Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Granada, Granada, España.
Unidad de Gestión Clínica, Departamento de Medicina Interna, Complejo Hospitalario Universitario de Granada, Granada, España.
Med Clin (Barc). 2018 Jul 23;151(2):59-64. doi: 10.1016/j.medcli.2017.08.012. Epub 2017 Oct 31.
Metabolic syndrome (MetS) is a cluster of metabolic conditions that include abdominal obesity, reduction in cholesterol concentrations linked to high density lipoproteins (HLDc), elevated triglycerides, increased blood pressure and hyperglycaemia. Given that this is a multicausal disease, the aim of this study is to identify the psychological, emotional and lifestyle variables that can have an influence on the different MetS components.
A cross-sectional study with 103 patients with diagnostic criteria for MetS (47 male and 56 female). Anthropometric, clinical and analytical measurements were collected to assess the variables associated with MetS. The main psychological and emotional variables were also assessed.
Different multiple linear regression tests were performed to identify which variables were predictive of MetS. The dependent variables were body mass index (BMI), abdominal circumference, HDLc, and quality of life, and the predictive variables were psychological stress, anger and adherence to a Mediterranean diet. The results showed that psychological stress was a predictor of quality of life (β=-0.55, P≤0). Similarly, anger was a predictor of BMI (β=0.23, P=.047) and abdominal circumference (β=0.27, P=.021). As expected, adherence to a Mediterranean diet was a predictor of HDLc (β=0.2, P=.045) and of quality of life (β=-0.18, P=.031).
The results confirm a link between adherence to certain dietary habits and lifestyle, however they go one step further and show the importance of psychological and emotional factors like psychological stress and anger in some MetS components.
代谢综合征（MetS）是一组代谢异常的病症，包括腹部肥胖、高密度脂蛋白胆固醇（HDLc）浓度降低、甘油三酯升高、血压升高和高血糖。由于这是一种多病因疾病，本研究旨在确定可能影响不同 MetS 成分的心理、情感和生活方式变量。
这是一项横断面研究，纳入了 103 名符合 MetS 诊断标准的患者（47 名男性和 56 名女性）。收集了人体测量、临床和分析测量数据，以评估与 MetS 相关的变量。还评估了主要的心理和情绪变量。
进行了不同的多元线性回归测试，以确定哪些变量可以预测 MetS。因变量是体重指数（BMI）、腰围、HDLc 和生活质量，预测变量是心理压力、愤怒和遵循地中海饮食。结果显示，心理压力是生活质量的预测因子（β=-0.55，P≤0.001）。同样，愤怒是 BMI（β=0.23，P=.047）和腰围（β=0.27，P=.021）的预测因子。正如预期的那样，遵循地中海饮食是 HDLc（β=0.2，P=.045）和生活质量（β=-0.18，P=.031）的预测因子。
这些结果证实了某些饮食习惯和生活方式之间存在联系，但更进一步表明了心理和情绪因素（如心理压力和愤怒）在某些 MetS 成分中的重要性。
