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首页> 外文期刊>Annals of epidemiology >Understanding the role of depression and anxiety on cardiovascular disease risk, using structural equation modeling; The mediating effect of the Mediterranean diet and physical activity: The ATTICA study
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Understanding the role of depression and anxiety on cardiovascular disease risk, using structural equation modeling; The mediating effect of the Mediterranean diet and physical activity: The ATTICA study

机译：使用结构方程模型了解抑郁症和焦虑症对心血管疾病风险的作用;地中海饮食和体育锻炼的中介作用：ATTICA研究

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Purpose: To evaluate the mediating role of behavioral patterns, such as adherence to the Mediterranean diet and physical activity status, in the relationship between depression, anxiety, and the cardiovascular disease (CVD) risk score HellenicSCORE. Methods: In the context of the ATTICA study, a cross-sectional survey, 453 men (45 ± 13 years) and 400 women (44 ± 18 years), with complete psychological evaluation were studied. Participants were without any evidence of cardiovascular or other chronic disease. Depression was assessed with the Zung Self-Rating Depression Scale and anxious state by the Spielberger State Anxiety Inventory Scale. Physical activity was assessed using the International Physical Activity Questionnaire and adherence to the Mediterranean diet was assessed by the MedDietScore. Structural equation modeling methodology was implemented in the statistical analysis. Results: Five latent depression and anxiety factors were revealed and associated with CVD risk score through mediation of physical activity status and adherence to the Mediterranean diet with very good fit to the data (χ 2/df ratio = 2.34; root mean square error of approximation = 0.021; 90% confidence interval, 0.020-0.022; comparative fit index = 0.951). Significant total effect on CVD risk was found for the "anxiety-worry" latent factor, and this effect was through the inverse relationship of "anxiety-worry" with MedDietScore (P = .002). Moreover, "positive feelings" latent construct was associated with lower CVD risk, and this seems to be through the higher adherence to the Mediterranean diet (P = .01). Conclusions: Adherence to the Mediterranean diet seems to mediate the unfavorable effect of depression and anxiety on CVD risk.
机译：目的：评估抑郁，焦虑和心血管疾病（HellenicSCORE）风险评分之间的关​​系，例如遵守地中海饮食和身体活动状况等行为模式的中介作用。方法：在ATTICA研究的背景下，进行了一项横断面调查，对453名男性（45±13岁）和400名女性（44±18岁）进行了全面的心理评估。参加者没有任何心血管或其他慢性疾病的证据。用Zung自评抑郁量表和抑郁状态通过Spielberger状态焦虑量表进行评估。使用《国际体育锻炼问卷》评估体育锻炼，并通过MedDietScore评估对地中海饮食的依从性。在统计分析中采用了结构方程建模方法。结果：揭示了五个潜在的抑郁和焦虑因素，并通过调节体力活动状态和坚持地中海饮食与CVD风险评分相关，与数据非常吻合（χ2 / df比= 2.34;均方根近似误差） = 0.021; 90％置信区间为0.020-0.022;比较拟合指数= 0.951）。发现“焦虑忧虑”潜在因素对CVD风险有显着的总体影响，并且这种影响是通过“焦虑忧虑”与MedDietScore的反比关系实现的（P = .002）。此外，“积极感觉”潜在的构成与较低的CVD风险相关，这似乎是由于对地中海饮食的坚持程度更高（P = 0.01）。结论：坚持地中海饮食似乎可以缓解抑郁症和焦虑症对CVD风险的不利影响。

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