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The association between peptic ulcer diseases and mental health problems: A population-based study: a STROBE compliant article.
Lee, YB, Yu, J, Choi, HH, Jeon, BS, Kim, HK, Kim, SW, Kim, SS, Park, YG, Chae, HS
Medicine. 2017;(34):e7828
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Abstract
This study aimed to investigate the association between the prevalence of peptic ulcer disease (PUD) and mental health problems, such as severe stress, depressive mood, and suicidal ideation.The population-based cross-sectional study was comprised of 14,266 subjects participating in the fourth annual Korea National Health and Nutrition Examination survey from 2007 to 2009. The participants were divided into 2 groups according to the self-reported questionnaires: the PUD group and the non-PUD group. The association between PUD and mental health problems, such as severe stress, depressed mood, suicidal ideation, and psychological counseling history, were evaluated by using multivariate analysis and logistic regression.Among the 14,266 participants over 19-years old, 813 participants (5.6%) had PUD. Compared to the non-PUD group (n = 13,453), the PUD group had a significantly higher percentage of males, current smokers, and heavy drinkers, lower education status, lower income, and greater presence of diabetes mellitus, hypertension, metabolic syndrome and mental health problems, including severe stress, depressed mood, suicidal ideation, and psychological counseling history. After adjustment for lifestyle and medical and environmental factors, mental health problems were found to be associated with a significantly higher risk for PUD.Psychological problems, such as severe stress, depressed mood, suicidal ideation, and psychological counseling, were associated with PUD prevalence.
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Longitudinal relationship of diet and oxidative stress with depressive symptoms in patients with metabolic syndrome after following a weight loss treatment: the RESMENA project.
Perez-Cornago, A, Lopez-Legarrea, P, de la Iglesia, R, Lahortiga, F, Martinez, JA, Zulet, MA
Clinical nutrition (Edinburgh, Scotland). 2014;(6):1061-7
Abstract
BACKGROUND & AIM: Metabolic syndrome and depression seem to share some common underlying mechanisms, although less is known about the impact of metabolic syndrome dietary treatments on depression. This study examined the association between a hypocaloric treatment designed to reduce metabolic syndrome features in self-perceived depression and the potential involvement of dietary components and oxidative stress changes. METHODS Analyses were based on volunteers (n = 55) with metabolic syndrome (age 50 ± 1 y.o.; 38M/17F), where depressive symptoms were assessed using the Beck Depression Inventory. Participants followed two hypocaloric diets (control diet and RESMENA diet) with the same energy restriction (-30% TCV) for six months. Depressive symptoms, dietary records, anthropometrical measurements, biochemical parameters and oxidative stress levels were analysed. RESULTS Both diets improved self-perceived depression similarly (p = 0.528). Participants with lower depressive symptoms at baseline reported a significantly higher intake of omega-3 polyunsaturated fatty acids (p trend = 0.002). Interestingly, after adjusting for potential confounders, the increase in folate consumption (p = 0.011) and the decrease in plasma malondialdehyde levels (p = 0.012) throughout the intervention, were associated with the improvement in depressive symptoms. CONCLUSIONS A higher intake of folate and a decline in malondialdehyde plasma levels during a weight loss intervention, were related to improvements in manifestations of depression (www.clinicaltrials.gov; NCT01087086).
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Metabolic syndrome improvement in depression six months after prescribing simple hygienic-dietary recommendations.
Garcia-Toro, M, Gili, M, Ibarra, O, Monzón, S, Vives, M, Garcia-Campayo, J, Gomez-Juanes, R, Roca, M
BMC research notes. 2014;:339
Abstract
BACKGROUND Changes in diet and exercise have been separately demonstrated to improve Depression, although scientific evidence available is scarce. In a previously published controlled study, just recommending these and other lifestyle measures (sleep restriction and sunlight exposure) in combination once, patients experienced improvements in their depressive symptoms six months later. In this sample, one in three depressive patients had metabolic syndrome (MetS) at baseline. First line treatment of MetS condition is hygienic-dietetic, being Mediterranean diet and exercise especially important. Therefore we analyzed if lifestyle recommendations also improved their metabolic profile. FINDINGS During the sixth month evaluation, a smaller number of patients from the group receiving hygienic-dietary recommendations met MetS criteria comparing with the control group. CONCLUSIONS This study suggests that costless lifestyle recommendations, such as exercise and Mediterranean diet, have the capacity to promote both mental and physical health in a significant proportion of depressive patients. Further research is needed to confirm or discard these preliminary findings.
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Synergistic relationships among stress, depression, and troubled relationships: insights from psychoneuroimmunology.
Jaremka, LM, Lindgren, ME, Kiecolt-Glaser, JK
Depression and anxiety. 2013;(4):288-96
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Abstract
Stress and depression consistently elevate inflammation and are often experienced simultaneously, which is exemplified by people in troubled relationships. Troubled relationships also elevate inflammation, which may be partially explained by their ability to engender high levels of stress and depression. People who are stressed, depressed, or in troubled relationships are also at greater risk for health problems than their less distressed counterparts. Inflammation, a risk factor for a variety of age-related diseases including cardiovascular disease, Type II diabetes, metabolic syndrome, and frailty, may be one key mechanistic pathway linking distress to poor health. Obesity may further broaden the health implications of stress and depression; people who are stressed or depressed are often overweight, and adipose tissue is a major source of proinflammatory cytokines. Stress, depression, and troubled relationships may have synergistic inflammatory effects: loneliness, subclinical depression, and major depression enhance inflammatory responses to an acute stressful event. The relationship between distress and inflammation is bidirectional; depression enhances inflammation and inflammation promotes depression. Interesting questions emerge from this literature. For instance, some stressors may be more potent than others and thus may be more strongly linked to inflammation. In addition, it is possible that psychological and interpersonal resources may buffer the negative inflammatory effects of stress. Understanding the links among stress, depression, troubled relationships, and inflammation is an exciting area of research that may provide mechanistic insight into the links between distress and poor health.
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[Depression in metabolic syndrome].
Kamrowska, A, Kamrowski, C
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego. 2012;(194):117-9
Abstract
The paper is concentrated on a problem of coexisting two syndromes: metabolic and depression. The importance of glucocorticoids, especially a role of glucose and proteins in metabolism, is presented here. The paper also presents the criteria of metabolic syndrome developed by: the USA National Cholesterol Education program Adult Treatment, World Health Organization and International Diabetes Federation. Common existence of both metabolic and depression syndromes was taken into consideration in the light of the latest research. A significance of environmental factors (a life style) in metabolic syndrome was indicated. Basing on the investigation results, a frequency of the occurrence of the individual components of the metabolic syndrome and their correlation with depression syndrome was evaluated. The correlation between laboratory studies in both sexes and revealing depression symptoms were highlighted. The relationship between both unhealthy diet and little activity and the development of depression syndrome ware observed. Finally, an advantageous role of psychological distress as a factor protecting against development of the individual components of metabolic syndrome was emphasized.