Research Article
Year 2020,
Volume: 3 Issue: 2, 83 - 92, 30.09.2020
Abstract
Amaç: Bu araştırma yetişkin bireylerde kardiyovasküler hastalık ve diyabet riskinin psikolojik semptomlarla ilişkisini incelemek amacıyla yapılmıştır.
Yöntem: Tanımlayıcı ilişkisel türde olan bu araştırma, Kasım-Aralık 2019 tarihleri arasında bir ilçe merkezindeki bir aile sağlığı merkezine kayıtlı 174 yetişkin birey ile yürütülmüştür. Verilerin toplanmasında veri toplama formu, Heartscore programı ve FINDRISK yöntemi kullanılmıştır. Verilerin analizinde tanımlayıcı istatistikler, Mann Whitney-U, bağımsız gruplar t testi ve lineer regresyon analizi kullanılmıştır.
Bulgular: Katılımcıların kardiyovasküler hastalık riskinin 2.02 ± 2.12, diyabet riskinin 10.86 ± 6.31 olduğu ve yarıdan fazlasının olayları hatırlayamadığını (%54.6), %50.6’sının vücudunda sık sık ağrı hissettiği, %48.3’ünün kendini sürekli yorgun hissettiği belirlenmiştir. Bir şeye odaklanma sorunu yaşayanların diyabet riskinin daha yüksek olduğu (p<0.01) ve duygusal zorlanmada profesyonel yardım alanların diyabet (p<0.01) ve kardiyovasküler hastalık riskinin (p<0.05) yüksek olduğu saptanmıştır. Lineer regresyon analizinde; diyabet riskinin kardiyovasküler hastalık riski artışı ile ilişkili olmadığı saptanmıştır (p>0.05).
Sonuç: Katılımcıların kardiyovasküler hastalık riski orta düzey, diyabet riski hafif düzeydir. Odaklanma sorununun diyabet riskini, duygusal zorlanmanın diyabet ve kardiyovasküler hastalık riskini etkilediği söylenebilir.
References
- Akın, S. (2012). Kronik Hastalıklarda Primer ve Skonder Koruma. Durna Z. (Ed.), Kronik Hastalıklarda Bakım. İstanbul: Nobel Tıp Kitabevleri Ltd. Şti. p. 9-23.
- Alizadeh NS, Honarmand MM, Hashemi SE, Davoudi I. (2019). The latency period between type 2 diabetes and development of Coronary Artery Disease based on psychological factors. Clinical Epidemiology and Global Health, Article in Press, doi: 10.1016/j.cegh.2019.08.009
- Anand SS, Islam S, Rosengren A, Franzosi MG, Steyn K, Yusufali AH, ve ark. (2008). Risk factors for myocardial infarction in women and men: insights from the INTERHEART study. European Heart Journal, 29, 932-40.
- Bagherian R, Andalib A. (2010). The role of psychoneuroimmunological processes in pathogenesis of coronary artery disease. Journal of Isfahan Medical School, 28(107), 293–302.
- Bonakdaran S, Taghavi MO. (2010). Cardiovascular risk factors in type 2 diabetic patients in Mashhad City. Iranian Journal of Endocrinology and Metabolism, 12(1), 1–6.
- Campos E, Pinto da Silva VS, Campos de Mello MS, Otero UB. (2016). Exposure to pesticides and mental disorders in a rural population of Southern Brazil. Neurotoxicology, 56, 7-16.
- Chen P, Wang S, Ji J, Ge A, Chen C, Zhu Y, ve ark. (2015). Risk factors and management of gestational diabetes. Cell Biochemistry and Biophysics, 71, 689–94.
- Cohen BE, Edmondson D, Kronish IM. (2015). State of the art review: depression, stress, anxiety, and cardiovascular disease. American Journal of Hypertension, 28(11), 1295–1302.
- Çömelekoğlu Ü, Mazmancı B, Arpacı A. (2000). Pestisitlerin kronik etkisine maruz kalan tarım işçilerinde karaciğer fonksiyonlarının incelenmesi, Turkish Journal of Biology, 24, 461-466.
- Deschênes SS, Burns RJ, Schmitz N. (2018). Trajectories of anxiety symptoms and associations with incident cardiovascular disease in adults with type 2 diabetes. Journal of Psychosomatic Research, 104, 95–100.
