Association between anxiety and metabolic syndrome: An updated systematic review and meta-analysis

ObjectivePrevious studies have demonstrated an association between anxiety and metabolic syndrome (MetS). However, the association is still controversial. This updated meta-analysis aimed to reanalyze the association between anxiety and MetS.MethodsWe comprehensively searched PubMed, Embase and Web...

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Main Authors: Shuang Ji, Yujiao Chen, Yuying Zhou, Yiting Cao, Xiao Li, Guoyong Ding, Fang Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1118836/full
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author Shuang Ji
Yujiao Chen
Yuying Zhou
Yiting Cao
Xiao Li
Xiao Li
Guoyong Ding
Fang Tang
Fang Tang
Fang Tang
author_facet Shuang Ji
Yujiao Chen
Yuying Zhou
Yiting Cao
Xiao Li
Xiao Li
Guoyong Ding
Fang Tang
Fang Tang
Fang Tang
author_sort Shuang Ji
collection DOAJ
description ObjectivePrevious studies have demonstrated an association between anxiety and metabolic syndrome (MetS). However, the association is still controversial. This updated meta-analysis aimed to reanalyze the association between anxiety and MetS.MethodsWe comprehensively searched PubMed, Embase and Web of Science for all related studies published before January 23, 2023. Observational studies that informed effect size with 95% confidence interval (CI) for the association between anxiety and MetS were included. According to heterogeneity between studies, fixed or random effects models were applied to calculate the pooled effect size. Publication bias was examined by funnel plots.ResultsThe research included 24 cross-sectional studies: 20 studies used MetS as the dependent variable with a pooled OR of 1.07 (95% CI: 1.01–1.13) and four studies used anxiety as the dependent variable with a pooled OR of 1.14 (95% CI: 1.07–1.23). Three cohort studies were found: two studies detected the association of baseline anxiety with the risk of MetS, one of the studies demonstrated a significant association, but a similar result was not found in another study; one study showed no significant association between baseline MetS and the risk of anxiety.ConclusionCross-sectional studies indicated an association between anxiety and MetS. The results from cohort studies are still inconsistent and limited. More large-scale prospective studies are needed to further reveal the causal relationship of anxiety with MetS.
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spelling doaj.art-52411ce7edaa418c99af5f5fb8331ffb2023-02-16T09:58:50ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-02-011410.3389/fpsyt.2023.11188361118836Association between anxiety and metabolic syndrome: An updated systematic review and meta-analysisShuang Ji0Yujiao Chen1Yuying Zhou2Yiting Cao3Xiao Li4Xiao Li5Guoyong Ding6Fang Tang7Fang Tang8Fang Tang9Department of Neurology, Shandong Provincial Qianfoshan Hospital, Weifang Medical University and Shandong Institute of Neuroimmunology, Jinan, ChinaDepartment of Neurology, Shandong Provincial Qianfoshan Hospital, Weifang Medical University and Shandong Institute of Neuroimmunology, Jinan, ChinaDepartment of Neurology, Shandong Provincial Qianfoshan Hospital, Weifang Medical University and Shandong Institute of Neuroimmunology, Jinan, ChinaDepartment of Neurology, Shandong Provincial Qianfoshan Hospital, Weifang Medical University and Shandong Institute of Neuroimmunology, Jinan, ChinaDepartment of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, ChinaDepartment of Clinical Pharmacy, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, ChinaSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Neurology, Shandong Provincial Qianfoshan Hospital, Weifang Medical University and Shandong Institute of Neuroimmunology, Jinan, ChinaCenter for Big Data Research in Health and Medicine, The First Affiliated Hospital of Shandong First Medical University, Jinan, ChinaShandong Provincial Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, Jinan, ChinaObjectivePrevious studies have demonstrated an association between anxiety and metabolic syndrome (MetS). However, the association is still controversial. This updated meta-analysis aimed to reanalyze the association between anxiety and MetS.MethodsWe comprehensively searched PubMed, Embase and Web of Science for all related studies published before January 23, 2023. Observational studies that informed effect size with 95% confidence interval (CI) for the association between anxiety and MetS were included. According to heterogeneity between studies, fixed or random effects models were applied to calculate the pooled effect size. Publication bias was examined by funnel plots.ResultsThe research included 24 cross-sectional studies: 20 studies used MetS as the dependent variable with a pooled OR of 1.07 (95% CI: 1.01–1.13) and four studies used anxiety as the dependent variable with a pooled OR of 1.14 (95% CI: 1.07–1.23). Three cohort studies were found: two studies detected the association of baseline anxiety with the risk of MetS, one of the studies demonstrated a significant association, but a similar result was not found in another study; one study showed no significant association between baseline MetS and the risk of anxiety.ConclusionCross-sectional studies indicated an association between anxiety and MetS. The results from cohort studies are still inconsistent and limited. More large-scale prospective studies are needed to further reveal the causal relationship of anxiety with MetS.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1118836/fullanxietymetabolic syndromecross-sectional studycohort studymeta-analysis
spellingShingle Shuang Ji
Yujiao Chen
Yuying Zhou
Yiting Cao
Xiao Li
Xiao Li
Guoyong Ding
Fang Tang
Fang Tang
Fang Tang
Association between anxiety and metabolic syndrome: An updated systematic review and meta-analysis
Frontiers in Psychiatry
anxiety
metabolic syndrome
cross-sectional study
cohort study
meta-analysis
title Association between anxiety and metabolic syndrome: An updated systematic review and meta-analysis
title_full Association between anxiety and metabolic syndrome: An updated systematic review and meta-analysis
title_fullStr Association between anxiety and metabolic syndrome: An updated systematic review and meta-analysis
title_full_unstemmed Association between anxiety and metabolic syndrome: An updated systematic review and meta-analysis
title_short Association between anxiety and metabolic syndrome: An updated systematic review and meta-analysis
title_sort association between anxiety and metabolic syndrome an updated systematic review and meta analysis
topic anxiety
metabolic syndrome
cross-sectional study
cohort study
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1118836/full
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