Korean J Fam Pract. 2017; 7(6): 800-806  https://doi.org/10.21215/kjfp.2017.7.6.800
The Relationship between Metabolic Syndrome Components, Metabolic Syndrome and Depression in Korean Adults
Ji Hye Ok, Eun Jeong Kim*, Seo Jun Kim, So Young Jeong
Department of Family Medicine, Busan Veterans Hospital, Busan, Korea
Eun Jeong Kim
Tel: +82-51-601-6067, Fax: +82-51-601-6339
E-mail: okwisdom@daum.net
Received: December 16, 2016; Revised: August 4, 2017; Accepted: August 11, 2017; Published online: December 20, 2017.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: This study was conducted to investigate potential associations among metabolic syndrome, social factors, and depression using a national nutrition survey database. The study was designed to provide an academic basis for the necessity of managing depression in addition to the five components of the metabolic syndrome.
Methods: A total of 3,812 subjects, aged 20 to 59 years, were enrolled from the 6th National Health and Nutrition Examination Survey (2014) database. The data were analyzed using a statistical software program. Complex sample survey data analysis was performed with weighting. Chi-square tests and logistic regression analyses were performed to examine the degree of association between metabolic syndrome and depression.
Results: Depression showed correlations with metabolic syndrome, waist circumference, and high-density lipoprotein (HDL) cholesterol levels, while fasting blood sugar, triglyceride level, and blood pressure showed no significant correlation. Waist circumference was significantly associated with depression when adjusted for sex, individual components of metabolic syndrome, educational level, and smoking history, as well as for stress and income levels.
Conclusion: This study used mental health surveys and raw health screening test data from the 6th National Health and Nutrition Survey. The results of this study showed that depression was associated with metabolic syndrome and individual components of metabolic syndrome (waist circumference and HDL level). These findings suggest that combined management of depression and metabolic syndrome is necessary.
Keywords: Metabolic Syndrome; Stress; Depression; Hyperlipidemia; High-Density Lipoprotein; Triglycerides; Waist Circumference
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