS than in those with lower BMI. Limitations The cross-sectional nature of the study, and the study population ethnicity and ages were limitations.ConclusionsLifestyle factors, such as alcohol consumption, may be associated with the risk of MetS in adults with depressive symptoms.

Highlights

  • We investigated the bidirectional association between lifestyle factors and Metabolic syndrome (MetS) among Korean adults with depressive symptoms in third wave of a community-based cohort study

  • The percentage of heavy drinkers was lower in men with depressive symptoms compared to those who did not (7.0% vs. 7.1%), while the percentage of current smokers were higher in participants who had depressive symptoms (40.2% vs. 30.0%)

  • After adjusting for age, education, monthly income, body mass index (BMI), sleep duration, and volume of drinking and smoking status, logistic regression analysis demonstrated that male heavy drinkers with depressive symptoms were 2.75 times more likely to have MetS than those without depressive symptom

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Summary

Introduction

Depression is one of the most common mental disorders in most countries and regions, and the number of depressed adults has increased substantially in recent years. There are several hypotheses that depression and MetS may share common mechanisms underlying their association. A number of prior studies have indicated that MetS and depression might cause common changes in stress-related systems such as the hypothalamus–pituitary–adrenal (HPA) axis, the autonomic nervous system, and the immune system, and affect platelet and endothelial function [4]. Metabolic syndrome is known to be associated with the unhealthy lifestyle habits of depressed patients. Metabolic syndrome (MetS) is caused by both genetic and environmental factors, such as daily calorie intake, smoking, and alcohol consumption. Lifestyle factors, such as alcohol consumption, are considered to be related to the prevalence of MetS and plays an essential role in the pathogenesis and prognosis of depression

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