Association of the metabolic syndrome with depression and anxiety in Japanese men: A 1-year cohort study
Article first published online: 16 OCT 2009
Copyright © 2009 John Wiley & Sons, Ltd.
Diabetes/Metabolism Research and Reviews
Volume 25, Issue 8, pages 762–767, November 2009
How to Cite
Takeuchi, T., Nakao, M., Nomura, K., Inoue, M., Tsurugano, S., Shinozaki, Y. and Yano, E. (2009), Association of the metabolic syndrome with depression and anxiety in Japanese men: A 1-year cohort study. Diabetes Metab. Res. Rev., 25: 762–767. doi: 10.1002/dmrr.1041
- Issue published online: 29 OCT 2009
- Article first published online: 16 OCT 2009
- Manuscript Accepted: 14 SEP 2009
- Manuscript Revised: 11 SEP 2009
- Manuscript Received: 10 JUN 2009
- Japanese Ministry of Education, Culture, Sports, Science, and Technology
- metabolic syndrome
Recent studies on the association between the metabolic syndrome (MetS) and depression have reported conflicting findings. This 1-year cohort study aims to evaluate the association of MetS with the development of both depression and anxiety.
The cohort comprised 956 Japanese male employees of an enterprise (mean age, 42.7 years; SD, 10.2 years). MetS was diagnosed according to the International Diabetes Federation criteria. The psychological conditions of depression and anxiety were assessed in 2 successive years by using the profile of mood states (POMS) questionnaire and by conducting clinical interviews as per the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). We evaluated the temporal and dose-response relationships between MetS and the development of depression and anxiety, controlling for potential confounding factors like age and lifestyle-related factors.
We identified a positive relationship between MetS at baseline and new-onset depression in the subsequent year (OR 2.14, 95% CI 1.10–4.17). Of the five MetS components examined, only waist circumference was significantly related to new-onset depression (OR 2.08, 1.23–3.50). Trend analysis revealed a significant positive trend of association between the number of MetS components identified and new-onset depression (Ptrend < 0.01), but not between Mets and new-onset anxiety.
Our results suggest that MetS is a predictive factor for the development of depression, and that waist circumference largely contributes to the association between MetS and depression. Copyright © 2009 John Wiley & Sons, Ltd.