Perceived stress correlates with visceral obesity and lipid parameters of the metabolic syndrome: A systematic review and meta-analysis
•Perceived stress shows correlation with visceral obesity and dyslipidemia.•Perceived stress appears to be associated with increased diastolic blood pressure.•Job-stress also correlates with higher fasting glucose level.•Metabolic syndrome does not correlate with perceived stress of patients. Percei...
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| Published in: | Psychoneuroendocrinology Vol. 95; pp. 63 - 73 |
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01-09-2018
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| Abstract | •Perceived stress shows correlation with visceral obesity and dyslipidemia.•Perceived stress appears to be associated with increased diastolic blood pressure.•Job-stress also correlates with higher fasting glucose level.•Metabolic syndrome does not correlate with perceived stress of patients.
Perceived stress has been proposed as a risk factor of metabolic syndrome. However, correlations between perceived stress and parameters of the metabolic syndrome have not been properly analyzed despite extensive research data on the topic. Our current meta-analysis aimed to examine the mutual association between perceived stress of patients and parameters of metabolic syndrome.
This systematic review has been registered on the PROSPERO database (registration number CRD42017055293). Eligible studies divided participants based on their stress level or on the presence of metabolic syndrome. They reported at least one parameter of the metabolic syndrome or the stress level of the participants measured with some stress scale. Data from 17 articles met the eligibility criteria and were included. Random effects model with the DerSimonian and Laird weighting methods was applied. I-squared indicator and Q test were performed to assess heterogeneity.
Although the majority of individual studies failed to demonstrate correlations between stress and their analyzed parameters of metabolic syndrome, our meta-analysis showed a significant association between stress and BMI [average effect size (ES) with 95% confidence interval (95%CI), ES = 0.65, 95%CI 0.16, 1.14), waist circumference (ES = 1.84 cm, 95%CI 0.79, 2.89) and serum triglyceride level (ES = 7.52 mg/dl, 95%CI 0.07, 14.96). Additional analysis confirmed effects of stress on serum HDL (ES = - 1.699 mg/dl, 95%CI −2.966, −0.432) and diastolic blood pressure (ES = 1.04 mmHg, 95%CI 0.18, 1.89). No correlations were found for fasting glucose or systolic blood pressure. No association between metabolic syndrome and stress level of patients was detected either.
The potentially key role of visceral obesity in the association between perceived stress and dyslipidemia or diastolic blood pressure are discussed together with potential moderators (e.g. gender-differences, variations in stress assessment and metabolic syndrome criteria) that may explain the inconsistent, contradictory results of the individual studies. |
|---|---|
| AbstractList | •Perceived stress shows correlation with visceral obesity and dyslipidemia.•Perceived stress appears to be associated with increased diastolic blood pressure.•Job-stress also correlates with higher fasting glucose level.•Metabolic syndrome does not correlate with perceived stress of patients.
Perceived stress has been proposed as a risk factor of metabolic syndrome. However, correlations between perceived stress and parameters of the metabolic syndrome have not been properly analyzed despite extensive research data on the topic. Our current meta-analysis aimed to examine the mutual association between perceived stress of patients and parameters of metabolic syndrome.
This systematic review has been registered on the PROSPERO database (registration number CRD42017055293). Eligible studies divided participants based on their stress level or on the presence of metabolic syndrome. They reported at least one parameter of the metabolic syndrome or the stress level of the participants measured with some stress scale. Data from 17 articles met the eligibility criteria and were included. Random effects model with the DerSimonian and Laird weighting methods was applied. I-squared indicator and Q test were performed to assess heterogeneity.
Although the majority of individual studies failed to demonstrate correlations between stress and their analyzed parameters of metabolic syndrome, our meta-analysis showed a significant association between stress and BMI [average effect size (ES) with 95% confidence interval (95%CI), ES = 0.65, 95%CI 0.16, 1.14), waist circumference (ES = 1.84 cm, 95%CI 0.79, 2.89) and serum triglyceride level (ES = 7.52 mg/dl, 95%CI 0.07, 14.96). Additional analysis confirmed effects of stress on serum HDL (ES = - 1.699 mg/dl, 95%CI −2.966, −0.432) and diastolic blood pressure (ES = 1.04 mmHg, 95%CI 0.18, 1.89). No correlations were found for fasting glucose or systolic blood pressure. No association between metabolic syndrome and stress level of patients was detected either.