- Domanski M, Mitchell G, Pfeffer M, Neaton JD, Norman J, Svendsen K, ve ark. (2002). Pulse pressure and cardiovascular disease-related mortality: Follow-up study of the Multiple Risk Factor Intervention Trial (MRFIT). Journal of American Medical Association, 287, 2677.
- Ford ES, Zhao G, Li C. (2010). Pre-diabetes and the risk for cardiovascular disease: a systematic review of the evidence. Journal of the American College of Cardiology, 55(13), 1310–1317.
- Freire C, Koifman S. (2013). Pesticide, depression and suicide: A systematic review of the epidemiological evidence. International Journal of Hygiene and Environmental Health, 216, 445-460.
- Garcia-Garcia CR, Parron T, Requena M, Alarcon R, Tsatsakis AM, Hernandez AF. (2016). Occupational pesticide exposure and adverse health effects at the clinical, hematological and biochemical level. Life Sciences, 145, 274-283.
- Glynn RJ, L’Italien GJ, Sesso HD, Jackson EA, Buring JE. (2002). Development of predictive models for long-term cardiovascular risk associated with systolic and diastolic blood pressure. Hypertension, 39, 105.
- Harrison V, Ross SM. (2016). Anxiety and depression following cumulative low-level exposure to organophosphate pesticides. Environmental Research, 151, 528-536.
- Haskell, WL. (2003). Cardiovascular disease prevention and lifestyle interventions: effectiveness and efficacy. Journal of Cardiovascular Nursing, 18(4), 245–255.
- Huebschmann AG, Huxley RR, Kohrt WM, Zeitler P, Regensteiner JG, Reusch JEB. (2019). Sex differences in the burden of type 2 diabetes and cardiovascular risk across th life course. Diabetologia, 62, 1761-1772.
- Kanguru L, Bezawada N, Hussein J, Bell J. (2014). The burden of diabetes mellitus during pregnancy in low- and middleincome countries: a systematic review. Global Health Action, 7, 23987.
- Koldaş, L. (2008). Bir bütün olarak kardiyovasküler riskin ele alınmasının önemi. İ.Ü Cerrahpaşa Tıp Fakültesi Sürekli Tıp Etkinlikleri Sempozyum Dizisi, 64, 25-42.
- Leritz EC, McGlinchey RE, Kellison I, Rudolph JL, Milberg WP. (2011). Cardiovascular Disease Risk Factors and Cognition in the Elderly. Current Cardiovascular Risk Reports, 5(5), 407-412.
- London L, Beseler C, Bouchard MF, Bellinger DC, Colosio C, Grandjean P, ve ark. (2012). Neurobehavioral and neurodevelopmental effects of pesticide exposure. NeuroToxicology, 33, 887-896.
- Look AHEAD Research Group. (2010). Long term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes: four year results of the Look AHEAD trial. Archives of Internal Medicine, 170(17), 1566.
- Lustman PJ, Clouse RE. (2005). Depression in diabetic patients: the relationship between mood and glycemic control. Journal of Diabetes and its Complications, 19(2), 113–122.
- McMahan CA, Gidding SS, McGill Jr HC. (2008). Coronary heart disease risk factors and atherosclerosis in young people. Journal of Clinical Lipidology, 2(3), 118–126.
- Moayedi F, Zare S, Nikbakht A. (2014). Anxiety and depression in diabetic patient referred to Bandar Abbas diabetes clinic. Hormozgan Medical Journal, 18(1), 61–66.
- Nouwen A, Nefs G, Caramlau I, Connock M, Winkley K, Lylod CE, ve ark. (2011). European Depression in Diabetes (EDID) Research Consortium. Prevalence of depression in individuals with impaired glucose metabolism or undiagnosed diabetes: a systematic review and meta-analysis of the European Depression in Diabetes (EDID) Research Consortium. Diabetes Care, 34(3), 752–762.
- Özdemir İ, Hocaoğlu Ç, Koçak M, Ersöz HÖ. (2011). Tip 2 diyabetes mellituslu hastalarda yaşam kalitesi ve ruhsal belirtiler. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Dergisi, 24, 128-138.
- Pahlavian AH, Gharakhani MO, Mahjub H. (2009). Hostility, type A personality and coronary heart disease. Hormozgan Medical Journal, 15(4), 44–47.
- Porter A, Fischer MJ, Brooks D, Bruce M, Charleston J, Cleveland WH, ve ark. (2012). Quality of life and psychosocial factors in African Americans with hypertensive chronic kidney disease. Translational Research, 159(1), 4–11.
