Volume 27, Issue 92 (ّFebruary 2015)                   IJN 2015, 27(92): 65-72 | Back to browse issues page


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1- PhD Candidate in Nursing Education, Medical-Surgical Department, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2- Master degree in Nursing, Urmia University of Medical Sciences, Imam Khomeini hospital, Urmia, Iran
3- Master degree in Nursing, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Master student of geriatric nursing, Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
5- Doctoral student in nursing, Department of Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
6- Doctoral Student in Nursing Education, University of Social Welfare and Rehabilitation Sciences, Nursing Department, Tehran, Iran (٭Corresponding author). Tel: +098 914 4050284 Email: Rezaghanei30@yahoo.com
Abstract:   (9056 Views)

  Abstract

  Background & Aim: Metabolic syndrome is one of the risk factors of cardiovascular disease. Depression increases the risk of metabolic syndrome in the general population. The aim of this study was determining the association between depression and the metabolic syndrome in elderlies with cardiovascular disease.

  Material & Methods: This cross-sectional study was conducted on 200 elderlies with cardiovascular disease hospitalized in Saqqez's Imam Khomeini's hospital in 2013 with convenience sampling. To evaluate depression, Geriatric Depression Scale (GDS) and to assess metabolic syndrome, ATP3 index were used. Data was analyzed by descriptive statistics, independent T test and Chi square using PASW. The significant level for all the tests was 0.05.

  Results: The results showed that 61 percent of the patients have experienced the symptoms of depression and 46 percent of them had metabolic syndrome. The chance for metabolic syndrome in women was 2/4 times more than men (95% CI:1/3-4/2, OR=2/4, p=0/003). There was no significant relationship between metabolic syndrome and depression (p=0/198). Among the components of metabolic syndrome only systolic blood pressure was associated with depression (P=0/002), so that the chance for high systolic blood pressure in depressed elderlies was 2.5 time more than those without depression (95% CI: 1/4-4/5, OR=2/5, P=0/003).

  Conclusion: Given the high frequency of depression and metabolic syndrome in elderlies with cardiovascular disease, more attention should be paid on the simultaneous occurrence of these two problems.

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Type of Study: Research | Subject: nursing
Received: 2014/11/27 | Accepted: 2015/02/26 | Published: 2015/02/26

