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Examining the health-related quality of life of middle-aged men with metabolic syndrome based on their stress level

  • Weon-Hee Moon1
  • Myoungjin Kwon2,*,
  • Sun Ae Kim3,*,

1Department of Nursing Science, Pai Chai University, 35345 Daejeon, Republic of Korea

2Department of Nursing, Daejeon University, 34520 Daejeon, Republic of Korea

3Department of Nursing, Korea National University of Transportation, 27909 Chungbuk, Republic of Korea

DOI: 10.31083/j.jomh1804096 Vol.18,Issue 4,April 2022 pp.1-9

Submitted: 25 October 2021 Accepted: 26 November 2021

Published: 30 April 2022

*Corresponding Author(s): Myoungjin Kwon E-mail:
*Corresponding Author(s): Sun Ae Kim E-mail:


Background: This study was conducted to identify the factors that affect the health-related quality of life (HRQoL) of middle-aged men with metabolic syndrome (MetS) based on their stress level using data from the Korea National Health and Nutrition Examination Survey (KNHANES). Methods: The participants of this study were men aged between 40–64 with MetS who were included in the KNHANES. The main variables of this study were HRQoL, which was measured using the EuroQol-5 Dimension (EQ-5D); general characteristics, health-related characteristics, and dietary behaviors. Results: The subjective health of the group with less stress was significantly better. Compared to the unhealthy group, the groups perceived as healthy and normal had a higher HRQoL. The economic level, suicidal ideation, and dinner arrangement (presence of family) of the stressed group were significantly associated with their HRQoL. Compared to a low economic level, the high and middle economic levels were more associated with the subjects’ HRQoL. Compared to the group without suicidal ideation, the group that experienced suicidal association had a lower HRQoL. Compared to the group that did not dine with their family, the group that dined with family had a higher HRQoL. Conclusions: The results of this study expand the scientific understanding of HRQoL based on stress among middle-aged men with metabolic syndrome. Since differences in the influence of the factors that affect HRQoL were identified based on the level of stress experienced, the stress level of middle-aged men should be considered when devising an intervention strategy to improve their HRQoL.


quality of life; middle aged; men; metabolic syndrome; stress; mental health

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Weon-Hee Moon,Myoungjin Kwon,Sun Ae Kim. Examining the health-related quality of life of middle-aged men with metabolic syndrome based on their stress level. Journal of Men's Health. 2022. 18(4);1-9.


[1] Statistics Korea. Population projections for Ko-rea. Daejeon: Statistics Korea. 2019. Available at: (Accessed: 1 October 2021).

[2] Cha EJ. Predictive model of Health-related Quality of Life of Korean Goose daddies. Korean Journal of Adult Nursing. 2012; 24: 428–437.

[3] Kwon MJ. The Effects of Happiness, Fatigue and Self-efficacy on Workers’ Quality of Life. Journal of the Korea Convergence Society. 2020; 11: 373–380.

[4] Chin EY, Kim HK. [Life Experience following Suicide Attempt among Middle-aged Men]. Journal of Korean Academy of Nurs-ing. 2016; 46: 215–225.

[5] Park M, Suh EE, Chung MY. Health-related Quality of Life and its Influencing Factors according to Gender in Baby Boomers. Korean Journal of Adult Nursing. 2015; 27: 314.

[6] Lee JJ, Lee HJ, Park EJ. Effect of Staged Education Program for Hypertension, Diabetes Patients in a Community (Assessment of Quality of Life Using EQ-5D). Journal of Agricultural Medicine and Community Health. 2014; 39: 37–45.

[7] Cherepanov D, Palta M, Fryback DG, Robert SA. Gender dif-ferences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the us: evidence from four us nationally rep-resentative data sets. Quality of Life Research. 2010; 19: 1115–1124.

[8] Cho Y, Yeum DM. [Latent Class Analysis for Health-Related Quality of Life in the Middle-Aged Male in South Korea]. Jour-nal of Korean Academy of Nursing. 2019; 49: 104–112.

[9] World Health Organization. Geneva: World Health Organiza-tion. WHOQOL: The World Health Organization measuring quality of life. 2012. Available at: (Accessed: 4 October 2021).