The potentially key role of visceral obesity in the association between perceived stress and dyslipidemia or diastolic blood pressure are discussed together with potential moderators (e.g. gender-differences, variations in stress assessment and metabolic syndrome criteria) that may explain the inconsistent, contradictory results of the individual studies. BACKGROUNDPerceived stress has been proposed as a risk factor of metabolic syndrome. However, correlations between perceived stress and parameters of the metabolic syndrome have not been properly analyzed despite extensive research data on the topic. Our current meta-analysis aimed to examine the mutual association between perceived stress of patients and parameters of metabolic syndrome. METHODSThis systematic review has been registered on the PROSPERO database (registration number CRD42017055293). Eligible studies divided participants based on their stress level or on the presence of metabolic syndrome. They reported at least one parameter of the metabolic syndrome or the stress level of the participants measured with some stress scale. Data from 17 articles met the eligibility criteria and were included. Random effects model with the DerSimonian and Laird weighting methods was applied. I-squared indicator and Q test were performed to assess heterogeneity. RESULTSAlthough the majority of individual studies failed to demonstrate correlations between stress and their analyzed parameters of metabolic syndrome, our meta-analysis showed a significant association between stress and BMI [average effect size (ES) with 95% confidence interval (95%CI), ES = 0.65, 95%CI 0.16, 1.14), waist circumference (ES = 1.84 cm, 95%CI 0.79, 2.89) and serum triglyceride level (ES = 7.52 mg/dl, 95%CI 0.07, 14.96). Additional analysis confirmed effects of stress on serum HDL (ES = - 1.699 mg/dl, 95%CI -2.966, -0.432) and diastolic blood pressure (ES = 1.04 mmHg, 95%CI 0.18, 1.89). No correlations were found for fasting glucose or systolic blood pressure. No association between metabolic syndrome and stress level of patients was detected either. CONCLUSIONThe potentially key role of visceral obesity in the association between perceived stress and dyslipidemia or diastolic blood pressure are discussed together with potential moderators (e.g. gender-differences, variations in stress assessment and metabolic syndrome criteria) that may explain the inconsistent, contradictory results of the individual studies. Perceived stress has been proposed as a risk factor of metabolic syndrome. However, correlations between perceived stress and parameters of the metabolic syndrome have not been properly analyzed despite extensive research data on the topic. Our current meta-analysis aimed to examine the mutual association between perceived stress of patients and parameters of metabolic syndrome. This systematic review has been registered on the PROSPERO database (registration number CRD42017055293). Eligible studies divided participants based on their stress level or on the presence of metabolic syndrome. They reported at least one parameter of the metabolic syndrome or the stress level of the participants measured with some stress scale. Data from 17 articles met the eligibility criteria and were included. Random effects model with the DerSimonian and Laird weighting methods was applied. I-squared indicator and Q test were performed to assess heterogeneity. Although the majority of individual studies failed to demonstrate correlations between stress and their analyzed parameters of metabolic syndrome, our meta-analysis showed a significant association between stress and BMI [average effect size (ES) with 95% confidence interval (95%CI), ES = 0.65, 95%CI 0.16, 1.14), waist circumference (ES = 1.84 cm, 95%CI 0.79, 2.89) and serum triglyceride level (ES = 7.52 mg/dl, 95%CI 0.07, 14.96). Additional analysis confirmed effects of stress on serum HDL (ES = - 1.699 mg/dl, 95%CI -2.966, -0.432) and diastolic blood pressure (ES = 1.04 mmHg, 95%CI 0.18, 1.89). No correlations were found for fasting glucose or systolic blood pressure. No association between metabolic syndrome and stress level of patients was detected either. The potentially key role of visceral obesity in the association between perceived stress and dyslipidemia or diastolic blood pressure are discussed together with potential moderators (e.g. gender-differences, variations in stress assessment and metabolic syndrome criteria) that may explain the inconsistent, contradictory results of the individual studies. |
| Author | Tenk, Judit Garami, András Czopf, László Pétervári, Erika Balaskó, Márta Simon, Mária Hegyi, Péter Mátrai, Péter Hartmann, Petra Rostás, Ildikó Hussain, Alizadeh Szabó, Imre Szujó, Szabina |
| Author_xml | – sequence: 1 givenname: Judit surname: Tenk fullname: Tenk, Judit organization: Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary – sequence: 2 givenname: Péter surname: Mátrai fullname: Mátrai, Péter organization: Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary – sequence: 3 givenname: Péter surname: Hegyi fullname: Hegyi, Péter organization: Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary – sequence: 4 givenname: Ildikó surname: Rostás fullname: Rostás, Ildikó organization: Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary – sequence: 5 givenname: András surname: Garami fullname: Garami, András organization: Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary – sequence: 6 givenname: Imre surname: Szabó fullname: Szabó, Imre organization: Department of Gastroenterology, First Department of Internal Medicine, University of Pécs, Pécs, Hungary – sequence: 7 givenname: Petra surname: Hartmann fullname: Hartmann, Petra organization: Institute of Surgical Research, University of Szeged, Szeged, Hungary – sequence: 8 givenname: Erika surname: Pétervári fullname: Pétervári, Erika organization: Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary – sequence: 9 givenname: László surname: Czopf fullname: Czopf, László organization: Department of Cardiology, First Department of Medicine, University of Pécs, Pécs, Hungary – sequence: 10 givenname: Alizadeh surname: Hussain fullname: Hussain, Alizadeh organization: Department of Hematology, First Department of Medicine, University of Pécs, Pécs, Hungary – sequence: 11 givenname: Mária surname: Simon fullname: Simon, Mária organization: Department of Psychiatry and Psychotherapy, Medical School, University of Pécs, Pécs, Hungary – sequence: 12 givenname: Szabina surname: Szujó fullname: Szujó, Szabina organization: Department of Hematology, First Department of Medicine, University of Pécs, Pécs, Hungary – sequence: 13 givenname: Márta surname: Balaskó fullname: Balaskó, Márta email: marta.balasko@aok.pte.hu organization: Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary |
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| Keywords | Perceived stress Metabolic syndrome Visceral obesity Dyslipidemia |
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| SubjectTerms | Dyslipidemia Metabolic syndrome Perceived stress Visceral obesity |
| Title | Perceived stress correlates with visceral obesity and lipid parameters of the metabolic syndrome: A systematic review and meta-analysis |
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