Key result
High depression scores show no significant link to Framingham cardiovascular risk scores overall.
Why the study?
Are specific clinical characteristics associated with higher Framingham cardiovascular risk scores in patients with high depression scores compared to those with low depression scores?
Cross-Sectional (n=94)
No
Are specific clinical characteristics associated with higher Framingham cardiovascular risk scores in patients with high depression scores compared to those with low depression scores?
Absolute Event Rate: 6.9% vs 8.7%
p-value: p=0.271
In patients with depressive symptoms, obesity serves as a strong, easily screenable indicator of elevated cardiovascular risk.
Obesity may identify higher cardiovascular risk among depressed patients; hypothesis-generating and requires prospective validation before any practice change.
OBJECTIVE: Protection against cardiovascular diseases is provided by the dynamics of risk screening and counseling of primary health care services. Depression is known to pose a risk for cardiovascular diseases. The aim of our study was to determine which specific features of well-known depressed people who had not yet experienced a cardiovascular event were associated with cardiovascular risk. METHODS: This study was conducted in patients at the Corum Gulabibey Family Health Center between June 2016 and June 2017. Patients without a known cardiovascular disease were subjected to Beck Depression Inventory (BDI) and Framingham risk scale. Framingham risk scores were compared by dividing the participants into two groups according to having Beck depression scores of equal/above 10 points (high BDI = HBDI) and below 10 points (low BDI = LBDI). RESULTS: Age, LDL, total cholesterol, triglyceride, and blood pressure were all correlated with risk scores. In contrast, HDL and body mass index were only correlated with the risk scores in HBDI participants. From the HBDI patients, those who were obese had higher risk scores than those without obesity. CONCLUSION: Obesity is a high cardiovascular risk predictor that can be screened at one site in depression. While the body mass index of depressed individuals was correlated with the cardiovascular risk, this index being above 30 was indicative of high cardiovascular risk.
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Yakar et al. (2018) conducted a cross-sectional in Depression and cardiovascular risk (n=94). High depression score (Beck Depression Inventory ≥10) vs. Low depression score (Beck Depression Inventory <10) was evaluated on Framingham cardiovascular risk score (p=0.271). High depression scores were not associated with significantly higher mean Framingham risk scores, but body mass index (≥30) was a strong predictor of cardiovascular risk specifically in highly depressed patients.
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