倦怠和生命衰竭与代谢综合征(测量)的关系:一项系统回顾和荟萃分析。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY
Health Psychology Pub Date : 2025-10-01 Epub Date: 2025-04-10 DOI:10.1037/hea0001498
Sanne H M Kremers, Joline W J Beulens, Marije Strikwerda, Sharon Remmelzwaal, Linda J Schoonmade, Allard J van der Beek, Petra J M Elders, Femke Rutters
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引用次数: 0

摘要

目的:本系统综述和荟萃分析旨在探讨倦怠和生命衰竭(VE)症状与代谢综合征(MetS)的关系。方法:系统检索PubMed、Embase、PsycINFO,检索截止至2024年4月26日。研究调查了成年人群,倦怠,或VE作为暴露和(测量)MetS作为结果。数据提取和质量评估由两名观察员独立进行。如果每个关联至少有三个独立的效应测量(在至少两个研究中)可用,则使用随机效应模型进行meta分析。结果:我们纳入了101项研究(71%为横断面研究,11%为病例对照研究,13%为前瞻性研究,5%为可选研究),包括22项高质量研究,55项中等质量研究和24项低质量研究。荟萃分析显示相关但统计学无意义的协会的倦怠和VE症状较高的事件(优势比1.53[或]=[0.82,2.87],我²= 0%)和普遍大都会(或= 1.28[0.99,1.64],我²= 85%),事件肥胖(或= 1.88[0.81,4.36],我²= 0%)、腰臀比(标准平均差= 0.62 [-0.65,1.90],I2 = 95%),普遍高腰围(或= 1.14[0.80,1.62],我²= 28%),高甘油三酯(或= 1.49[0.82,2.71],我²= 40%),高血压患病率明显增高(OR = 1.63 [1.44, 1.84], I2 = 51%)。我们没有发现与其余MetS指标有临床相关性。结论:职业倦怠和VE症状可能与较高的MetS发生率相关,但无统计学意义。由于大多数研究采用的是横断面设计,使用的是未经调整的基线数据,而且在一些分析中存在很大的异质性,因此对这些结果的解释应谨慎。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The association of burnout and vital exhaustion with (measures of) the metabolic syndrome: A systematic review and meta-analysis.

Objective: This systematic review and meta-analysis aims to investigate the association of burnout and vital exhaustion (VE) symptoms with (measures of) the metabolic syndrome (MetS).

Method: PubMed, Embase, and PsycINFO were systematically searched until April 26, 2024. Studies investigating adult populations, burnout, or VE as exposures and (measures of) MetS as outcomes were included. Data extraction and quality assessment were performed independently by two observers. If at least three independent effect measures (in at least two studies) were available per association, meta-analyses were performed using random-effects models.

Results: We included 101 studies (71% cross-sectional, 11% case-control, 13% prospective, 5% alternative) comprising 22 strong, 55 moderate, and 24 weak quality studies. Meta-analyses showed relevant but statistically nonsignificant associations of burnout and VE symptoms with higher incident (odds ratio [OR] = 1.53 [0.82, 2.87], I² = 0%) and prevalent MetS (OR = 1.28 [0.99, 1.64], I² = 85%), incident obesity (OR = 1.88 [0.81, 4.36], I² = 0%), waist-to-hip ratio (standardized mean difference = 0.62 [-0.65, 1.90], I2 = 95%), prevalent high waist circumference (OR = 1.14 [0.80, 1.62], I² = 28%), high triglycerides (OR = 1.49 [0.82, 2.71], I² = 40%), and a significantly higher prevalent hypertension (OR = 1.63 [1.44, 1.84], I2 = 51%). We found no clinically relevant associations with remaining MetS measures.

Conclusions: Burnout and VE symptoms might be associated with a higher odds of prevalent and incident MetS, however, not statistically significant. These results should be interpreted with caution due to the cross-sectional design of most studies, use of unadjusted baseline data, and substantial heterogeneity in some analyses. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊
Health Psychology
Health Psychology 医学-心理学
CiteScore
4.90
自引率
2.40%
发文量
170
审稿时长
4-8 weeks
期刊介绍: Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.
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