Effect of the metabolic syndrome on the quality of life and sleep in women
Year 2021,
Volume: 46 Issue: 3, 1108 - 1116, 30.09.2021
Rabiye Çırpan
,
Arife Zuhal Değirmencioğlu
,
Semra Kocaöz
Abstract
Purpose: This study was conducted to determine the metabolic syndrome prevalence in women and evaluate its effect on the quality of life and sleep.
Materials and Methods: This descriptive and cross-sectional study was completed with 372 women. Data were collected using a descriptive questionnaire, the Pittsburgh Sleep Quality Index, and the SF 36 Quality of Life Scale..
Results: The metabolic syndrome prevalence in women was 41.9%, according to the International Diabetes Federation diagnostic criteria. The mean scores obtained from the sleep quality index by those with metabolic syndrome were significantly higher than those without metabolic syndrome. The median scores obtained from the physical function and role difficulty, pain, general health perception, and mental summary sub-dimensions of the SF-36 quality of life scale by the women who were found to have metabolic syndrome were lower than those without metabolic syndrome.
Conclusion: Metabolic syndrome was found to be common in women and to affect the quality of life and sleep negatively in women in this study. We, therefore, recommend women to be evaluated in terms of metabolic syndrome at regular intervals and healthcare professionals to provide training and consultancy services to promote healthy living behaviors that could improve their quality of life and sleep.
References
- Grundy SM. Metabolic syndrome update. Trends Cardiovasc Med 2016; 26: 364-373.
- Kozan O, Oguz A, Abaci A, Erol C, Ongen Z, Temizhan A et al. Prevalence of the metabolic syndrome among Turkish adults. European Journal of Clinical Nutrition 2007; 61: 548-553.
- Rochlani Y, Pothineni NV, Kovelamudi S, Mehta JL. (2017). Metabolic syndrome: pathophysiology, management,and modulation by natural compounds. Ther Adv Cardiovasc Dis 2017;11(8): 215-225.
- Bhalwar R. Metabolic syndrome: The Indian public health perspective. Med J Armed Forces India 2020; 76(1): 8-16.
- Kassi E, Pervanidou P, Kaltsas G, Chrousos G. Metabolic syndrome: definitions and controversies. BMC Medicine 2011; 9: 48.
- Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep 2018; 20: 12
- Oğuz A, Telci Çaklılı Ö, Tümerdem Çalık B, on behalf of the PURE Investigators. The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Turk Kardiyol Dern Ars. 2018; 46(7): 613-623.
- Ying L, Qun Y, Gangpu W, Fang T. Association between sleep quality and metabolic syndrome: A systematic review and meta-analysis.
Psychiatry Res 2019; 274: 66–74.
- Hung HC, Yang YC, Ou HY, Wu JS, Lu, FH, Chang CJ. The association between self reported sleep quality and metabolic syndrome. PLoS ONE 2013; 8(1): e54304.
- Okubo N, Matsuzaka M, Takahashi I, Sawada K, Sato S, Akimoto N et al. Relationship between self-reported sleep quality and metabolic syndrome in general population. BMC Public Health 2014; 14: 562.
- AlDabal L, BaHammam AS. Metabolic, endocrine and immune consequences of sleep deprivation. Open Respir Med J 2011; 5: 31-43.
- Landis CA. Physiological and behavioral aspects of sleep. In: Sleep Disorders and Sleep Promotion in Nursing Practice. (Redeker NS, McEnany GP. eds), 2011, Springer, New York, 1-18.
- Nedeltcheva AV, Scheer FA. Metabolic effects of sleep disruption, links to obesity and diabetes. Curr Opin Endocrinol Diabetes Obes., 2014; 21(4): 293-298.
- Zohal M, Ghorbani A, Esmailzadehha N, Ziaee A, Mohammadi Z. Association of sleep quality components and wake time with metabolic syndrome: The Qazvin Metabolic Diseases Study (QMDS), Iran. Diabetes & Metabolic Syndrome: Clinical Research & Reviews 2017; 11 (Suppl 1): 377-380.
