So Jisun, Chung Kyong-Mee, Seo Jihyeon, Kim Byungmi, Chun Hyejin, Han Sung Nim, Chung Ick-Mo
Department of Food and Nutrition, College of Human Ecology, Seoul National University, Seoul, Republic of Korea.
Department of Psychology, Yonsei University, Seoul, Republic of Korea.
Front Nutr. 2023 Aug 7;10:1221916. doi: 10.3389/fnut.2023.1221916. eCollection 2023.
Dietary and psychological status contributes to the development of coronary artery disease. However, these lifestyle factors may vary depending on ethnic and environmental background, and secondary prevention programs dealing with these factors in a specific population are not well-established. We aimed to assess dietary and psychological characteristics in Korean patients with acute coronary syndrome (ACS) and analyze their interactions as independent risk factors for ACS.
Ninety-two patients with ACS (29 acute myocardial infarction and 63 unstable angina) and 69 controls were subjected to dietary and psychological analyses. Dietary intake was assessed by a food frequency questionnaire. Psychological depression and perceived stress were assessed using the Patient Health Questionnaire-9 and the Perceived Stress Scale, respectively. Eight domains of life satisfaction (marital/love relationship, leisure, standard of living, job, health, family life, sex life, and self) were assessed using the Domain Satisfaction Questionnaire (DSQ).
The ACS group had a higher consumption of sweets and fish/seafood, as well as higher levels of depressive symptoms. Additionally, they had lower DSQ scores in total, and all eight individual domains compared with the control group. In multivariate logistic regression analysis, sweet intake (OR 4.57, 95% CI: 1.94-11.40) and total DSQ scores (OR 0.34, 95% CI: 0.14-0.81) were identified as independent risk factors for ACS. Furthermore, these factors, which displayed a significant inverse correlation (ρ = -0.23, = 0.01), were determined as having a synergistic contribution to the development of ACS.
High sweet food intake and low life satisfaction can act as risk factors for ACS through a synergistic interaction, which emphasizes a demand for a more comprehensive approach to secondary prevention of ACS. In addition, these data highlight the role of positive psychological wellbeing factors in cardiovascular health.
饮食和心理状态会促使冠状动脉疾病的发展。然而，这些生活方式因素可能因种族和环境背景而异，且针对特定人群处理这些因素的二级预防方案尚未完善。我们旨在评估韩国急性冠状动脉综合征（ACS）患者的饮食和心理特征，并分析它们作为ACS独立危险因素的相互作用。
对92例ACS患者（29例急性心肌梗死和63例不稳定型心绞痛）和69例对照者进行饮食和心理分析。通过食物频率问卷评估饮食摄入量。分别使用患者健康问卷-9和感知压力量表评估心理抑郁和感知压力。使用领域满意度问卷（DSQ）评估生活满意度的八个领域（婚姻/恋爱关系、休闲、生活水平、工作、健康、家庭生活、性生活和自我）。
ACS组甜食和鱼/海鲜的摄入量较高，抑郁症状水平也较高。此外，与对照组相比，他们的DSQ总分以及所有八个单独领域的得分均较低。在多因素逻辑回归分析中，甜食摄入量（比值比4.57，95%置信区间：1.94 - 11.40）和DSQ总分（比值比0.34，95%置信区间：0.14 - 0.81）被确定为ACS的独立危险因素。此外，这些因素显示出显著的负相关（ρ = -0.23，P = 0.01），被确定为对ACS的发生具有协同作用。
高甜食摄入量和低生活满意度可通过协同相互作用作为ACS的危险因素，这强调了对ACS二级预防采取更全面方法的必要性。此外，这些数据突出了积极心理健康因素在心血管健康中的作用。
