Association of Posttraumatic Stress Disorder With Increased Prevalence of Metabolic Syndrome

Jin, Hua; Lanouette, Nicole M.; Mudaliar, Sunder; Henry, Robert R.; Folsom, David P.; Khandrika, Srikriskna; Glorioso, Danielle; Jeste, Dilip V.

doi:10.1097/jcp.0b013e3181a45ed0

Cited by 62 publications

(37 citation statements)

References 48 publications

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“…Compared to the previous physical health conditions, L'Aquila population showed an increase in the body mass index higher levels of blood pressure and an increase in thyroid pathologies (Mollica et al 2011), and a higher prevalence of metabolic syndrome, confirming the literature results (Jin et al 2009;Weiss et al 2011).…”

Section: The Cooperation With General Practitioners (Gps)supporting

confidence: 80%

The narrative epidemiology of L'Aquila 2009 earthquake

Casacchia

Pollice

Roncone

2012

Epidemiol Psychiatr Sci

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The authors describe their experience working and living in L'Aquila, where at 3.32 a.m., early in the morning of 6 April 2009, a 6.3 Richter magnitude earthquake caused serious damages to this 13th century town (with a population of 72 000 and a health district of 103 788), in the mountainous Abruzzo region and to several medieval hill villages in the surrounding areas: 309 residents were killed, over 1600 were injured, 66 000 residents were displaced, and, the centre of L'Aquila, the main historical and artistic centre of Abruzzo, was totally destroyed.Here is described the work done at the Psychiatric Unit of the General Hospital of L'Aquila and in the University. The Authors report the incidence rate of Acute Stress Disorder (ASD) in help-seekers (full ASD 4.9%, and partial ASD 39.3%), and of post-traumatic stress disorder (PTSD) found in different samples of population (range 12-37.5). The authors express their consideration about which real-world variables can reflect the population distress and the naturalistic process of recovery in such natural disasters. After the earthquake they hypothesize that a lot of residents had found their way to recover through 'writing, telling the story', by analogy with what narrative medicine asserts, thus estimating the positive effect of 'emotional disclosure' on health. A large number of materials (books, web-blogs, videos) were produced by residents and a database of memories was implemented. The suffering and struggle to recover in the aftermaths of a traumatic experience often yields remarkable transformations and positive growth. From this point of view, the authors underline the increased virtual relationships of residents through Facebook, to cope with the loss of previous social relationships, to get information about recreational opportunities, or to get organized for public events, despite their displacement. Many collective demonstrations were organized and showed the will to actively participate to the processes of reconstruction of the civil and scientific life of the town. The authors stress the need to prevent natural disasters, instead of preventing mental disorders following natural disasters, reporting that seven Italian seismologists and scientists are on trial for manslaughter, accused to have failed to evaluate the true risks of L'Aquila earthquake.Key words: Earthquakes, mental health, natural disasters, post-disaster intervention planning.When the night of 6 April 2009 we were thrown off our beds, and made homeless after 30 s, while in front of us the roof of the Church of Santa Maria Paganica was going down in a surreal mist, we did understand what it truly means to live a natural disaster, like an earthquake.The earthquake: at 3.32 a.m., early morning, 6 April 2009, L'Aquila was struck by a 6.3 Richter magnitude earthquake, followed by about 20 000 aftershocks. The earthquake caused serious damages to this 13th centuries town (with a population of 72 000 and a health district of 103 788), in the mountainous Abruzzo region and to several medieval ...

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Section: The Cooperation With General Practitioners (Gps)supporting

confidence: 80%

The narrative epidemiology of L'Aquila 2009 earthquake

Casacchia

Pollice

Roncone

2012

Epidemiol Psychiatr Sci

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“…Our search yielded 752 publications of which nine [27][28][29][30][31][32][33][34][35] [Insert Figure 1 about here]…”

Section: Search Results and Included Participantsmentioning

confidence: 99%

“…Three studies [28,32,35] reported on obesity frequency defined as waist circumference (>102cm in males and >88cm in females (ATP-III or ATP-III-A), while none of the studies reported the obesity frequency following the ethnicityspecific IDF-criteria. Overall, the proportion of people with PTSD with abdominal obesity by the ATP definitions was 49.3% (n=194; 95%CI=29.7%-69.0%; Q=14.8, p<0.001).…”