References
1. Sadeghiifar J, Taghinejad F, Taghinejadd H, Khodadadi E, Mousavi SM. [Effect of Education on Knowledge and Attitude of Hospitalized Patients in CCU and Post CCU about Risk Factors of Cardio-Vascular Disease]. I J N R. 2013;8(1):39-48.
2. Abdollahi Aa, Hosseini Sa, Salehi A, Vaghari G, Behnampour N. [The Risk Factors Of Coronary Disorders In The Elderly]. JGBFNM. 2013;11(3):18-25.
3. Shamsi A, Ebadi A. [Risk Factors of Cardiovascular Diseases in Elderly People]. IJCCN 2011; 3 (4): 187-92.
4. Alexander KP, Newby LK, Cannon CP, Armstrong PW, Gibler WB, Rich MW, et al. Acute Coronary Care in the Elderly, Part I Non–ST-Segment–Elevation Acute Coronary Syndromes: A Scientific Statement for Healthcare Professionals From the American Heart Association Council on Clinical Cardiology: In Collaboration With the Society of Geriatric Cardiology. Circulation. 2007;115(19):2549-69. https://doi.org/10.1161/CIRCULATIONAHA.107.182615 [DOI:10.1161/CIRCULATIONAHA.107.182616] [PMID]
5. Hutcheson R, Rocic P. The metabolic syndrome, oxidative stress, environment, and cardiovascular disease: the great exploration. Exp Diabetes Res. 2012; 1-13. [DOI:10.1155/2012/271028] [PMID] [PMCID]
6. Pan A, Keum N, Okereke OI, Sun Q, Kivimaki M, Rubin RR, et al. Bidirectional Association Between Depression and Metabolic Syndrome A systematic review and meta-analysis of epidemiological studies. Diabetes care. 2012;35(5):1171-80. [DOI:10.2337/dc11-2055] [PMID] [PMCID]
7. Shiasi-Arani K, Ghasemi SE, Moravveji SA, Shahpouri-Arani A. [Frequency of metabolic syndrome and type 2 diabetes among the obese children and adolescents in Kashan during 2009-11]. Feyz Journals of Kashan University of Medical Sciences. 2012;16(3): 240-7.
8. Sadrbafoghi S, Salari M, Rafiee M, Namayandeh S, Abdoli A, Karimi M. [Prevalence and criteria of metabolic syndrome in an urban population: Yazd Healthy Heart Project]. Tehran University Medical Journal. 2006;64(10):90-6.
9. Gans RO. The metabolic syndrome, depression, and cardiovascular disease: interrelated conditions that share pathophysiologic mechanisms. Med Clin North Am. 2006;90(4):573-91. [DOI:10.1016/j.mcna.2006.05.002] [PMID]
10. Jang SY, Kim I-H, Ju EY, Ahn SJ, Kim D-K, Lee SW. Chronic kidney disease and metabolic syndrome in a general Korean population: the Third Korea National Health and Nutrition Examination Survey (KNHANES III) Study. J Public Health. 2010:fdp127;8: 1-9.
11. GhariPour M, Baghei A, Boshtam M, Rabiei K. [Prevalence of metabolic syndrome among the adults of central of areas of Iran (as part of" Isfahan Healthy Heart Study")]. Journal of Birjand University of Medical Sciences. 2006;13(3):9-15.
12. Dzherieva IS, Volkova NI, Panfilova NS. Depressive disorders in males with metabolic syndrome. J Biomed Clin Res 2011; 4 (1): 46-9.
13. Di Carli MF, Charytan D, McMahon GT, Ganz P, Dorbala S, Schelbert HR. Coronary circulatory function in patients with the metabolic syndrome. J Nucl Med. 2011;52(9):1369-77. [DOI:10.2967/jnumed.110.082883] [PMID]
14. Tabesh M, Tabesh M, Azadbakht L. [Conjugated Linoleic Acid And Metabolic Syndrome: A Systematic Review. Health System Research 2013; 9(3): 222-32.
15. Mohebbi S, Azadbakht L, Feyzi A, Sharifirad G, Hozoori M. [An Assessment of the Correlation between Nutritional Self-management and Health Promotion Model Constructs in Women with Metabolic Syndrome, 2012]. Qom University of Medical Sciences Journal. 2013;7(5): 42-52.
16. Vaccarino V, McClure C, Johnson BD, Sheps DS, Bittner V, Rutledge T, et al. Depression, the metabolic syndrome and cardiovascular risk. Psychosomatic Medicine. 2008;70(1):40-8. [DOI:10.1097/PSY.0b013e31815c1b85] [PMID]
17. Noorbala Aa, Alipour A, Shaghaghi F, Najimi A, Agah Hm. [The effect of emotional disclosure by writing on depression severity and defense mechanisms among depressed patients]. Daneshvar 2011; 18 (93):1-10.
18. Celano CM, Huffman JC. Depression and cardiac disease: a review. Cardiology in Review. 2011;19(3):130-42. [DOI:10.1097/CRD.0b013e31820e8106] [PMID]
19. Foley DL, Morley KI, Madden PA, Heath AC, Whitfield JB, Martin NG. Major depression and the metabolic syndrome. Twin Res Hum Genet. 2010;13(04):347-58. [DOI:10.1375/twin.13.4.347] [PMID] [PMCID]
20. Kinder LS, Carnethon MR, Palaniappan LP, King AC, Fortmann SP. Depression and the metabolic syndrome in young adults: findings from the Third National Health and Nutrition Examination Survey. Psychosomatic Medicine. 2004;66(3):316-22. [DOI:10.1097/01.psy.0000124755.91880.f4] [PMID]
21. Herva A, Räsänen P, Miettunen J, Timonen M, Läksy K, Veijola J, et al. Co-occurrence of metabolic syndrome with depression and anxiety in young adults: the Northern Finland 1966 Birth Cohort Study. Psychosomatic Medicine. 2006;68(2):213-6. [DOI:10.1097/01.psy.0000203172.02305.ea] [PMID]
22. Demirci H, Cinar Y, Bilgel N. Metabolic syndrome and depressive symptoms in a primary health care setting in Turkey. Klinik Psikofarmakol Bülteni. 2011;21(1):49-57. [DOI:10.5350/KPB-BCP201121108]
23. Miettola J, Niskanen LK, Viinamäki H, Kumpusalo E. Metabolic syndrome is associated with self-perceived depression. Scand J Prim Health Care. 2008;26(4):203-10. [DOI:10.1080/02813430802117624] [PMID] [PMCID]
24. Puustinen PJ, Koponen H, Kautiainen H, Mäntyselkä P, Vanhala M. Psychological distress predicts the development of the metabolic syndrome: a prospective population-based study. Psychosomatic Medicine. 2011;73(2):158-65. [DOI:10.1097/PSY.0b013e3182037315] [PMID]
25. Mohagheghi A, Panahi A. [The effects of metabolic syndrome on left main coronary artery stenosis in coronary angiograms of patients: a two year study]. Tehran University of Medical Sciences. 2011;69(9): 571-75.
26. Malakouti K, Fathollahi P, Mirabzadeh A, Salavati M, Kahani S. [Validation of geriatric depression scale (GDS-15) in Iran]. Pejouhesh. 2006;30(4):361-9.
27. Akbaraly TN, Ancelin M-L, Jaussent I, Ritchie C, Barberger-Gateau P, Dufouil C, et al. Metabolic Syndrome and Onset of Depressive Symptoms in the Elderly Findings from the Three-City Study. Diabetes Care. 2011;34(4):904-9. [DOI:10.2337/dc10-1644] [PMID] [PMCID]
28. Wu E-L, Chien I-C, Lin C-H, Chou Y-J, Chou P. Increased risk of hypothyroidism and hyperthyroidism in patients with major depressive disorder: a population-based study. J Psychosom Res. 2013;74(3):233-7. [DOI:10.1016/j.jpsychores.2012.12.016] [PMID]
29. Ghaderi S, Sahaf R, Mohammadi Shahbalaghi F, Ansari G, Gharanjic A, Ashrafi K, Taheri N, Najafi F. [Prevalence of Depression in Elderly Kurdish Community Residing in Boukan, Iran]. Iranian Journal of Ageing 2012; 7(1): 57-66.
30. Gharanjik A, Mohammadi F, Ansari G, Najafi F, Ghaderi S, Ashrafi K, et al. [The Prevalence of Depression in older Turkmen Adults in 1389]. Iranian Journal of Ageing. 2011;6(3):34-9.
31. Rashidi H, Fardad F, Ghaderian B, Shahbazian HB, Latifi MK, Arghideh M. [Prevalence of Metabolic Syndrome and its Predicting Factors in Type 2 Diabetic Patients in Ahvaz]. Jundishapur Sci Med J 2012; 11(2): 163-75.

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