ArticleThe review of diabetic studies : RDS
Association Between Socioeconomic Determinants and the Metabolic Syndrome in the German Health Interview and Examination Survey for Adults (DEGS1) - A Mediation Analysis.
Article in The review of diabetic studies : RDS. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Trial
- Predictors of metabolic syndrome among type II diabetic patients visiting public hospitals in Sidama Region, Ethiopia: unmatched case control study.BMC cardiovascular disorders · 2026Article
- Association Between Socio-Economic Status (SES) and the Traditional Risk Factors of Cardiovascular Diseases (CVD): A Cross-Sectional MASHAD Cohort Study Results.Health science reports · 2025Article
- Article
- Metabolic health disparities driven by financial stress: Behavioural adaptation or modification?Stress and health : journal of the International Society for the Investigation of Stress · 2023Article
- Predictors of Prostate Cancer at Fusion Biopsy: The Role of Positive Family History, Hypertension, Diabetes, and Body Mass Index.Current oncology (Toronto, Ont.) · 2023Article
- Prevalence of metabolic syndrome in East Azerbaijan-Iran and its determinants factors.Journal of cardiovascular and thoracic research · 2023Article
- Education differences in cardiometabolic risk in England, Scotland and the United States between 1992 and 2019.BMC cardiovascular disorders · 2022Article
- Comparative Characteristics of the Metabolic Syndrome Prevalence in Patients With Schizophrenia in Three Western Siberia Psychiatric Hospitals.Frontiers in psychiatry · 2021Article
- Association between Dietary Habits, Shift Work, and the Metabolic Syndrome: The Korea Nurses' Health Study.International journal of environmental research and public health · 2020Article
- Prevalence of obesity, metabolic syndrome, diabetes and risk of cardiovascular disease in a psychiatric inpatient sample: results of the Metabolism in Psychiatry (MiP) Study.European archives of psychiatry and clinical neuroscience · 2020Observational
- The impact of educational attainment on cardiorespiratory fitness and metabolic syndrome in Korean adults.Medicine · 2020Observational
- Income and Time Poverty and Metabolic Syndrome in Korea: Sex-Specific Patterns After Hierarchical Adjustment.Inquiry : a journal of medical care organization, provision and financingArticle
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Abstract
backgroundMetabolic syndrome and different socioeconomic characteristics including education and occupational status have been found to be associated in previous research. Nonetheless, theoretical models defining core variables and causal processes accounting for these associations are lacking.
objectivesThe main objectives of the present investigation are (1) to present a theoretical model integrating physiological, biochemical, and psychosocial factors determining metabolic syndrome prevalence and (2) to corroborate the hypothesis that socioeconomic determinants are (partially) mediated by health-related behaviors, health risks, and dietary habits.
methodsThe research hypothesis is tested with cross-sectional data from the German Health Interview and Examination Survey for Adults (DEGS1) conducted from 2008 to 2011 (n = 7,987) by means of multivariate regression models which appropriately take into account the stochastic dependence of metabolic syndrome components.
resultsThe results suggest that the metabolic syndrome is less frequent among individuals with a higher educational level and those who have a partner. These associations may point to protective effects of social support, self-efficacy, and other socio-psychological constructs in relation to metabolic syndrome incidence. Furthermore, frequent consumption of wine, muesli, fruits, and raw vegetables are associated with lower prevalence rates of metabolic syndrome components. The associations of occupational status, income, and employment are partially mediated by health-related behavior, physiological and psychosocial factors, and dietary habits. Sensitivity analyses have suggested that even small changes in the distribution of potential risk and protective factors may reduce the prevalence of metabolic syndrome components.
conclusionsHealthrelated behavior (smoking, physical activity) and physiological and psychosocial factors mediate the association between socioeconomic characteristics and metabolic syndrome prevalence. However, metabolic syndrome components were much less frequent among individuals with a higher educational level, higher income and occupational status, and those having a life partner.
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