• depression;
  • intervention;
  • lifestyle;
  • metabolic syndrome;
  • nursing assessment

Kang SW, Yoo JS. International Journal of Nursing Practice 2012; 18: 268–274

Health-promoting lifestyle and depression in metabolic syndrome patients in Korea

This cross-sectional study assessed the association between health-promoting lifestyle and depression in metabolic syndrome patients by using a questionnaire survey in Korea. Data were collected from 195 adults (> 20 years old) with hypertension, dyslipidemia and diabetes. The correlation coefficient (r) between health-promoting lifestyle and depression was −0.309 (P < 0.001), and correlation between individual lifestyle dimensions and depression varied from −0.135 to −0.391. The non-depressed group had higher health-promoting lifestyle scores than the depressed group (P = 0.003). Scores for three dimensions of the health-promoting lifestyle profile—self-actualization (P < 0.001), interpersonal support (P = 0.001) and stress management (P = 0.025)—were significantly higher in the non-depressed groups. Logistic regression analysis provided an odds ratio of 2.766 (P = 0.003) for health-promoting lifestyle between the two groups. For patients with metabolic syndrome, depression was negatively associated with health-promoting lifestyle and is an important factor affecting health-promoting behaviour.