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Title: Psychosocial factors associated with metabolic syndrome
Author: Parr, Heather Joy
Awarding Body: Ulster University
Current Institution: Ulster University
Date of Award: 2012
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Rising levels of metabolic syndrome across Europe and India, and scant research on psychosocial determinants prompted these studies. Stress, depression and physical inactivity were hypothesized to predict obesity and metabolic syndrome; constant mood and increased resilience to confer protection. Abundant vegetable/fruit intake; lower saturated fat intake from dairy, meat and olive oil, and low/moderate wine intake were predicted determinants of health. Secondary modelling of representative data from GB and Portugal (Lipgene study) assessed psycho-social, dietary and lifestyle predictors of metabolic syndrome. Cultural adaptation of the Lipgene questionnaire was informed by qualitative research incorporating 24hr dietary recall for use in India (ChurpE). Qualitative themes suggested that urbanisation negatively impacted upon social structure, food choice, physical activity and health. Stress arising from the changing role of women was perceived to have affected familial wellbeing. Healthy eating referenced freshness, convenience, meal skipping, high fat/sugary foods, and nostalgia for tradition and rural lifestyle. Latent class analyses of the Indian and both European samples indicated three classes: 'healthier' lacking metabolic syndrome symptoms; 'metabolic syndrome' with comorbidities; and, 'obese/high blood pressure'. Additionally, an 'overweight' group in Europe was distinguished. In both studies older age, less sedentary behaviour and stress distinguished the 'healthier' from all other classes. Compared with the 'healthier', 'metabolic syndrome' members were more likely Portuguese experienced lower resilience and smoking cessation; and more British, younger and stressed members typified 'overweight' among Europeans. The 'obese' class were predominantly female with high BP. Among Indians, 'happier' mood characterised 'high BP' membership. That comorbidities varied between classes suggests disease progression from overweight/obesity to metabolic syndrome. Among Indians, alcohol, smoking, higher earnings, chatting to relax and dietary habits predicted obesity and comorbidities. Developing public health policy to prevent and treat obesity and metabolic syndrome should intervene to reduce sedentary behaviour, tackle stress, promote resilience and healthy eating.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available