- Fan L, Hao Z, Gao L, Qi M, Feng S, Zhou G. Non-linear relationship between sleep duration and metabolic syndrome: A populationbased study. Medicine 2020; 99: 2(e18753).
- Lu K, Zhao, Y, Chen J, Hu D, Xiao H. Interactive association of sleep duration and sleep quality with the prevalence of metabolic syndrome in adult Chinese males. Experimental and Therapeutic Medicine 2020; 19: 841-848.
- Saboya PP, Bodanese LC, Zimmermann PR, Gustavo AS, Assumpção CM, Londero F. Metabolic syndrome and quality of life: a systematic review. Rev. Latino-Am. Enfermagem 2016; 24: e2848.
- Postolova A, Dorani O, Brown K, Powell-Hicks A, Dous G, Becker B et al. Health Related Quality of Life in Patients with Metabolic Syndrome. Journal of Scientific Research & Reports 2014; 3(8): 1088-1104.
- Chiang LC, Chiang SL, Tzeng WC, Lee MS, Hung YJ, Lin CH. Active physical activity patterns are associated with improved quality of life and depression status in Taiwanese women with metabolic syndrome. The Journal of Cardiovascular Nursing 2019; 34(6): 491–502.
- Jahangiry L, Shojaeezadeh D, Montazeri A, Najafi M, Mohammad K. Health-related Quality of Life Among People Participating in a Metabolic Syndrome E-screening Program: A Web-based Study. Int J Prev Med 2016; 7: 27.
- Tziallas D, Kastanioti C, Kostapanos MS, Skapinakis P, Elisaf MS, Mavreas V. The impact of the metabolic syndrome on health-related quality of life: a cross-sectional study in Greece. European Journal of Cardiovascular Nursing 2012; 11(3): 297-303.
- Soysal A, Şimşek H, Doğanay S, Günay T. Prevalence of Metabolic Syndrome and Affecting Factors among Individuals Aged 30 and over in Balçova District of İzmir. Balkan Med J 2016; 33(3): 331-338.
- The IDF consensus worldwide definition of the the metabolic syndrome. (2006). International Diabetes Federation. [Cited 02 March 2020] Available from URL: https://www.idf.org/e-library/consensus-statements/60-idfconsensus-worldwide-definitionof-the-metabolic-syndrome
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pisttsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research 1989; 28(2): 193-213.
- Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksi’nin Geçerliği ve Güvenirliği. Türk Psikiyatri Dergisi 1996; 7(2): 107-115.
- Ware JE, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care 1992; 30(6): 473-483.
- Pınar R. Sağlık Araştırmalarında Yeni Bir Kavram: Yaşam Kalitesi – Bir Yaşam Kalitesi Ölçeğinin Kronik Hastalarda Geçerlik ve Güvenirliğinin İncelenmesi. Hemşirelik Bülteni 1995; 9 (38): 85-95.
- Marangos PJ, Okamoto L J, Caro J J. Economic burden of the components of the metabolic syndrome. In: Handbook of disease burdens and quality of life measures (Preedy VR, Watson RR. eds), 2010, Springer, 1135-1149.
- Gemalmaz A, Aydın S, Başak O, Disçigil G, Karul A. Prevalence of the Metabolic Syndrome in a Rural Turkish Population: Comparison and Concordance of Two Diagnostic Criteria. Turk J Med Sci 2008; 38 (2): 159-165.
- Gundogan K, Bayram F, Gedik V, Kaya A, Karaman A, Demir O et al. Metabolic syndrome prevalence according to ATP III and IDF criteria and related facors in Turkish adults. Arch Med Sci 2013; 9(2): 243-253.
- Ranasinghe P, Mathangasinghe Y, Jayawardena R, Hills AP, Misra A. Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review. BMC Public Health 2017; 17: 101.
- Amirkalali B, Fakhrzadeh H, Sharifi F, Kelishadi R, Zamani F, Asayesh H et al. Prevalence of metabolic syndrome and its components in The Iranian Adult Population: A systematic review and meta-analysis. Iran Red Crescent Med J. 2015; 27: 17(12).