[10] Lee H, Cho SH, Kim JH, Kim YK, Choo HI. Influence of self ef-ficacy, social support and sense of community on health-related quality of life for middle-aged and elderly residents living in a rural community. Journal of Korean Academy of Nursing. 2014; 44: 608–616. (In Ko)

[11] Otero-Rodríguez A, León-Muñoz LM, Balboa-Castillo T, Bane-gas JR, Rodríguez-Artalejo F, Guallar-Castillón P. Change in health-related quality of life as a predictor of mortality in the older adults. Quality of Life Research. 2010; 19: 15–23.

[12] Kim HS, Kim SS, Park MH. A Converged Study on the Influ-ence on the Quality of Life for Early and Late Middle-aged Men. Journal of the Korea Convergence Society. 2018; 9: 133–145.

[13] Kassi E, Pervanidou P, Kaltsas G, Chrousos G. Metabolic syn-drome: definitions and controversies. BMC Medicine. 2011; 9: 48.

[14] Kim M, Lee S, Shin K, Son D, Kim S, Joe H, et al. The Change of Metabolic Syndrome Prevalence and its Risk Factors in Ko-rean Adults for Decade: Korea National Health and Nutrition Examination Survey for 2008–2017. Korean Journal of Family Practice. 2020; 10: 44–52.

[15] Lim S, Shin H, Song JH, Kwak SH, Kang SM, Won Yoon J, et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998–2007. Diabetes Care. 2011; 34: 1323–1328.

[16] Tran BT, Jeong BY, Oh J. The prevalence trend of metabolic syndrome and its components and risk factors in Korean adults: results from the Korean National Health and Nutrition Exami-nation Survey 2008–2013. BMC Public Health. 2017; 17: 71.

[17] Galassi A, Reynolds K, He J. Metabolic syndrome and risk of cardiovascular disease: a meta-analysis. The American Journal of Medicine. 2006; 119: 812–819.

[18] Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005; 112: 2735–2752.

[19] Tsai T, Cheng J, Lai Y. Prevalence of metabolic syndrome and related factors in Taiwanese high-tech industry workers. Clinics. 2011; 66: 1531–1535.

[20] Cohen BE, Panguluri P, Na B, Whooley MA. Psychological risk factors and the metabolic syndrome in patients with coronary heart disease: findings from the Heart and Soul Study. Psychia-try Research. 2010; 175: 133–137.

[21] Lloyd C, Smith J, Weinger K. Stress and Diabetes: a Review of the Links. Diabetes Spectrum. 2005; 18: 121–127.

[22] Kim CJ. Mental Health and Self-care Activities according to Perceived Stress Level in Type 2 Diabetic Patients with Metabolic Syndrome. Korean Journal of Adult Nursing. 2010; 22: 50–59.

[23] Thoits PA. Mechanisms linking social ties and support to phys-ical and mental health. Journal of Health and Social Behavior. 2011; 52: 145–161.

[24] Korea Centers for Disease Control and Prevention. The fourth to seventh Korea National Health and Nutrition Examination Survey (KNHANES IV-2 - VII-2). 2019. Available at: https: // (Accessed: 22 January 2021).

[25] Huang PL. A comprehensive definition for metabolic syndrome. Disease Models & Mechanisms. 2009; 2: 231–237.

[26] Jung MH. Predictors of Health-Related Quality of Life in Ko-rean Adults with Diabetes Mellitus. International Journal of En-vironmental Research and Public Health. 2020; 17: 9058.

[27] Park H, Song HY, Han K, Cho K, Kim Y. Number of remain-ing teeth and health-related quality of life: the Korean National Health and Nutrition Examination Survey 2010–2012. Health and Quality of Life Outcomes. 2019; 17: 5.

[28] Park H, Kim K. Depression and its Association with Health-Related Quality of Life in Postmenopausal Women in Korea. International Journal of Environmental Research and Public Health. 2018; 15: 2327.

[29] Choi YJ, Lee MS, An SY, Kim TH, Han SJ, Kim HJ, et al. The Relationship between Diabetes Mellitus and Health-Related

Quality of Life in Korean Adults: the Fourth Korea National Health and Nutrition Examination Survey (2007–2009). Dia-betes & Metabolism Journal. 2011; 35: 587–594.

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