Association between Metabolic syndrome and Subjective social status in coronary artery disease patients, a cross sectional study

The goal of the current study was to assess the relationship of metabolic syndrome(MetS) with subjective social status(SSS) and depression symptoms among coronary artery disease patients(CAD).

This is a cross-sectional study;data were gathered from patients who want to participatein the study through a simple sampling method from December 2019 to December 2020. Inclusion criteria were all patients aged 30 and over with any documents showingCADfrom a university referral hospital in Rasht, Iran. SSS and depression were assessed using the MacArthur scale and beck depression scale, respectively. Study analysis hasbeen donewith descriptive analysis and logistic regression.

Data related to 500 CAD patients with a mean age of 61.81(SD=12.25) were assessed. MetS was observed in 57 % of the study population. Almost 75% of the population were in the lower SSS category(rung≤6).we find no significant association between MetS and SSS(OR=0.79, 95% CI=0.53-1.19, P=0.274). The odds of MetS was more in women compared to men [OR=1.67, 95% CI=1.16-2.42, p=0.006] as well as in nonsmoker rather than smoker(OR= 0.61, 95% CI=0.41-0.91, p=0.018). There was no statistically significant association between depression and the odds of MetS(OR=0.98, P=0.950). After adjustment, we didn’t detect any statistically significant association between SSS and MetS(OR=0.74, 95% CI=0.49-1.12, P=0.163).

Although the present study failed to show the association between subjective social status and MetS, more researches need to examine theconsequence of perceived social standing on the cardiometabolic risk factors.