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Objectives: In this study, the relationship between psychologic factors (depression and stress) and health behaviors, metabolic syndrome were evaluated. Methods: The study population was 1,559 women, aged over 40 years, April to December in 2009. We used modified National Cholesterol Education Program Adult Treatment Panel-III (modified NCEP ATP-lll) criteria for metabolic syndrome, Center for Epidemiologic Studies-Depression scale (CES-D) for depression and Psychosocial Wellbeing Index-Short Form (PWI-SF) for stress. Analysis of covariance (ANCOVA) were used to compare the mean scores of depression, stress by the number of metabolic syndrome components present. Logistic regression analyses were used to explore the variables associated with depression, stress, health behaviors and metabolic syndrome. Results: The prevalence of depression, stress and metabolic syndrome were 18.8%, 15.8%, 22.1%. Metabolic syndrome and negative health behaviors were more frequently observed in depressed and stressed groups. CES-D and PWI-SF scores increased with the number of components metabolic syndrome present. After covariates (age, education) adjusted, the odds ratios of bad health behaviors with depression and stress were 1.67 (95% CI=1.21~2.28) and 2.77 (95% CI=1.15~ 2.55). After covariates (age, education, BMI, smoking, drinking, exercise) adjusted, the odds ratios of metabolic syndrome with depression and stress were 1.48 (95% CI=1.07~2.06) and 1.75 (95 % CI=1.23~2.48). Conclusion: Depression and stress were independently associated with health behaviors and metabolic syndrome.

Depression, Stress and How They are Related with Health Behaviors and Metabolic Syndrome among Women Over 40 Years