- Seldenrijk A, Hamer M, Lahiri A, Penninx BW, Steptoe A. (2012). Psychological distress,cortisol stress response and subclinical coronary calcification. Psychoneuro endocrinology, 37(1), 48–55.
- Strain WD, Paldanius PM. (2018). Diabetes, cardiovascular disease and microcirculation. Cardiovascular Diabetology, 17(57), 1-10.
- Strine TW, Chapman DP, Kobau R, Balluz L. (2005). Associations of self-reported anxiety symptoms with health-related quality of life and health behaviors. Social Psychiatry and Psychiatric Epidemiology, 40(6):432–438.
- Tanasescu M, Leitzmann MF, Rimm EB, Hu FB. (2003). Physical activity in relation to cardiovascular disease and total mortality among men with type 2 diabetes. Circulation, 107(19), 2435–2439.
- Tav AŞ, Özenli Y, Ünsal A, Özşahin AK. (2010). Tip 2 diabetes mellitus ve obez hastaların anksiyete ve depresif bozukluk açısından karşılaştırmalı değerlendirilmesi. Türk Aile Hekimliği Dergisi, 14(1), 22- 5. Türkiye Endokrinoloji ve Metabolizma Derneği. Obesite. Erişim tarihi: 02.07.2020 http://www.temd.org.tr/admin/uploads/tbl_bilgi/20180618102500-2018tbl_bilgie7ace602ff.pdf
- Wesseling C, van Wendel de Joode B, Keifer M, London L, Mergler D, Stallones L. (2010). Symptoms of psychological distress and suicidal ideation among banana workers with a history of poisoning by organophosphate or n-methyl carbamate pesticides. Occupational and Environmental Medicine, 67(11), 778-784.
- WHO. (2013). 2013-2020 Global Action Plan for Non-Communicable Diseases. Erişim tarihi: 01.07.2020 https://apps.who.int/iris/bitstream/handle/10665/94384/9789241506236_eng.pdf?sequence=1&isAllowed=y
- WHO. (2016). World Health Organization. Cardiovascular diseases (CVDs). Erişim tarihi: 28.10.2019 https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds
- WHO. (2020). World Health Organization. Diabetes. Erişim tarihi: 08.06.2020 https://www.who.int/news-room/fact-sheets/detail/diabetes
- Ye M, Beach J, Martin JW, Senthilselvan A. (2017). Pesticide exposures and respiratory health in general populations. Journal of Environmental Research, 51, 361-370.
The Relationship Between Cardiovascular Disease and Diabetes Risk with Psychological Symptoms in Adults
Abstract
Objective: This study was conducted to examine the relationship between the risk of cardiovascular disease and diabetes in psychological symptoms in adult individuals.
Methods: This descriptive relational study was conducted with 174 adult individuals enrolled in a family health center in a district center between November-December 2019. Data collection form, The Heartscore program and the FINDRISK method were used in the data collection. Descriptive statistics, Mann Whitney-U, independent groups t test and linear regression analysis were used in the analysis.
Results: The risk of cardiovascular disease of the participants is 2.02 ± 2.12 and diabetes risk of them is 10.86 ± 6.31. More than half of the participants (54.6%) stated that they could not remember the events, 50.6% stated that they often felt pain in their body, 48.3% felt that they were constantly tired. It was found that those who had problems focusing on something had a higher risk of diabetes (p <0.01) and those who received professional help in emotional strain had a higher risk of diabetes (p <0.01) and cardiovascular disease (p <0.05). In linear regression analysis; it was found that the risk of diabetes was not associated with an increased risk of cardiovascular disease (p> 0.05).
Conclusion: Participants' risk of cardiovascular disease is moderate, and the risk of diabetes is mild. It can be said that the focus problem affects the risk of diabetes and emotional distress affects the risk of diabetes and cardiovascular disease.
References
- Akın, S. (2012). Kronik Hastalıklarda Primer ve Skonder Koruma. Durna Z. (Ed.), Kronik Hastalıklarda Bakım. İstanbul: Nobel Tıp Kitabevleri Ltd. Şti. p. 9-23.
- Alizadeh NS, Honarmand MM, Hashemi SE, Davoudi I. (2019). The latency period between type 2 diabetes and development of Coronary Artery Disease based on psychological factors. Clinical Epidemiology and Global Health, Article in Press, doi: 10.1016/j.cegh.2019.08.009
- Anand SS, Islam S, Rosengren A, Franzosi MG, Steyn K, Yusufali AH, ve ark. (2008). Risk factors for myocardial infarction in women and men: insights from the INTERHEART study. European Heart Journal, 29, 932-40.
