Literature DB >> 36043977

Gender differences in Anxious-depressive symptomatology, Metabolic Syndrome and Colorectal Adenomas among outpatients undergoing colonoscopy: a cross-sectional study according to a PNEI perspective.

Giulia Rioli1, Giorgio Mattei2, Caterina Bonamici3, Stefano Mancini4, Silvia Alboni5, Giuseppe Cannazza6, Paola Sena7, Luca Roncucci8, Luca Pingani9, Silvia Ferrari10, Gian Maria Galeazzi11.   

Abstract

BACKGROUND AND AIM OF THE WORK: To explore gender differences in patients suffering from anxious-depressive symptoms, Metabolic Syndrome (MetS) and Colorectal Adenomas (CRAs) in a sample of outpatients undergoing colonoscopy for screening purposes.
METHODS: Cross-sectional study. 126 consecutive outpatients of both sexes undergoing colonoscopy for non-specific abdominal symptoms between January 2015 and June 2021 at the Modena Policlinico General Hospital (Modena, Northern Italy) were enrolled. MetS was diagnosed according to ATPIII and IDF criteria. Anxiety and depression were assessed with the Hospital Anxiety and Depression Scale (HADS), while the Temperament and Character Inventory (TCI) was used to study personality. The SF-36 was also included as a measure of quality of life perception.
RESULTS: Among 126 outpatients (51.60% male) undergoing colonoscopy, 51 (44%) had CRAs, 54 (47%) MetS, 41 (41.40%) anxiety symptoms, 22 (22.20%) depressive symptoms and 13 (13.10%) combined anxious-depressive symptoms. HADS-Anxiety (t=2.68, p=0.01) and TCI Reward Dependence (TCI-RD) (t=3.01, p=0.00) mean scores were significantly higher in women; conversely, SF-36 Mental Component Summary scores were higher in men. CRAs were significantly prevalent in men (χ2=9.32, p=0.00) and were statistically significantly associated with male sex at the univariate logistic regression analysis (OR=3.27; p<0.01). At the multivariate logistic regression, diastolic hypertension (p<0.01) was positively associated with male sex, while TCI-RD (p=0.04) and HDL hypocholesterolemia (p=0.02) were inversely associated with male sex.
CONCLUSIONS: Several significant gender differences in anxious-depressive symptoms, MetS and CRAs were found. These preliminary data suggest the need to consider gender specificities while implementing therapeutic, diagnostic, and preventive strategies.

Entities:  

Mesh:

Year:  2022        PMID: 36043977      PMCID: PMC9534235          DOI: 10.23750/abm.v93i4.12463

Source DB:  PubMed          Journal:  Acta Biomed        ISSN: 0392-4203


  69 in total

1.  Sociodemographic predictors of temperament and character.

Authors:  M V Mendlowicz; G Jean-Louis; J C Gillin; H S Akiskal; L M Furlanetto; M H Rapaport; J R Kelsoe
Journal:  J Psychiatr Res       Date:  2000 May-Jun       Impact factor: 4.791

2.  Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report.

Authors: 
Journal:  Circulation       Date:  2002-12-17       Impact factor: 29.690

3.  Sex-specific prevalence of adenomas, advanced adenomas, and colorectal cancer in individuals undergoing screening colonoscopy.

Authors:  Monika Ferlitsch; Karoline Reinhart; Sibylle Pramhas; Caspar Wiener; Orsolya Gal; Christina Bannert; Michaela Hassler; Karin Kozbial; Daniela Dunkler; Michael Trauner; Werner Weiss
Journal:  JAMA       Date:  2011-09-28       Impact factor: 56.272

4.  Association of colorectal adenoma with components of metabolic syndrome.

Authors:  Byung Chang Kim; Aesun Shin; Chang Won Hong; Dae Kyung Sohn; Kyung Su Han; Kum Hei Ryu; Bum Joon Park; Ji Hyung Nam; Ji Won Park; Hee Jin Chang; Hyo Seong Choi; Jeongseon Kim; Jae Hwan Oh
Journal:  Cancer Causes Control       Date:  2012-03-27       Impact factor: 2.506

5.  Metabolic syndrome and the risk of colorectal cancer: a systematic review and meta-analysis.

Authors:  Xiaoding Shen; Yong Wang; Rui Zhao; Qianyi Wan; Yutao Wu; Lihao Zhao; Xiaoting Wu
Journal:  Int J Colorectal Dis       Date:  2021-07-31       Impact factor: 2.571

Review 6.  Sex differences in anxiety and depression clinical perspectives.

Authors:  Margaret Altemus; Nilofar Sarvaiya; C Neill Epperson
Journal:  Front Neuroendocrinol       Date:  2014-06-02       Impact factor: 8.606

Review 7.  Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones.

Authors:  Sophie H Li; Bronwyn M Graham
Journal:  Lancet Psychiatry       Date:  2016-11-15       Impact factor: 27.083

8.  Correction: Impact of Age and Gender on the Prevalence and Prognostic Importance of the Metabolic Syndrome and Its Components in Europeans. The MORGAM Prospective Cohort Project.

Authors:  Julie K K Vishram; Anders Borglykke; Anne H Andreasen; Jørgen Jeppesen; Hans Ibsen; Torben Jørgensen; Luigi Palmieri; Simona Giampaoli; Chiara Donfrancesco; Frank Kee; Giuseppe Mancia; Giancarlo Cesana; Kari Kuulasmaa; Veikko Salomaa; Susana Sans; Jean Ferrieres; Jean Dallongeville; Stefan Söderberg; Dominique Arveiler; Aline Wagner; Hugh Tunstall-Pedoe; Wojciech Drygas; Michael H Olsen
Journal:  PLoS One       Date:  2015-05-15       Impact factor: 3.240

9.  The relationship between metabolic syndrome and the incidence of colorectal cancer.

Authors:  JungHyun Lee; Kun Sei Lee; Hyeongsu Kim; Hyoseon Jeong; Min-Jung Choi; Hai-Won Yoo; Tae-Hwa Han; Hyunjung Lee
Journal:  Environ Health Prev Med       Date:  2020-02-19       Impact factor: 3.674

10.  Significance of Kynurenine 3-Monooxygenase Expression in Colorectal Cancer.

Authors:  Chun-Yu Liu; Tzu-Ting Huang; Ji-Lin Chen; Pei-Yi Chu; Chia-Han Lee; Hsin-Chen Lee; Yu-Hsuan Lee; Yuan-Ya Chang; Shung-Haur Yang; Jeng-Kai Jiang; Wei-Shone Chen; Yee Chao; Hao-Wei Teng
Journal:  Front Oncol       Date:  2021-04-16       Impact factor: 6.244

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