Significant but weak spousal concordance of metabolic syndrome components in Japanese couples

Abstract

Objective This study was initiated to investigate if spousal concordance in metabolic syndrome (MS) components exist in Japan. Methods In all, 756 couples (mean age: 48.9 and 47.3 years for husbands and wives, respectively) were identified. Each subject was classified as an MS, MS reserves (MSRES) or no risk of MS (NonMS) case after Japanese Ministry of Health, Labour and Welfare (JMHLW) criteria. Criteria of the National Cholesterol Education Program and of the Joint Interim Statement were also applied. Results With Japanese Ministry of Health, Labor and Welfare (JMHLW) criteria, MS, MSRES and NonMS cases accounted for 11.9, 14.7 and 73.4 % in husbands and 1.6, 3.7 and 94.7 % in wives. Waist circumference (WC), body mass index (BMI), systolic blood pressure (SBP) and hemoglobin A1c (HbA1c) showed significant correlation (p \ 0.01). Correlation was also significant (p \ 0.05) for mean blood pressure (MBP) and fasting plasma glucose (FPG). When adjusted for age, correlations were significant only for WC, BMI and HbA1c. Furthermore, none of the correlation coefficients were greater than 0.2. Logistic regression analyses did not suggest significant mutual influence in MS status between the couples.Conclusions Spousal concordance in MS components was detected for WC, BMI, SBP, MBP, FPG and HbA1c, but the correlation was generally weak and modest in Japanese couples.

Concordance of chronic conditions among the household members in Shanghai: a cross-sectional study

“…We also found the similar associations in children subsample and spouses subsample. These results were consistent with some other research results 16 23–25. Additionally, the results suggested potential associations between the different chronic conditions, for example, hypertension and diabetes.…”

“…Similar to results using all adult household members, positive associations were found in these two subsamples. These findings were consistent with some previous studies 23–25 29 30. The results of analyses in these two special subsamples showed the effects of genetic factors and those of a common living environment without genetic ties on the associations of interest.…”

Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study

“…Some reported that there was spousal concordance of cancer [33]; depression [34]; mental disorders [35]; physical frailty [36]; and metabolic components, including overweight/obesity [16,17,34], diabetes [18][19][20]34,37], dysglycemia [17,34], and hypertension [12,16,21,22] among couples. However, one Japanese study revealed that spousal concordance in metabolic components was weak and modest [38]. Some studies reported that spouses show concordance in several dietary behaviors, such as drinking [10][11][12], alcohol consumption [12,13], smoking [16,34], fruit or vegetable consumption [14], irregular eating behaviors [34], and eating salty foods [11].…”

Spousal similarities in cardiometabolic risk factors: A cross-sectional comparison between Dutch and Japanese data from two large biobank studies

“…Observational studies have explored spousal similarities in cardiometabolic risk factors, such as blood pressure (BP) [12][13][14][15][16][17][18], cholesterol level [13][14][15]17,18], triglycerides (TG) level [13,15,17], abnormal glucose tolerance [12,13,[15][16][17][18][19][20], and smoking [14,19]. Further, a 2008 meta-analysis, showed statistically significant positive spousal concordances for the main coronary risk factors, such as hypertension and diabetes [21].…”