Association between Metabolic syndrome and Subjective social status in coronary artery disease patients, a cross sectional study

Abstract

Aims: The purpose of this study was to examine the association of metabolic syndrome (MetS) with subjective social status (SSS) and depression symptoms among coronary artery disease patients (CAD). Materials and methods: in a cross sectional study during 2019- 2020, patients with CAD older than 30 through simple sampling method were selected. SSS and depression were assessed using MacArthur scale and Persian version of the 13 items beck depression scale, respectively. The components of Metabolic syndrome, , and demographic factors were collected based on patients medical records. result: data related to 500 CAD patients aged 61.81 ± 12.25 years were assessed. prevalence of MetS was 57 % . Almost 75% of study subjects were in low category of SSS. Univariate logistic regression analysis showed the odds of MetS in patients with higher SSS was 21% less than patients with lower SSS (OR=0.79, 95% CI=0.53-1.19, P=0.274). The odds of MetS was higher in women [OR=1.67(1.16-2.42)] , married subjects[OR=1.55(0.74-3.26)] , in rural area [OR=1.30(0.88-1.91)] , those without job [OR=0.83(0.58-1.19)] and literacy[OR= 0.83(0.58-1.19)] . There was no significant association between depression and the odds of metabolic syndrome (OR=0.98, 95% CI= 0.63-1.52, P= 0.950). In multivariate logistic regression analysis , the inverse association between SSS and MetS was still remained (OR= 0.74, 95% CI=0.49-1.12, P=0.163). Conclusions: MetS was more prevalent in lower even considering demographic factors and depression symptoms. More researches need to assess the effect of perceived social standing on cardiometabolic risk factors.

Keywords

• Socioeconomic Status, social class, metabolic syndrome, coronary artery disease