- Lin SC, Sun CA, You SL, Hwang LC, Liang CY, Yang T et al. The link of self-reported insomnia symptoms and sleep duration with metabolic syndrome: a Chinese population-based study. Sleep 2016; 39(6): 1261–1266.
- Kobayashi D, Takahashi O, Deshpande GA, Shimbo T, Fukui T. Relation between metabolic syndrome and sleep duration in Japan:a large scale cros- sectional study. Intern Med 2011; 50(2): 103-107.
- Chang JH, Huang PT, Lin YK, Lin CE, Lin CM, Shieh YH et al. Association between sleep duration and sleep quality,and metabolic syndrome in Tawanese police officers. Int J Occup Med Environ Health 2015; 28(6): 1011-1023.
- Kazman JB, Abraham PA, Zeno SA, Poth M, Deuster PA. Self-reported sleep impairment and the metabolic syndrome among African Americans. Ethnicity & Disease 2012; 22(4): 410-415.
- Hjellset VT, Ihlebæk CM, Bjørge B, Eriksen HR, Høstmark AT. Health-Related Quality of Life, Subjective Health Complaints, Psychological Distress and Copingin Pakistani Immigrant Women With and Without the Metabolic Syndrome: The InnvaDiab-DEPLAN Study on Pakistani Immigrant Women Living in Oslo, Norway. J Immigrant Minority Health 2011; 13(4): 732-41.
- Amiri P, Deihim T, Taherian R, Karimi M, Gharibzadeh S, Asghari-Jafarabadi M et al. Factors affecting gender differences in the association between health-related quality of life and metabolic syndrome components: Tehran lipid and glucose study. PLoS ONE 2015; 10(12):
Kadınlarda metabolik sendromun uyku ve yaşam kalitesi üzerine etkisi
Year 2021,
Volume: 46 Issue: 3, 1108 - 1116, 30.09.2021
Rabiye Çırpan
,
Arife Zuhal Değirmencioğlu
,
Semra Kocaöz
Abstract
Amaç: Çalışma, kadınlarda metabolik sendrom prevalansını belirlemek ve metabolik sendromun uyku ve yaşam kalitesi üzerindeki etkisini değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntem: Bu tanımlayıcı ve kesitsel tipteki çalışma 372 kadınla tamamlanmıştır. Araştırmanın verileri tanımlayıcı anket formu, Pittsburgh Sleep Quality Index (PSQI) ve SF 36 Yaşam Kalitesi Ölçeği kullanılarak toplanmıştır..
Bulgular: Çalışmamızda Uluslararası Diyabet Federasyonu tanı kriterlerine göre kadınların %41.9’unda metabolik sendrom olduğu tespit edilmiştir. Kadınların uyku kalitesi değerlendirildiğinde, metabolik sendrom saptanan kadınların Pittsburgh Sleep Quality Index toplam puan ortalamasının, metabolik sendrom saptanmayan kadınlardan daha yüksek olduğu belirlenmiştir. Metabolik sendrom saptanan kadınların SF-36 yaşam kalitesi ölçeğinin fiziksel fonksiyon, fiziksel rol güçlüğü, ağrı, genel sağlık algısı alt boyut puan ortancaları ile mental özet skoru alt boyut puan ortancasının metabolik sendrom saptanmayan kadınlardan daha düşük olduğu belirlenmiştir.
Sonuç: Çalışma sonucunda metabolik sendromun kadınlarda yaygın olarak görüldüğü, kadınların uyku ve yaşam kalitesini olumsuz yönde etkilediği tespit edilmiştir. Bu sonuçlar doğrultusunda kadınların uyku ve yaşam kalitelerini iyileştirebilmek için düzenli aralıklarla metabolik sendrom yönünden değerlendirilmesi ve kadınlara sağlıklı yaşam davranışları kazanmaları konusunda eğitim ve danışmanlık hizmetlerinin verilmesi önerilmektedir.
References
- Grundy SM. Metabolic syndrome update. Trends Cardiovasc Med 2016; 26: 364-373.
- Kozan O, Oguz A, Abaci A, Erol C, Ongen Z, Temizhan A et al. Prevalence of the metabolic syndrome among Turkish adults. European Journal of Clinical Nutrition 2007; 61: 548-553.
