Exploring The Connection Among Sleep, Anxiety, Depression And Metabolic Syndrome In Health Check-up Population

Objective:This study is aimed at examining the prevalence of MS (metabolic syndrome, MS), anxiety, depression and sleep quality among the health check-up population. And explore the connection among anxiety, depression and sleep quality, comparing their differences and relations in MS.Methods:To use Self-Rating Anxiety/Depression Scale (SAS/SDS, Zung) and Pittsburgh sleep quality index (PSQI) to measure the status of anxiety, depression and sleep quality of the health check-up subjects hospitalized from July 2014 to July 2015. A total of 938 subjects were chosen in our study. And collect their medical history and the data of the related biochemical indicators for statistical analysis.Results:l.The total proportion of MS, anxiety, depression, poor sleep quality was 23.1%,16.4%,25.7% and 44.9%, respectively.2. The score of SAS, SDS, PSQI were highly correlated (P<0.05).72.7% of anxiety subjects suffered from poor sleep quality, while the proportion in depression subjects was 70.1%.3. The positive rate in SAS, SDS, PSQI is much higher in females than in males, with statistical significance (P<0.05). The positive rate of SDS was higher in the old males than in other age subjects, with statistical significance (P<0.05). But the SAS rate didn't depict significant statistically difference (P<0.05). The risk of poor sleep quality in the mid-aged and old females is 1.5 times,1.92 times of that in the same aged males, respectively, with statistical significance (P<0.05).4. The proportion of MS was higher in female with anxiety or depression, with statistical significance (P<0.05).Conclusion:1.The prevalence of MS was high in health check-up population. Clinicians should pay more attention to the common issues about anxiety, depression and poor sleep quality.2. Anxiety, depression and sleep quality were highly correlated. Most anxiety or depression subjects suffered from dyssomnia.3. Females were more likely to have anxiety, depression and dyssomnia. Males were more prone to depression rather than anxiety. The impact of age on sleep had a gender difference, which is more obvious in females.4. Females with anxiety or depression may have a higher risk of MS occurrence.