October 1, 2003Diabetes CareOpen Access

Depression Predicts Increased Incidence of Adverse Health Outcomes in Older Mexican Americans With Type 2 Diabetes

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Why the study?

Does the combination of depression and diabetes increase the incidence of adverse health outcomes in older Mexican Americans?

Population

2,830 Mexican Americans aged ≥65 years

Design

Cohort

Follow-up

7 years

Authors

SBSandra A. BlackUniversity of Baltimore KMKyriakos S. MarkidesThe University of Texas Medical Branch at Galveston LRLaura A. RayNavicent Health

Discussion

Member takes

Implication

Supports integrated screening in older diabetic patients; leaves open whether treating depression alters outcomes in this cohort.

Structured PICO

Does the combination of depression and diabetes increase the incidence of adverse health outcomes in older Mexican Americans?

Population

2,830 Mexican Americans aged ≥65 years

Intervention

Depression (measured with CES-D or CIDI) and diabetes

Outcome

Development of macrovascular complications (including cardiovascular disease, stroke, and kidney disease), microvascular complications (including nephropathy, neuropathy, retinopathy, and amputations), functional disability, and mortality over 7 yearshard clinical

The synergistic interaction between depression and diabetes significantly increases the risk and accelerates the onset of mortality, vascular complications, and disability in older Mexican Americans.

Cite This Study

Black et al. (2003) studied this question.

synapsesocial.com/papers/69fff45fef8139f8ff777a81 https://doi.org/10.2337/diacare.26.10.2822

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