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Association Between Depression and Risk of Incident Cardiovascular Diseases and Its Sex and Age Modifications

A Prospective Cohort Study in Southwest China

Bibliographic Data

ID22075928
AuthorsLisha Yu (0000-0002-1388-7187), Yun Chen (0000-0001-5123-1624, Fudan University), Na Wang (0000-0003-1102-8220, Fudan University), Kelin Xu (0000-0002-6788-4256, Fudan University), Chenghan Wu, Cheng-Han Wu (0000-0003-4399-0772, Guizhou Center for Disease Control and Prevention), Tao Liu (0000-0001-5480-2568, Guizhou Center for Disease Control and Prevention, corresponding author), Chaowei Fu (0000-0003-0966-8552, Fudan University, corresponding author)
Year2022
Volume10
Pages765183-765183
Publication date2022-03-30
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.765183
PMID35433580
OpenAlexW4221051713
LanguageEN
Citations received1
References cited31

To examine possible associations between depression and cardiovascular disease (CVD) incidence and whether demographic factors modified those associations in the Chinese population. This prospective cohort study comprised 7,735 adults aged 18 years or older in Guizhou, China from 2010 to 2020. The Patient Health Questionnaire-9 (PHQ-9) was used to measure the prevalence of depression. Cox proportional hazard models were used to estimated hazard ratios (HRs) and 95% confidence intervals (95%CIs) of depression and incident CVD. We identified 215 CVD cases (including 28 acute myocardial infarction (AMI) and 197 stroke cases) during an average follow-up of 7.07 years. In the multivariable-adjusted model, baseline PHQ-9 score was associated with incident CVD, AMI, and stroke. The HR per 1-SD increase for PHQ-9 score was 1.14 (95%CI: 1.03, 1.26) for CVD, 1.26 (95%CI: 1.01, 1.57) for AMI, and 1.12 (95%CI: 1.01, 1.25) for stroke. Compared with participants without depression, those with any mild or more advanced depression had a higher risk of incident CVD (HR: 1.69, 95%CI: 1.08, 2.64) and AMI (HR: 3.36, 95%CI: 1.17, 10.56). Associations between depression with CVD and stroke were suggested to be even stronger among women and participants aged <65 years ( P for interaction <0.05). The effect of depression on stroke tended to be preserved in non-smokers. Depression was associated with a higher risk of incident CVD, AMI, and stroke in adults of Southwest, China, particularly in women, participants aged <65 years, and non-smokers. These findings highlighted the importance and urgency of depression healthcare

Cohort · Cohort study · Confidence interval · Depressive symptoms · Diabetes mellitus · Environmental health · Hazard ratio · Myocardial infarction · Patient Health Questionnaire · Population · Proportional hazards model · Prospective cohort study · Cardiac Health and Mental Health · Employment and Welfare Studies · Health disparities and outcomes · Medicine · Endocrinology · Internal Medicine

  • Associations between depression and the incident risk of obesity in southwest China

    Open Access•Tao Liu, Bo Wu et al.•Frontiers in Public Health•2023

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    Open Access•Rüya‐Daniela Kocalevent, Rüya-Daniela Kocalevent et al.•General Hospital Psychiatry•2013

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    Open Access•American Diabetes Association•Diabetes Care•2020

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    Robert F Anda•JAMA•1990

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    Floriana S Luppino, Leonore de Wit et al.•Archives of General Psychiatry•2010

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    Open Access•Wenzheng Wang, Qian Bian et al.•General Hospital Psychiatry•2014

  • Associations of Depression With C-Reactive Protein, IL-1, and IL-6

    M Bryant Howren, Donald M Lamkin et al.•Psychosomatic Medicine•2009

Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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