- Bagherian R, Andalib A. (2010). The role of psychoneuroimmunological processes in pathogenesis of coronary artery disease. Journal of Isfahan Medical School, 28(107), 293–302.
- Bonakdaran S, Taghavi MO. (2010). Cardiovascular risk factors in type 2 diabetic patients in Mashhad City. Iranian Journal of Endocrinology and Metabolism, 12(1), 1–6.
- Campos E, Pinto da Silva VS, Campos de Mello MS, Otero UB. (2016). Exposure to pesticides and mental disorders in a rural population of Southern Brazil. Neurotoxicology, 56, 7-16.
- Chen P, Wang S, Ji J, Ge A, Chen C, Zhu Y, ve ark. (2015). Risk factors and management of gestational diabetes. Cell Biochemistry and Biophysics, 71, 689–94.
- Cohen BE, Edmondson D, Kronish IM. (2015). State of the art review: depression, stress, anxiety, and cardiovascular disease. American Journal of Hypertension, 28(11), 1295–1302.
- Çömelekoğlu Ü, Mazmancı B, Arpacı A. (2000). Pestisitlerin kronik etkisine maruz kalan tarım işçilerinde karaciğer fonksiyonlarının incelenmesi, Turkish Journal of Biology, 24, 461-466.
- Deschênes SS, Burns RJ, Schmitz N. (2018). Trajectories of anxiety symptoms and associations with incident cardiovascular disease in adults with type 2 diabetes. Journal of Psychosomatic Research, 104, 95–100.
- Domanski M, Mitchell G, Pfeffer M, Neaton JD, Norman J, Svendsen K, ve ark. (2002). Pulse pressure and cardiovascular disease-related mortality: Follow-up study of the Multiple Risk Factor Intervention Trial (MRFIT). Journal of American Medical Association, 287, 2677.
- Ford ES, Zhao G, Li C. (2010). Pre-diabetes and the risk for cardiovascular disease: a systematic review of the evidence. Journal of the American College of Cardiology, 55(13), 1310–1317.
- Freire C, Koifman S. (2013). Pesticide, depression and suicide: A systematic review of the epidemiological evidence. International Journal of Hygiene and Environmental Health, 216, 445-460.
- Garcia-Garcia CR, Parron T, Requena M, Alarcon R, Tsatsakis AM, Hernandez AF. (2016). Occupational pesticide exposure and adverse health effects at the clinical, hematological and biochemical level. Life Sciences, 145, 274-283.
- Glynn RJ, L’Italien GJ, Sesso HD, Jackson EA, Buring JE. (2002). Development of predictive models for long-term cardiovascular risk associated with systolic and diastolic blood pressure. Hypertension, 39, 105.
- Harrison V, Ross SM. (2016). Anxiety and depression following cumulative low-level exposure to organophosphate pesticides. Environmental Research, 151, 528-536.
- Haskell, WL. (2003). Cardiovascular disease prevention and lifestyle interventions: effectiveness and efficacy. Journal of Cardiovascular Nursing, 18(4), 245–255.
- Huebschmann AG, Huxley RR, Kohrt WM, Zeitler P, Regensteiner JG, Reusch JEB. (2019). Sex differences in the burden of type 2 diabetes and cardiovascular risk across th life course. Diabetologia, 62, 1761-1772.
- Kanguru L, Bezawada N, Hussein J, Bell J. (2014). The burden of diabetes mellitus during pregnancy in low- and middleincome countries: a systematic review. Global Health Action, 7, 23987.
- Koldaş, L. (2008). Bir bütün olarak kardiyovasküler riskin ele alınmasının önemi. İ.Ü Cerrahpaşa Tıp Fakültesi Sürekli Tıp Etkinlikleri Sempozyum Dizisi, 64, 25-42.
- Leritz EC, McGlinchey RE, Kellison I, Rudolph JL, Milberg WP. (2011). Cardiovascular Disease Risk Factors and Cognition in the Elderly. Current Cardiovascular Risk Reports, 5(5), 407-412.
- London L, Beseler C, Bouchard MF, Bellinger DC, Colosio C, Grandjean P, ve ark. (2012). Neurobehavioral and neurodevelopmental effects of pesticide exposure. NeuroToxicology, 33, 887-896.
