Li-Chi Chiang1, Shang-Lin Chiang, Wen-Chii Tzeng, Meei-Shyuan Lee, Yi-Jen Hung, Chia-Huei Lin. 1. Li-Chi Chiang, PhD, RN Professor, School of Nursing, National Defense Medical Center, Taipei; and School of Nursing, China Medical University, Taichung, Taiwan, ROC. Shang-Lin Chiang, MD, PhD Assistant Professor, School of Medicine, National Defense Medical Center; and Director, Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taipei, Taiwan, ROC. Wen-Chii Tzeng, PhD, RN Associate Professor, School of Nursing, National Defense Medical Center, Taipei, Taiwan, ROC. Meei-Shyuan Lee, PhD Professor, School of Public Health and Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, ROC. Yi-Jen Hung, MD Professor, School of Medicine, National Defense Medical Center; Superintendent, Songshan Branch of Tri-Service General Hospital; Taipei, Taiwan, ROC. Chia-Huei Lin, PhD, RN Assistant Professor, Schools of Nursing and Medicine, National Defense Medical Center; and Supervisor, Department of Nursing, Songshan Branch of Tri-Service General Hospital, Taipei, Taiwan, ROC.
Abstract
BACKGROUND: Metabolic syndrome (MetS), health-related quality of life (HRQL), and depression status are independently associated with cardiac health. Therefore, understanding the associations between MetS, HRQL, and depression status and determining factors related to improved HRQL and depression status in people with MetS may help in cardiovascular disease prevention. OBJECTIVE: The aim of this study was to examine whether there are differences in HRQL and depression status between Taiwanese women with and without MetS and whether physical activity patterns are associated with HRQL and depression status in this population. METHODS: A cross-sectional study of 326 Taiwanese middle-aged and older women (≥40 years) was conducted. Metabolic syndrome was determined based on the National Cholesterol Education Program Adult Treatment Panel III definition. Health-related quality of life and depression status were collected using the Short Form 36 Health Survey and Beck Depression Inventory. Univariate and multivariate linear regression analyses were conducted. RESULTS: Women with MetS had lower HRQL (P < .001) and higher depression status (P = .002) than those without MetS. Participants with active physical activity patterns had higher HRQL (P < .001) and lower depression status (P = .046) than those with sedentary patterns. Among women with MetS, those with active physical activity patterns had higher HRQL (P = .001) and lower depression status (P = .007) than those with sedentary patterns. CONCLUSIONS: Metabolic syndrome is related to lower HRQL and higher depression status in women 40 years and older. Active physical activity patterns are associated with better HRQL and reduced depression status in middle-aged and older women (≥40 years) with MetS.
BACKGROUND:Metabolic syndrome (MetS), health-related quality of life (HRQL), and depression status are independently associated with cardiac health. Therefore, understanding the associations between MetS, HRQL, and depression status and determining factors related to improved HRQL and depression status in people with MetS may help in cardiovascular disease prevention. OBJECTIVE: The aim of this study was to examine whether there are differences in HRQL and depression status between Taiwanese women with and without MetS and whether physical activity patterns are associated with HRQL and depression status in this population. METHODS: A cross-sectional study of 326 Taiwanese middle-aged and older women (≥40 years) was conducted. Metabolic syndrome was determined based on the National Cholesterol Education Program Adult Treatment Panel III definition. Health-related quality of life and depression status were collected using the Short Form 36 Health Survey and Beck Depression Inventory. Univariate and multivariate linear regression analyses were conducted. RESULTS:Women with MetS had lower HRQL (P < .001) and higher depression status (P = .002) than those without MetS. Participants with active physical activity patterns had higher HRQL (P < .001) and lower depression status (P = .046) than those with sedentary patterns. Among women with MetS, those with active physical activity patterns had higher HRQL (P = .001) and lower depression status (P = .007) than those with sedentary patterns. CONCLUSIONS:Metabolic syndrome is related to lower HRQL and higher depression status in women 40 years and older. Active physical activity patterns are associated with better HRQL and reduced depression status in middle-aged and older women (≥40 years) with MetS.