June 2013
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Medicine and Science in Sports and Exercise
PURPOSE: Evidence is mixed regarding the associations of cardiometabolic risk factors and mental health. We examined these associations among healthy, adult men (n=74) and women (n=73). METHODS: Cardiometabolic risk factors were body mass index (BMI), waist circumference (WC), blood pressure (BP), and fasting blood lipids-lipoproteins. BMI was calculated from height and weight with a standard balance beam scale. WC was measured at the narrowest point of the torso with a non- distensible tape measure. BP was measured by auscultation after 10 min of seated rest. We determined lipids-lipoproteins with oxidase assays using colorimetric enzymatic methods, and calculated low density lipoprotein (LDL) cholesterol with the Friedwald equation. Mental health was assessed with the Psychological General Well-Being Index (PGWBI), which characterizes mental health from 0 (i.e., distress) to 110 (i.e., positive well-being). Multivariate regression analyses tested the relationships among cardiometabolic risk factors and PGWBI. Results are presented by gender. RESULTS: Subjects were 52.4±14.8 yr, overweight (BMI=26.9±4.8 kg·m2; WC=89.8±14.4 cm), with prehypertension (120.5±13.2/75.8±9.4 mmHg), near optimal cholesterol (LDL=124.8±33.7 mg•dL-1), and a PGWBI score of 89.5±12.3. Men had a greater BMI (p=0.016), WC (p<0.001), triglycerides (p=0.007), triglyceride/high density lipoprotein ratio (p<0.001), and systolic BP (SBP) (p=0.016) than women. Among men, PGWBI (β=-0.249, r2=0.065, p=0.030) and age (β=0.243, r2=0.062, p=0.034) explained 8.6% of the SBP variance. Among women, PGWBI (β=-0.212, r2=0.055, p=0.053) and age (β=0.409, r2=0.176, p<0.001) explained 20% of the WC variance; while age (β=0.433, r2=0.176, p<0.001) was the only significant correlate of SBP. CONCLUSION: Among men, mental health was negatively correlated with SBP; whereas among women, mental health was negatively correlated with WC. Further research is needed to more clearly establish the relationships among cardiometabolic disease risk factors and mental well-being and what mechanisms may account for the sex-dependent findings we observed.