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不同的感知压力源与代谢综合征有关联吗:一项对伊朗中部成年人的纵向队列研究。

Are different perceived stressors associated with metabolic syndrome: a longitudinal cohort study of adults in central Iran.

作者信息

Roohafza Hamidreza, Heidari Danesh, Talaei Mohammad, Nouri Fatemeh, Khani Azam, Sarrafzadegan Nizal, Sadeghi Masoumeh

机构信息

Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Diabetes Metab Disord. 2023 Sep 28;22(2):1715-1721. doi: 10.1007/s40200-023-01304-3. eCollection 2023 Dec.

Abstract

PURPOSE

The link between metabolic syndrome (MetS) and various stressors has not been thoroughly investigated. We aimed to examine the relationship between MetS and different perceived stressors.

METHODS

In this study, we included participants of the Isfahan Cohort study from three counties in central Iran, with data in the 2007 ( = 3178) and 2013 ( = 1693) follow-up stages. We examined the association between distress and perceived stress domains (including job security, job conflicts, personal conflicts, loss and separation, social relations, and health concerns) and MetS.

RESULTS

MetS was identified in 35.8% of participants in the 2007 cohort and 46.2% in the 2013 cohort. In the fully adjusted analysis, the odds ratio (OR) (95%CI) for MetS according to psychological status was 1.65 (1.64-1.65) for psychological distress level, 1.09 (1.01-1.20) for psychological distress score, and 1.21 (1.09-1.42) for total perceived stress score. There was also evidence of association for social relations, personal conflicts, job conflicts, job security, health concern, loss and separation, educational concerns, and sexual life subscales.

CONCLUSION

Perceived stressors and some of their subscales were associated with MetS.

摘要

目的

代谢综合征(MetS)与各种应激源之间的联系尚未得到充分研究。我们旨在探讨MetS与不同感知应激源之间的关系。

方法

在本研究中,我们纳入了来自伊朗中部三个县的伊斯法罕队列研究的参与者,其数据来自2007年(n = 3178)和2013年(n = 1693)的随访阶段。我们研究了困扰与感知应激领域(包括工作保障、工作冲突、个人冲突、损失与分离、社会关系和健康担忧)与MetS之间的关联。

结果

2007年队列中35.8%的参与者被确诊为MetS,2013年队列中这一比例为46.2%。在完全调整分析中,根据心理状态,MetS的比值比(OR)(95%置信区间)在心理困扰水平方面为1.65(1.64 - 1.65),在心理困扰评分方面为1.09(1.01 - 1.20),在总感知应激评分方面为1.21(1.09 - 1.42)。社会关系、个人冲突、工作冲突、工作保障、健康担忧、损失与分离、教育担忧和性生活子量表也有相关联的证据。

结论

感知应激源及其一些子量表与MetS相关。

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