- Look AHEAD Research Group. (2010). Long term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes: four year results of the Look AHEAD trial. Archives of Internal Medicine, 170(17), 1566.
- Lustman PJ, Clouse RE. (2005). Depression in diabetic patients: the relationship between mood and glycemic control. Journal of Diabetes and its Complications, 19(2), 113–122.
- McMahan CA, Gidding SS, McGill Jr HC. (2008). Coronary heart disease risk factors and atherosclerosis in young people. Journal of Clinical Lipidology, 2(3), 118–126.
- Moayedi F, Zare S, Nikbakht A. (2014). Anxiety and depression in diabetic patient referred to Bandar Abbas diabetes clinic. Hormozgan Medical Journal, 18(1), 61–66.
- Nouwen A, Nefs G, Caramlau I, Connock M, Winkley K, Lylod CE, ve ark. (2011). European Depression in Diabetes (EDID) Research Consortium. Prevalence of depression in individuals with impaired glucose metabolism or undiagnosed diabetes: a systematic review and meta-analysis of the European Depression in Diabetes (EDID) Research Consortium. Diabetes Care, 34(3), 752–762.
- Özdemir İ, Hocaoğlu Ç, Koçak M, Ersöz HÖ. (2011). Tip 2 diyabetes mellituslu hastalarda yaşam kalitesi ve ruhsal belirtiler. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Dergisi, 24, 128-138.
- Pahlavian AH, Gharakhani MO, Mahjub H. (2009). Hostility, type A personality and coronary heart disease. Hormozgan Medical Journal, 15(4), 44–47.
- Porter A, Fischer MJ, Brooks D, Bruce M, Charleston J, Cleveland WH, ve ark. (2012). Quality of life and psychosocial factors in African Americans with hypertensive chronic kidney disease. Translational Research, 159(1), 4–11.
- Seldenrijk A, Hamer M, Lahiri A, Penninx BW, Steptoe A. (2012). Psychological distress,cortisol stress response and subclinical coronary calcification. Psychoneuro endocrinology, 37(1), 48–55.
- Strain WD, Paldanius PM. (2018). Diabetes, cardiovascular disease and microcirculation. Cardiovascular Diabetology, 17(57), 1-10.
- Strine TW, Chapman DP, Kobau R, Balluz L. (2005). Associations of self-reported anxiety symptoms with health-related quality of life and health behaviors. Social Psychiatry and Psychiatric Epidemiology, 40(6):432–438.
- Tanasescu M, Leitzmann MF, Rimm EB, Hu FB. (2003). Physical activity in relation to cardiovascular disease and total mortality among men with type 2 diabetes. Circulation, 107(19), 2435–2439.
- Tav AŞ, Özenli Y, Ünsal A, Özşahin AK. (2010). Tip 2 diabetes mellitus ve obez hastaların anksiyete ve depresif bozukluk açısından karşılaştırmalı değerlendirilmesi. Türk Aile Hekimliği Dergisi, 14(1), 22- 5. Türkiye Endokrinoloji ve Metabolizma Derneği. Obesite. Erişim tarihi: 02.07.2020 http://www.temd.org.tr/admin/uploads/tbl_bilgi/20180618102500-2018tbl_bilgie7ace602ff.pdf
- Wesseling C, van Wendel de Joode B, Keifer M, London L, Mergler D, Stallones L. (2010). Symptoms of psychological distress and suicidal ideation among banana workers with a history of poisoning by organophosphate or n-methyl carbamate pesticides. Occupational and Environmental Medicine, 67(11), 778-784.
- WHO. (2013). 2013-2020 Global Action Plan for Non-Communicable Diseases. Erişim tarihi: 01.07.2020 https://apps.who.int/iris/bitstream/handle/10665/94384/9789241506236_eng.pdf?sequence=1&isAllowed=y
- WHO. (2016). World Health Organization. Cardiovascular diseases (CVDs). Erişim tarihi: 28.10.2019 https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds
- WHO. (2020). World Health Organization. Diabetes. Erişim tarihi: 08.06.2020 https://www.who.int/news-room/fact-sheets/detail/diabetes
- Ye M, Beach J, Martin JW, Senthilselvan A. (2017). Pesticide exposures and respiratory health in general populations. Journal of Environmental Research, 51, 361-370.
There are 40 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nursing |
| Journal Section | Research Article |
| Authors | |
| Publication Date | September 30, 2020 |
| Submission Date | June 10, 2020 |
| Published in Issue | Year 2020 Volume: 3 Issue: 2 |
