Changes in metabolic syndrome affect the health-related quality of life of community-dwelling adults

被引:14
|
作者
Lin, Yi-Hsuan [1 ,2 ]
Chang, Hsiao-Ting [2 ,3 ]
Tseng, Yen-Han [2 ,4 ]
Chen, Harn-Shen [2 ,5 ]
Chiang, Shu-Chiung [6 ]
Chen, Tzeng-Ji [2 ,3 ,6 ]
Hwang, Shinn-Jang [2 ,3 ]
机构
[1] Cheng Hsin Gen Hosp, Dept Family Med, Taipei, Taiwan
[2] Natl Yang Ming Chiao Tung Univ, Fac Med, Sch Med, Taipei, Taiwan
[3] Taipei Vet Gen Hosp, Dept Family Med, Taipei, Taiwan
[4] Taipei Vet Gen Hosp, Dept Chest Med, Taipei, Taiwan
[5] Taipei Vet Gen Hosp, Dept Med, Div Endocrinol & Metab, Taipei, Taiwan
[6] Natl Yang Ming Chiao Tung Univ, Inst Hosp & Hlth Care Adm, Sch Med, Taipei, Taiwan
关键词
INSULIN-RESISTANCE SYNDROME; SELF-RATED HEALTH; ASSOCIATION; OBESITY; DEPRESSION; PREVALENCE;
D O I
10.1038/s41598-021-99767-y
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Metabolic syndrome (MetS) is associated with cardiovascular diseases, type 2 diabetes, chronic renal diseases, and all-cause mortality. Furthermore, MetS is associated with poor health-related quality of life (HRQOL). However, the impact of dynamic changes in MetS on changes in the HRQOL was not previously explored. This was an eight-year, prospective cohort study in which 906 middle-aged adults from Shipai, Taipei in northern Taiwan were enrolled during 2009-2010 (baseline). Of those sampled, 427 participants completed the follow-up investigation after 8 years. The HRQOL was measured using the Short Form Health Survey (SF-36). Other variables including age, sex, marital status, level of education, smoking, alcohol consumption, baseline body mass index, and changes in physical activity were adjusted. Compared with adults who never experienced MetS, adults with persistent MetS had a negative change in mental HRQOL (beta - 4.20, 95% CI - 7.54 to - 0.86, p = 0.01). The negative changes of persistent MetS on the HRQOL were in the domains of vitality and mental health (beta - 4.42, 95% CI - 8.10 to - 0.73 and beta - 3.47, 95% CI - 6.90 to - 0.04, respectively). Women and overweight adults were vulnerable to the detrimental effects of persistent MetS. For better HRQOL, more resources should be devoted to reversing MetS in public health.
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页数:9
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