Key result
Metabolic syndrome at baseline was significantly associated with new-onset depression in the subsequent year (OR 2.14; 95% CI 1.10-4.17), with waist circumference largely driving this association.
Why the study?
Does metabolic syndrome predict the development of depression and anxiety in Japanese men?
Cohort (n=956)
Does metabolic syndrome predict the development of depression and anxiety in Japanese men?
Odds Ratio: 2.14 (95% CI 1.1–4.17)
Metabolic syndrome, particularly increased waist circumference, is a predictive factor for the development of depression in Japanese men.
May inform depression risk assessment in men with central obesity; leaves open causality and need for interventional trials.
BACKGROUND: 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. METHODS: 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. RESULTS: 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 (P(trend) < 0.01), but not between Mets and new-onset anxiety. CONCLUSIONS: 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.
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Takeuchi et al. (2009) conducted a cohort in Metabolic syndrome, depression, and anxiety (n=956). Metabolic syndrome vs. No metabolic syndrome was evaluated on New-onset depression (OR 2.14, 95% CI 1.10-4.17). Metabolic syndrome at baseline was significantly associated with new-onset depression in the subsequent year (OR 2.14; 95% CI 1.10-4.17), with waist circumference largely driving this association.
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