Rabiye ÇIRPAN, Arife Zuhal DEĞİRMENCİOĞLU, Semra KOCAÖZ

Kadınlarda metabolik sendromun uyku ve yaşam kalitesi üzerine etkisi

Amaç: Çalışma, kadınlarda metabolik sendrom prevalansını belirlemek ve metabolik sendromun uyku ve yaşam kalitesi üzerindeki etkisini değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntem: Bu tanımlayıcı ve kesitsel tipteki çalışma 372 kadınla tamamlanmıştır. Araştırmanın verileri tanımlayıcı anket formu, Pittsburgh Sleep Quality Index (PSQI) ve SF 36 Yaşam Kalitesi Ölçeği kullanılarak toplanmıştır.. Bulgular: Çalışmamızda Uluslararası Diyabet Federasyonu tanı kriterlerine göre kadınların %41.9’unda metabolik sendrom olduğu tespit edilmiştir. Kadınların uyku kalitesi değerlendirildiğinde, metabolik sendrom saptanan kadınların Pittsburgh Sleep Quality Index toplam puan ortalamasının, metabolik sendrom saptanmayan kadınlardan daha yüksek olduğu belirlenmiştir. Metabolik sendrom saptanan kadınların SF-36 yaşam kalitesi ölçeğinin fiziksel fonksiyon, fiziksel rol güçlüğü, ağrı, genel sağlık algısı alt boyut puan ortancaları ile mental özet skoru alt boyut puan ortancasının metabolik sendrom saptanmayan kadınlardan daha düşük olduğu belirlenmiştir. Sonuç: Çalışma sonucunda metabolik sendromun kadınlarda yaygın olarak görüldüğü, kadınların uyku ve yaşam kalitesini olumsuz yönde etkilediği tespit edilmiştir. Bu sonuçlar doğrultusunda kadınların uyku ve yaşam kalitelerini iyileştirebilmek için düzenli aralıklarla metabolik sendrom yönünden değerlendirilmesi ve kadınlara sağlıklı yaşam davranışları kazanmaları konusunda eğitim ve danışmanlık hizmetlerinin verilmesi önerilmektedir.

Anahtar Kelimeler:

Metabolik sendrom, Uyku, Yaşam Kalitesi, Kadın

Effect of the metabolic syndrome on the quality of life and sleep in women

Purpose: This study was conducted to determine the metabolic syndrome prevalence in women and evaluate its effect on the quality of life and sleep. Materials and Methods: This descriptive and cross-sectional study was completed with 372 women. Data were collected using a descriptive questionnaire, the Pittsburgh Sleep Quality Index, and the SF 36 Quality of Life Scale.. Results: The metabolic syndrome prevalence in women was 41.9%, according to the International Diabetes Federation diagnostic criteria. The mean scores obtained from the sleep quality index by those with metabolic syndrome were significantly higher than those without metabolic syndrome. The median scores obtained from the physical function and role difficulty, pain, general health perception, and mental summary sub-dimensions of the SF-36 quality of life scale by the women who were found to have metabolic syndrome were lower than those without metabolic syndrome. Conclusion: Metabolic syndrome was found to be common in women and to affect the quality of life and sleep negatively in women in this study. We, therefore, recommend women to be evaluated in terms of metabolic syndrome at regular intervals and healthcare professionals to provide training and consultancy services to promote healthy living behaviors that could improve their quality of life and sleep.