Section: Individual Metabolic Abnormalities Among People With Ptsdmentioning

confidence: 99%

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The prevalence and risk of metabolic syndrome and its components among people with posttraumatic stress disorder: a systematic review and meta-analysis

Rosenbaum¹,

Stubbs²,

Ward³

et al. 2015

Metabolism

196

105

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The prevalence and risk of metabolic syndrome and its components among people with posttraumatic stress disorder: A systematic review and meta-analysis, Metabolism (2015Metabolism ( ), doi: 10.1016Metabolism ( /j.metabol.2015 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.A C C E P T E D M A N U S C R I P T Random effects meta-analysis with a relative risk, subgroups and meta-regression analyses were employed.Results: Overall, 9 studies met the inclusion criteria including 9,254 individuals in midlife with PTSD and 6,852 general population controls. Conclusions: MetS is highly prevalent in people with PTSD. Routine screening and multidisciplinary management of medical and behavioral conditions is needed. Future A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPTresearch should focus on how cardio-metabolic outcomes are moderated by clinical and treatment characteristics and genetic factors.

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“…28 Finally, posttraumatic stress disorder (PTSD) is associated with poor physical health outcomes, including obesity, metabolic syndrome, and cardiovascular disease. [29][30][31] There is a lack of prospective research examining sleep and physical activity in PTSD, and disentangling these relationships could serve as a first step to developing targeted behavioral interventions to prevent morbidity and mortality in PTSD. In the current study, we assessed the relationship between sleep quality at baseline and physical activity one year later in individuals with and without PTSD.…”

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confidence: 99%

The Mediating Effect of Sleep Quality on the Relationship between PTSD and Physical Activity

Talbot

Neylan

Metzler

et al. 2014

Journal of Clinical Sleep Medicine

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Study Objectives: Physical inactivity is linked to health outcomes such as obesity, diabetes, and psychiatric disorders. Sleep disturbance has been linked to the same adverse outcomes. We examine the infl uence of sleep on physical activity as a novel approach to understand these relationships. Specifi cally, our objective was to determine whether low sleep quality predicts low physical activity in posttraumatic stress disorder (PTSD), a disorder associated with sleep disturbance, physical inactivity, and poor health outcomes. Methods: We used data from the Mind Your Heart Study, a prospective cohort study of 736 outpatients recruited from two Department of Veterans Affairs (VA) medical centers. We assessed PTSD with the Clinician Administered PTSD Scale, sleep quality using an item from the Pittsburgh Sleep Quality Index, and physical activity by self-report at baseline and again one year later. Hierarchical multiple regression models and structural equation modeling were used to examine the relationships among PTSD, sleep, and physical activity. Results: Sleep quality but not PTSD status was prospectively associated with lower physical activity in a model adjusting for age, sex, apnea probability, depression, body mass index, and baseline physical activity (β = 0.129, SE = 0.072, p < 0.01). Structural equation modeling indicated that the results were consistent with sleep quality statistically mediating the relationship between PTSD status at baseline and physical activity one year later. Conclusions: Worse sleep quality predicts lower physical activity in PTSD, providing possible evidence for a behavioral pathway from disturbed sleep to poor physical health outcomes. Keywords: posttraumatic stress disorder, sleep quality, physical activity Citation: Talbot LS, Neylan TC, Metzler TJ, Cohen BE. The mediating effect of sleep quality on the relationship between PTSD and physical activity. J Clin Sleep Med 2014;10(7):795-801.

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Association of Posttraumatic Stress Disorder With Increased Prevalence of Metabolic Syndrome

Cited by 62 publications

References 48 publications

The narrative epidemiology of L'Aquila 2009 earthquake

The narrative epidemiology of L'Aquila 2009 earthquake

The prevalence and risk of metabolic syndrome and its components among people with posttraumatic stress disorder: a systematic review and meta-analysis

The Mediating Effect of Sleep Quality on the Relationship between PTSD and Physical Activity

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