- Rochlani Y, Pothineni NV, Kovelamudi S, Mehta JL. (2017). Metabolic syndrome: pathophysiology, management,and modulation by natural compounds. Ther Adv Cardiovasc Dis 2017;11(8): 215-225.
- Bhalwar R. Metabolic syndrome: The Indian public health perspective. Med J Armed Forces India 2020; 76(1): 8-16.
- Kassi E, Pervanidou P, Kaltsas G, Chrousos G. Metabolic syndrome: definitions and controversies. BMC Medicine 2011; 9: 48.
- Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep 2018; 20: 12
- Oğuz A, Telci Çaklılı Ö, Tümerdem Çalık B, on behalf of the PURE Investigators. The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Turk Kardiyol Dern Ars. 2018; 46(7): 613-623.
- Ying L, Qun Y, Gangpu W, Fang T. Association between sleep quality and metabolic syndrome: A systematic review and meta-analysis.
Psychiatry Res 2019; 274: 66–74.
- Hung HC, Yang YC, Ou HY, Wu JS, Lu, FH, Chang CJ. The association between self reported sleep quality and metabolic syndrome. PLoS ONE 2013; 8(1): e54304.
- Okubo N, Matsuzaka M, Takahashi I, Sawada K, Sato S, Akimoto N et al. Relationship between self-reported sleep quality and metabolic syndrome in general population. BMC Public Health 2014; 14: 562.
- AlDabal L, BaHammam AS. Metabolic, endocrine and immune consequences of sleep deprivation. Open Respir Med J 2011; 5: 31-43.
- Landis CA. Physiological and behavioral aspects of sleep. In: Sleep Disorders and Sleep Promotion in Nursing Practice. (Redeker NS, McEnany GP. eds), 2011, Springer, New York, 1-18.
- Nedeltcheva AV, Scheer FA. Metabolic effects of sleep disruption, links to obesity and diabetes. Curr Opin Endocrinol Diabetes Obes., 2014; 21(4): 293-298.
- Zohal M, Ghorbani A, Esmailzadehha N, Ziaee A, Mohammadi Z. Association of sleep quality components and wake time with metabolic syndrome: The Qazvin Metabolic Diseases Study (QMDS), Iran. Diabetes & Metabolic Syndrome: Clinical Research & Reviews 2017; 11 (Suppl 1): 377-380.
- Fan L, Hao Z, Gao L, Qi M, Feng S, Zhou G. Non-linear relationship between sleep duration and metabolic syndrome: A populationbased study. Medicine 2020; 99: 2(e18753).
- Lu K, Zhao, Y, Chen J, Hu D, Xiao H. Interactive association of sleep duration and sleep quality with the prevalence of metabolic syndrome in adult Chinese males. Experimental and Therapeutic Medicine 2020; 19: 841-848.
- Saboya PP, Bodanese LC, Zimmermann PR, Gustavo AS, Assumpção CM, Londero F. Metabolic syndrome and quality of life: a systematic review. Rev. Latino-Am. Enfermagem 2016; 24: e2848.
- Postolova A, Dorani O, Brown K, Powell-Hicks A, Dous G, Becker B et al. Health Related Quality of Life in Patients with Metabolic Syndrome. Journal of Scientific Research & Reports 2014; 3(8): 1088-1104.
- Chiang LC, Chiang SL, Tzeng WC, Lee MS, Hung YJ, Lin CH. Active physical activity patterns are associated with improved quality of life and depression status in Taiwanese women with metabolic syndrome. The Journal of Cardiovascular Nursing 2019; 34(6): 491–502.
- Jahangiry L, Shojaeezadeh D, Montazeri A, Najafi M, Mohammad K. Health-related Quality of Life Among People Participating in a Metabolic Syndrome E-screening Program: A Web-based Study. Int J Prev Med 2016; 7: 27.
- Tziallas D, Kastanioti C, Kostapanos MS, Skapinakis P, Elisaf MS, Mavreas V. The impact of the metabolic syndrome on health-related quality of life: a cross-sectional study in Greece. European Journal of Cardiovascular Nursing 2012; 11(3): 297-303.
