High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction
PurposeDietary and psychological status contributes to the development of coronary artery disease. However, these lifestyle factors may vary depending on ethnic and environmental background, and secondary prevention programs dealing with these factors in a specific population are not well-establishe...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2023.1221916/full |
| _version_ | 1797752289232945152 |
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| author | Jisun So Kyong-Mee Chung Jihyeon Seo Byungmi Kim Hyejin Chun Sung Nim Han Sung Nim Han Ick-Mo Chung |
| author_facet | Jisun So Kyong-Mee Chung Jihyeon Seo Byungmi Kim Hyejin Chun Sung Nim Han Sung Nim Han Ick-Mo Chung |
| author_sort | Jisun So |
| collection | DOAJ |
| description | PurposeDietary and psychological status contributes to the development of coronary artery disease. However, these lifestyle factors may vary depending on ethnic and environmental background, and secondary prevention programs dealing with these factors in a specific population are not well-established. We aimed to assess dietary and psychological characteristics in Korean patients with acute coronary syndrome (ACS) and analyze their interactions as independent risk factors for ACS.MethodsNinety-two patients with ACS (29 acute myocardial infarction and 63 unstable angina) and 69 controls were subjected to dietary and psychological analyses. Dietary intake was assessed by a food frequency questionnaire. Psychological depression and perceived stress were assessed using the Patient Health Questionnaire-9 and the Perceived Stress Scale, respectively. Eight domains of life satisfaction (marital/love relationship, leisure, standard of living, job, health, family life, sex life, and self) were assessed using the Domain Satisfaction Questionnaire (DSQ).ResultsThe ACS group had a higher consumption of sweets and fish/seafood, as well as higher levels of depressive symptoms. Additionally, they had lower DSQ scores in total, and all eight individual domains compared with the control group. In multivariate logistic regression analysis, sweet intake (OR 4.57, 95% CI: 1.94–11.40) and total DSQ scores (OR 0.34, 95% CI: 0.14–0.81) were identified as independent risk factors for ACS. Furthermore, these factors, which displayed a significant inverse correlation (ρ = −0.23, p = 0.01), were determined as having a synergistic contribution to the development of ACS.ConclusionHigh sweet food intake and low life satisfaction can act as risk factors for ACS through a synergistic interaction, which emphasizes a demand for a more comprehensive approach to secondary prevention of ACS. In addition, these data highlight the role of positive psychological wellbeing factors in cardiovascular health. |
| first_indexed | 2024-03-12T17:01:08Z |
| format | Article |
| id | doaj.art-b5adbf19beec4e72b9fb9cafd7cf87dd |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-03-12T17:01:08Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-b5adbf19beec4e72b9fb9cafd7cf87dd2023-08-07T13:26:12ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-08-011010.3389/fnut.2023.12219161221916High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interactionJisun So0Kyong-Mee Chung1Jihyeon Seo2Byungmi Kim3Hyejin Chun4Sung Nim Han5Sung Nim Han6Ick-Mo Chung7Department of Food and Nutrition, College of Human Ecology, Seoul National University, Seoul, Republic of KoreaDepartment of Psychology, Yonsei University, Seoul, Republic of KoreaDepartment of Psychology, Yonsei University, Seoul, Republic of KoreaDivision of Cancer Prevention, National Cancer Control Institute, National Cancer Center, Goyang-si, Republic of KoreaDepartment of Family Medicine, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Republic of KoreaDepartment of Food and Nutrition, College of Human Ecology, Seoul National University, Seoul, Republic of KoreaResearch Institute of Human Ecology, Seoul National University, Seoul, Republic of KoreaDivision of Cardiology, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Republic of KoreaPurposeDietary and psychological status contributes to the development of coronary artery disease. However, these lifestyle factors may vary depending on ethnic and environmental background, and secondary prevention programs dealing with these factors in a specific population are not well-established. We aimed to assess dietary and psychological characteristics in Korean patients with acute coronary syndrome (ACS) and analyze their interactions as independent risk factors for ACS.MethodsNinety-two patients with ACS (29 acute myocardial infarction and 63 unstable angina) and 69 controls were subjected to dietary and psychological analyses. Dietary intake was assessed by a food frequency questionnaire. Psychological depression and perceived stress were assessed using the Patient Health Questionnaire-9 and the Perceived Stress Scale, respectively. Eight domains of life satisfaction (marital/love relationship, leisure, standard of living, job, health, family life, sex life, and self) were assessed using the Domain Satisfaction Questionnaire (DSQ).ResultsThe ACS group had a higher consumption of sweets and fish/seafood, as well as higher levels of depressive symptoms. Additionally, they had lower DSQ scores in total, and all eight individual domains compared with the control group. In multivariate logistic regression analysis, sweet intake (OR 4.57, 95% CI: 1.94–11.40) and total DSQ scores (OR 0.34, 95% CI: 0.14–0.81) were identified as independent risk factors for ACS. Furthermore, these factors, which displayed a significant inverse correlation (ρ = −0.23, p = 0.01), were determined as having a synergistic contribution to the development of ACS.ConclusionHigh sweet food intake and low life satisfaction can act as risk factors for ACS through a synergistic interaction, which emphasizes a demand for a more comprehensive approach to secondary prevention of ACS. In addition, these data highlight the role of positive psychological wellbeing factors in cardiovascular health.https://www.frontiersin.org/articles/10.3389/fnut.2023.1221916/fullcoronary artery diseasesweetslife satisfactiondietpsychology |
| spellingShingle | Jisun So Kyong-Mee Chung Jihyeon Seo Byungmi Kim Hyejin Chun Sung Nim Han Sung Nim Han Ick-Mo Chung High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction Frontiers in Nutrition coronary artery disease sweets life satisfaction diet psychology |
| title | High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction |
| title_full | High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction |
| title_fullStr | High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction |
| title_full_unstemmed | High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction |
| title_short | High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction |
| title_sort | high intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction |
| topic | coronary artery disease sweets life satisfaction diet psychology |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2023.1221916/full |
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