The Link Between Stress and Metabolic Syndrome

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“…significantly increase the risk of heart disease, stroke, and type 2 diabetes.”

In our modern world, stress has become an inevitable part of daily life. From demanding work schedules to personal responsibilities, to information overload and bombardment with negative news, individuals often find themselves struggling with heightened levels of stress. The consequences of chronic stress do not just impact our emotional state, however, and can impact physical health in profound ways. One such consequence results from the intricate connection between stress and metabolic syndrome, a combination of conditions that significantly increase the risk of heart disease and stroke.

“…underlying mechanisms that link stress to the development and exacerbation of metabolic syndrome are complex and multifaceted.”

Metabolic syndrome is characterized by a combination of factors that include elevated blood pressure, high blood sugar (type 2 diabetes), excess body fat around the waist (obesity), and abnormal cholesterol levels. The underlying mechanisms that link stress to the development and exacerbation of metabolic syndrome are complex and multifaceted. At the root, however, increased levels of inflammation resulting from chronic stress seems to be a major catalyst.

A recent study by researchers at The Ohio State University and published in Brain, Behavior, & Immunity – Health found inflammatory biomarkers that may link stress with symptoms of metabolic syndrome. Perceived stress was measured using the self-reported 10-item version of the Perceived Stress Scale and “systemic inflammation was indexed by five pro-inflammatory markers.” Perceived stress refers to the subjective perception of a stressful situation, and shows interindividual differences in the perception and response to the same stressor. Markers of metabolic health such as blood pressure, blood serum levels, body mass index and waist circumference were also collected and analyzed.

“… stress can contribute to a state of chronic, low-grade inflammation that leads to metabolic dysregulation.”

Researchers found that heightened feelings of stress were associated with increased inflammatory biomarkers and metabolic dysregulation. In other words, perceived stress can contribute to a state of chronic, low-grade inflammation that leads to metabolic dysregulation.

“…chronic stress keeps these hormones elevated for extended periods, leading to dysregulation in various physiological processes.”

When the body perceives a threat, the “fight or flight” response is triggered, releasing stress hormones such as cortisol and adrenaline. In acute situations, this response is adaptive, preparing the body to react swiftly to danger. However, chronic stress keeps these hormones elevated for extended periods, leading to dysregulation in various physiological processes.

Prolonged exposure to stress hormones can activate inflammatory pathways, contributing to the development of components of the metabolic syndrome such as high blood pressure and abnormal cholesterol levels. Additionally, oxidative stress, an imbalance between free radicals and antioxidants, plays a role in the progression of metabolic syndrome.

“…interventions that target psychosocial stress may serve as cost-effective and accessible treatment options for mitigating inflammatory health risks.”

Based on these findings, the study concludes that “interventions that target psychosocial stress may serve as cost-effective and accessible treatment options for mitigating inflammatory health risks.” This provides insight for a helpful potential method of reducing the risk of developing metabolic syndrome as well as minimizing symptoms. It also provides a method that does not depend on the use of expensive prescription drugs or specialized healthcare, making it more accessible for the general public.

“…behavioral factors can also play a significant role in the link between stress and metabolic dysfunction.”

It should also be noted that behavioral factors can also play a significant role in the link between stress and metabolic dysfunction. For example, individuals experiencing chronic stress may resort to unhealthy coping mechanisms such as overeating, comfort eating, or adopting a sedentary lifestyle. These behaviors, in turn, contribute to weight gain and the accumulation of visceral fat, further exacerbating the development of metabolic syndrome components.

The relationship between stress and metabolic syndrome can be seen as bi-directional. Stress triggers physiological and behavioral responses that contribute to the development of metabolic syndrome. The presence of metabolic syndrome can then increase stress levels. Breaking this cycle requires a comprehensive approach addressing both the physiological and behavioral aspects.

Fiona Riddle Fiona is a Certified Health Coach with a degree in Psychology from UCLA. She is passionate about a holistic approach to health when working with her private coaching clients. She is an avid cook, constantly creating and sharing new recipes on her Instagram (@feelgoodwithfi) to showcase simple clean home cooking.

This article was reviewed and approved by Emeran Mayer, MD