- Soysal A, Şimşek H, Doğanay S, Günay T. Prevalence of Metabolic Syndrome and Affecting Factors among Individuals Aged 30 and over in Balçova District of İzmir. Balkan Med J 2016; 33(3): 331-338.
- The IDF consensus worldwide definition of the the metabolic syndrome. (2006). International Diabetes Federation. [Cited 02 March 2020] Available from URL: https://www.idf.org/e-library/consensus-statements/60-idfconsensus-worldwide-definitionof-the-metabolic-syndrome
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pisttsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research 1989; 28(2): 193-213.
- Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksi’nin Geçerliği ve Güvenirliği. Türk Psikiyatri Dergisi 1996; 7(2): 107-115.
- Ware JE, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care 1992; 30(6): 473-483.
- Pınar R. Sağlık Araştırmalarında Yeni Bir Kavram: Yaşam Kalitesi – Bir Yaşam Kalitesi Ölçeğinin Kronik Hastalarda Geçerlik ve Güvenirliğinin İncelenmesi. Hemşirelik Bülteni 1995; 9 (38): 85-95.
- Marangos PJ, Okamoto L J, Caro J J. Economic burden of the components of the metabolic syndrome. In: Handbook of disease burdens and quality of life measures (Preedy VR, Watson RR. eds), 2010, Springer, 1135-1149.
- Gemalmaz A, Aydın S, Başak O, Disçigil G, Karul A. Prevalence of the Metabolic Syndrome in a Rural Turkish Population: Comparison and Concordance of Two Diagnostic Criteria. Turk J Med Sci 2008; 38 (2): 159-165.
- Gundogan K, Bayram F, Gedik V, Kaya A, Karaman A, Demir O et al. Metabolic syndrome prevalence according to ATP III and IDF criteria and related facors in Turkish adults. Arch Med Sci 2013; 9(2): 243-253.
- Ranasinghe P, Mathangasinghe Y, Jayawardena R, Hills AP, Misra A. Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review. BMC Public Health 2017; 17: 101.
- Amirkalali B, Fakhrzadeh H, Sharifi F, Kelishadi R, Zamani F, Asayesh H et al. Prevalence of metabolic syndrome and its components in The Iranian Adult Population: A systematic review and meta-analysis. Iran Red Crescent Med J. 2015; 27: 17(12).
- Lin SC, Sun CA, You SL, Hwang LC, Liang CY, Yang T et al. The link of self-reported insomnia symptoms and sleep duration with metabolic syndrome: a Chinese population-based study. Sleep 2016; 39(6): 1261–1266.
- Kobayashi D, Takahashi O, Deshpande GA, Shimbo T, Fukui T. Relation between metabolic syndrome and sleep duration in Japan:a large scale cros- sectional study. Intern Med 2011; 50(2): 103-107.
- Chang JH, Huang PT, Lin YK, Lin CE, Lin CM, Shieh YH et al. Association between sleep duration and sleep quality,and metabolic syndrome in Tawanese police officers. Int J Occup Med Environ Health 2015; 28(6): 1011-1023.
- Kazman JB, Abraham PA, Zeno SA, Poth M, Deuster PA. Self-reported sleep impairment and the metabolic syndrome among African Americans. Ethnicity & Disease 2012; 22(4): 410-415.
- Hjellset VT, Ihlebæk CM, Bjørge B, Eriksen HR, Høstmark AT. Health-Related Quality of Life, Subjective Health Complaints, Psychological Distress and Copingin Pakistani Immigrant Women With and Without the Metabolic Syndrome: The InnvaDiab-DEPLAN Study on Pakistani Immigrant Women Living in Oslo, Norway. J Immigrant Minority Health 2011; 13(4): 732-41.
- Amiri P, Deihim T, Taherian R, Karimi M, Gharibzadeh S, Asghari-Jafarabadi M et al. Factors affecting gender differences in the association between health-related quality of life and metabolic syndrome components: Tehran lipid and glucose study. PLoS ONE 2015; 10(12):