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KMID : 0928320090090040296
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Korean Journal of Health Promotion and Disease Prevention
2009 Volume.9 No. 4 p.296 ~ p.305
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Association between Metabolic Syndrome and Depression in Community-dwelling Adults
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Lee Young-Hoon
Rhee Jung-Ae
Shin Min-Ho
Ryu So-Yeon
Kweon Sun-Seog
Choi Jin-Su
Kim Hye-Yeon
Ahn Hye-Ran
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Abstract
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Background : Epidemiologic studies of the relationship between metabolic syndrome (MetS) and depression have reported conflicting results. We investigated whether MetS is associated with depression in community-dwelling older adults.
Methods : Data for this population-based cross-sectional study were collected from 4,090 subjects (1,502 men; 2,588 women) aged 50-90 years who completed the Community Health Survey in Dong-gu, Gwangju metropolitan city between April 2007 and June 2008. MetS was defined according to the modified National Cholesterol Education Program Adult Treatment Panel Ⅲ criteria, and depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). The relationship between MetS and depression (CES-D ≥21) was assessed by logistic regression analysis.
Results : The prevalence of MetS was 35.7% in men and 52.1% in women. After controlling for age, body mass index, smoking status, alcohol consumption, physical activity, level of education, marital status, and health security system, MetS was not associated with depression in both men (odds ratio, OR=1.23, 95% confidence interval, CI=0.65-2.33) and women (OR=0.99, 95% CI=0.75-1.31).
Conclusions: This community-based cross-sectional study found no clear association between MetS and depression. Further community-based prospective studies are needed to help establish the effects of MetS on depression.
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KEYWORD
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Metabolic syndrome, Depression, Cross-sectional study
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