ECE2013 Poster Presentations Obesity (65 abstracts)
1Hallym University College of Medicine, Seoul, Republic of Korea; 2Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea; 3Dongguk University-Seoul, Seoul, Republic of Korea; 4School of Medicine Sungkyunkwan University, Seoul, Republic of Korea.
Aim: Suicide and depression are one of the highest public health problems worldwide. Suicidal ideation represents an important phase in the suicidal process and often precedes suicidal attempts or completed suicide. Patients with chronic medical disease are more likely to report suicidal thoughts and depression. However the studies on relationship between these conditions and metabolic syndrome are rare. We aimed at investigating the prevalence of depression and suicidal ideation among adults with metabolic syndrome in Korea.
Methods: We analyzed data for 17 924 persons (men 7516 persons and women 10 408 persons) from 20082010 KNHANES who did not have cancer or hepatitis or liver cirrhosis. Each individual was assessed for the presence of metabolic syndrome according to the NECP-ATPβ criteria except for waist circumference, for which new criteria recently suggested by Korean Society for Study of the Obesity was used. The presence of depression or suicidal ideation and were defined by a self-reported questionnaire asking if the participants had ever been diagnosed with depression by medical doctor or had any suicidal thoughts.
Results: The prevalence of depression (17 vs 14%, P<0.001) and suicidal ideation (20 vs 17%, P<0.001) was significantly higher in participants with metabolic syndrome. Mean scores for the EQ-5D decreased significantly with participants with depression (0.80±0.22 vs 0.91±0.13, P<0.001) and suicidal ideation (0.79±0.22 vs 0.92±0.13, P<0.001) in the group with metabolic syndrome.
Conclusions: This study shows that metabolic syndrome is associated with depression and suicidal ideation and this relationship was negatively associated with health related quality of life.