Keywords:

Metabolic syndrome, Sleep, Quality of life, Women,

PDF

___

1. Grundy SM. Metabolic syndrome update. Trends Cardiovasc Med. 2016;26:364-73.
2. Kozan O, Oguz A, Abaci A, Erol C, Ongen Z, Temizhan A, et al. Prevalence of the metabolic syndrome among Turkish adults. Eur J Clin Nutr. 2007;61:548-53.
3. Rochlani Y, Pothineni NV, Kovelamudi S, Mehta JL. Metabolic syndrome: pathophysiology, management, and modulation by natural compounds. Ther Adv Cardiovasc Dis. 2017;11:215-25.
4. Bhalwar R. Metabolic syndrome: The Indian public health perspective. Med J Armed Forces India. 2020;76:8-16.
5. Kassi E, Pervanidou P, Kaltsas G, Chrousos G. Metabolic syndrome: definitions and controversies. BMC Med. 2011;9:48.
6. Saklayen MG. The global epidemic of the metabolic syndrome. Curr Hypertens Rep. 2018;20:12
7. Oğuz A, Telci Çaklılı Ö, Tümerdem Çalık B, PURE Investigators. The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Turk Kardiyol Dern Ars. 2018;46:613-23.
8. Lian Y, Yuan Q, Wang G, Tang F. Association between sleep quality and metabolic syndrome: a systematic review and meta-analysis. Psychiatry Res. 2019;274:66-74.
9. Hung HC, Yang YC, Ou HY, Wu JS, Lu FH, Chang CJ. The association between self-reported sleep quality and metabolic syndrome. PLoS One. 2013;8:e54304.
10. Okubo N, Matsuzaka M, Takahashi I, Sawada K, Sato S, Akimoto N, et al. Relationship between selfreported sleep quality and metabolic syndrome in general population. BMC Public Health. 2014;14:562.
11. Aldabal L, Bahammam AS. Metabolic, endocrine and immune consequences of sleep deprivation. Open Respir Med J. 2011;5:31-43.
12. Landis CA. Physiological and behavioral aspects of sleep. In Sleep Disorders and Sleep Promotion in Nursing Practice (Eds Redeker NS, McEnany GP.):1- 18, New York, Springer Publishing, 2011.
13. Nedeltcheva AV, Scheer FA. Metabolic effects of sleep disruption, links to obesity and diabetes. Curr Opin Endocrinol Diabetes Obes. 2014;21:293-98.
14. Zohal M, Ghorbani A, Esmailzadehha N, Ziaee A, Mohammadi Z. Association of sleep quality components and wake time with metabolic syndrome: The Qazvin Metabolic Diseases Study (QMDS), Iran. Diabetes Metab Syndr. 2017;11:377-80.
15. Fan L, Hao Z, Gao L, Qi M, Feng S, Zhou G. Nonlinear relationship between sleep duration and metabolic syndrome: A population-based study. Medicine (Baltimore). 2020;99:e18753.
16. Lu K, Zhao Y, Chen J, Hu D, Xiao H. Interactive association of sleep duration and sleep quality with the prevalence of metabolic syndrome in adult Chinese males. Exp Ther Med. 2020;19:841-48.
17. Saboya PP, Bodanese LC, Zimmermann PR, Gustavo AS, Assumpção CM, Londero F. Metabolic syndrome and quality of life: a systematic review. Rev Lat Am Enfermagem. 2016;24:e2848.
18. Postolova A, Dorani O, Brown K, Powell-Hicks A, Dous G, Becker B, et al. Health related quality of life in patients with metabolic syndrome. J Sci Res Rep. 2014;3:1088-104.
19. Chiang LC, Chiang SL, Tzeng WC, Lee MS, Hung YJ, Lin CH. Active physical activity patterns are associated with improved quality of life and depression status in Taiwanese women with metabolic syndrome. J Cardiovasc Nurs. 2019;34:491-502.
20. Jahangiry L, Shojaeezadeh D, Montazeri A, Najafi M, Mohammad K. Health-related quality of life among people participating in a metabolic syndrome escreening program: a web-based study. Int J Prev Med. 2016;7:27.
21. Tziallas D, Kastanioti C, Kostapanos MS, Skapinakis P, Elisaf MS, Mavreas V. The impact of the metabolic syndrome on health-related quality of life: a crosssectional study in Greece. Eur J Cardiovasc Nurs. 2012;11:297-303.
