Moderate to severe depressive symptoms were associated with a higher prevalence of hypertension (28.8% vs 12.8%), and hypertension independently tripled the risk of depression.
Cross-Sectional (n=145)
No
Are depressive symptoms associated with cardiovascular risk factors in young adults attending primary care?
Depressive symptoms are highly prevalent among young adults in primary care, particularly women, and are independently associated with hypertension.
Absolute Event Rate: 28.8% vs 12.8%
Objective: Depression is a major public health problem worldwide. According to the World Health Organization (2017), an estimated 4,4% of the global population has depression. In 2022, the American Heart Association recognized depression as a condition that negatively impacts lifestyle and contributes to cardiovascular risk. This study Analyzes the relationship between depressive symptoms and cardiovascular risk factors in young adults attending primary care Design and method: This population-based cross-sectional study included young adults aged 20 to 50 years living in the catchment area of a Family Health Strategy unit, who agreed to participate and signed the informed consent form. Exclusion criteria were pregnancy, severe life-threatening diseases, cognitive impairment, and/or physical disability that could prevent participation. Sociodemographic data, cardiovascular (CV) risk factors, blood pressure measurements, and the Patient Health Questionnaire-9 (PHQ-9) were collected to assess depressive symptoms. Results: Among the 145 participants included (65% women, mean age 38.0 ± 8.6 years), 27,6% self-identified as black or brown, 19,3% had low educational level, and 26 participants (17,9%) were unemployed, with a higher prevalence among women (24,5% vs. 5,9%). The most prevalent risk factors were physical inactivity (49,7%), obesity (29,0%), dyslipidemia (23,4%), and hypertension (19,3%). Women had significantly higher PHQ-9 scores than men. The prevalence of moderate depressive symptoms was 20,7%, predominantly among women (24,5% vs. 13,7%, p = 0.036). When considering moderate/severe depressive symptoms, prevalence reached 40,7%, also higher among women (45,7%). Individuals with moderate/severe depression were more sedentary (59,3% vs. 43,0%) and more frequently hypertensive (28,8% vs. 12,8%). In multivariate logistic regression analysis, hypertension tripled the risk of moderate/severe depression Conclusions: Depressive symptoms were more prevalent among women and were independently associated with hypertension.
Duarte et al. (Fri,) conducted a cross-sectional in Depressive symptoms and cardiovascular risk (n=145). Moderate/severe depressive symptoms vs. Mild or no depressive symptoms was evaluated on Hypertension. Moderate to severe depressive symptoms were associated with a higher prevalence of hypertension (28.8% vs 12.8%), and hypertension independently tripled the risk of depression.