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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Psychosocial risk factors and the metabolic syndrome in elderly persons: findings from the Health, Aging and Body Composition study.
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Psychosocial risk factors and the metabolic syndrome in elderly persons: findings from the Health, Aging and Body Composition study.

机译：老年人的心理社会风险因素和代谢综合征：来自“健康，衰老和身体组成”研究的结果。

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BACKGROUND: Psychosocial factors have been associated with metabolic abnormalities that increase the risk of cardiovascular disease and diabetes. This study investigated the cross-sectional relationship between psychosocial risk factors and the metabolic syndrome in a community-based sample of older persons. METHODS: Participants were 2917 persons aged 70-79 years enrolled in the Health, Aging and Body Composition study. Depressive and anxiety symptoms, negative life events, and inadequate emotional support were assessed, and a summary psychosocial risk index was calculated. Metabolic syndrome was defined as three or more of the following criteria: abdominal obesity, high triglycerides, low high-density lipoprotein (HDL) cholesterol, high fasting glucose, and high blood pressure. RESULTS: Negative life events and inadequate emotional support increased the odds of having metabolic syndrome after adjustment for demographic and lifestyle variables (odds ratio [OR] per life event = 1.13, 95% confidence interval [CI] = 1.05-1.22; OR = 1.35, 95% CI = 1.10-1.66, respectively). The relationship between depressive symptoms and metabolic syndrome was only found in white (OR per standard deviation [SD] = 1.11, 95% CI = 1.01-1.23), but not in black (OR per SD = 0.97, 95% CI = 0.86-1.11) persons. Anxiety symptoms were significantly associated with metabolic syndrome in men (OR per SD = 1.13, 95% CI 1.00-1.28), but not in women (OR per SD a higher score on the psychosocial risk index was associated with an increased probability of having the metabolic syndrome (OR = 1.30, 95% CI = 1.12-1.52). CONCLUSIONS: In the elderly population, different psychosocial risk factors are associated with a higher prevalence of the metabolic syndrome. Whether reduction or better management of psychosocial risk factors can improve the metabolic profile remains to be demonstrated.
机译：背景：社会心理因素与代谢异常有关，代谢异常增加了心血管疾病和糖尿病的风险。这项研究调查了基于社会的老年人样本中的社会心理危险因素与代谢综合征之间的横断面关系。方法：参加研究的年龄，年龄和身体组成研究的年龄为70-79岁的2917人。评估了抑郁和焦虑症状，负面生活事件和情感支持不足，并计算了汇总的社会心理风险指数。代谢综合症定义为以下三个或多个标准：腹部肥胖，高甘油三酸酯，低高密度脂蛋白（HDL）胆固醇，高空腹血糖和高血压。结果：在调整了人口统计学和生活方式变量后，负性生活事件和情感支持不足增加了发生代谢综合征的几率（每个生活事件的赔率[OR] = 1.13，95％置信区间[CI] = 1.05-1.22; OR = 1.35） ，分别为95％CI = 1.10-1.66）。抑郁症状与代谢综合征之间的关系仅在白色（OR /标准偏差[SD] = 1.11，95％CI = 1.01-1.23）中发现，而在黑色（OR / SD = 0.97，95％CI = 0.86-OR）中没有发现。 1.11）人。焦虑症状与男性代谢综合征显着相关（OR / SD = 1.13，95％CI 1.00-1.28），但在女性中则不显着（OR / SD，心理社会风险指数得分更高与患上代谢综合征的可能性增加相关。代谢综合征（OR = 1.30，95％CI = 1.12-1.52）结论：在老年人群中，不同的社会心理危险因素与代谢综合征的患病率较高相关，减少或更好地管理心理社会危险因素可以改善代谢综合征的发生。代谢谱仍有待证明。

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