22. Soysal A, Şimşek H, Doğanay S, Günay T. Prevalence of metabolic syndrome and affecting factors among individuals aged 30 and over in Balçova district of İzmir. Balkan Med J. 2016;33:331-38.
23. The IDF consensus worldwide definition of the metabolic syndrome. (2006). International Diabetes Federation. https://www.idf.org/elibrary/consensus-statements/60-idfconsensusworldwide-definitionof-the-metabolic-syndrome (accessed March 2020)
24. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res.1989;28:193-213.
25. Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksi’nin geçerliği ve güvenirliği. Turk Psikiyatri Derg.1996;7:107-15.
26. Ware JE, Sherbourne CD. The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-83.
27. Pınar R. Sağlık araştırmalarında yeni bir kavram: Yaşam kalitesi – Bir yaşam kalitesi ölçeğinin kronik hastalarda geçerlik ve güvenirliğinin incelenmesi. Hemşirelik Bülteni. 1995;9:85-95.
28. Marangos PJ, Okamoto LJ, Caro JJ. Economic burden of the components of the metabolic syndrome. In: Handbook of disease burdens and quality of life measures (Eds Preedy VR, Watson RR.):1135-149. New York, Springer Publishing, 2010.
29. Gemalmaz A, Aydın S, Başak O, Disçigil G, Karul A. Prevalence of the metabolic syndrome in a rural Turkish population: Comparison and concordance of two diagnostic criteria. Turk J Med Sci. 2008;38:159- 65.
30. Gundogan K, Bayram F, Gedik V, Kaya A, Karaman A, Demir O, et al. Metabolic syndrome prevalence according to ATP III and IDF criteria and related factors in Turkish adults. Arch Med Sci. 2013;9:243- 53.
31. Ranasinghe P, Mathangasinghe Y, Jayawardena R, Hills AP, Misra A. Prevalence and trends of metabolic syndrome among adults in the Asia-Pacific region: a systematic review. BMC Public Health. 2017;17:101.
32. Amirkalali B, Fakhrzadeh H, Sharifi F, Kelishadi R, Zamani F, Asayesh H, et al. Prevalence of metabolic syndrome and its components in the Iranian adult population: A systematic review and meta-analysis. Iran Red Crescent Med J. 2015;17:e24723.
33. Lin SC, Sun CA, You SL, Hwang LC, Liang CY, Yang T, et al. The link of self-reported insomnia symptoms and sleep duration with metabolic syndrome: a Chinese population-based study. Sleep. 2016;39:1261–66.
34. Kobayashi D, Takahashi O, Deshpande GA, Shimbo T, Fukui T. Relation between metabolic syndrome and sleep duration in Japan: a large scale cross-sectional study. Intern Med. 2011;50:103-07.
35. Chang JH, Huang PT, Lin YK, Lin CE, Lin CM, Shieh YH, et al. Association between sleep duration and sleep quality, and metabolic syndrome in Taiwanese police officers. Int J Occup Med Environ Health. 2015;28:1011-23.
36. Kazman JB, Abraham PA, Zeno SA, Poth M, Deuster PA. Self-reported sleep impairment and the metabolic syndrome among African Americans. Ethn Dis. 2012;22:410-15.
37. Hjellset VT, Ihlebæk CM, Bjørge B, Eriksen HR, Høstmark AT. Health-related quality of life, subjective health complaints, psychological distress and coping in Pakistani immigrant women with and without the metabolic syndrome: The InnvaDiabDEPLAN study on Pakistani immigrant women living in Oslo, Norway. J Immigr Minor Health. 2011;13:732-41.
38. Amiri P, Deihim T, Taherian R, Karimi M, Gharibzadeh S, Asghari-Jafarabadi M, et al. Factors affecting gender differences in the association between health-related quality of life and metabolic syndrome components: Tehran lipid and glucose study. PLoS One. 2015;10:e0143167.