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High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction

Title
High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction
Authors
So, JisunChung, Kyong-MeeSeo, JihyeonKim, ByungmiChun, HyejinHan, Sung NimChung, Ick-Mo
Ewha Authors
정익모전혜진
SCOPUS Author ID
정익모scopus; 전혜진scopus
Issue Date
2023
Journal Title
FRONTIERS IN NUTRITION
ISSN
2296-861XJCR Link
Citation
FRONTIERS IN NUTRITION vol. 10
Keywords
coronary artery diseasesweetslife satisfactiondietpsychology
Publisher
FRONTIERS MEDIA SA
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
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 (& rho; = -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.
DOI
10.3389/fnut.2023.1221916
Appears in Collections:
의과대학 > 의학과 > Journal papers
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