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March 28, 2023International Journal of Obesity8 citationsOpen Access

Depressive symptoms and mortality – effect variation by body mass index: a prospective study in a primary care population

Why the study?

Do increased depressive symptoms increase all-cause mortality in middle-aged subjects with elevated cardiovascular risk across different BMI categories?

Population

2,509 middle-aged subjects with elevated cardiovascular risk from a Finnish primary care setting, without…

Comparison

Increased depressive symptoms vs No increased depressive symptoms (BDI score <10)

Design

Cohort

Follow-up

14 years

Key result

Increased depressive symptoms were associated with a significantly higher risk of all-cause mortality (HR 3.26) specifically among subjects with normal weight (BMI < 25.0 kg/m2), but not among those with overweight or obesity.

Authors

ARAnsa Talvikki RantanenUniversity of TurkuHKHannu KautiainenHelsinki University HospitalPKPäivi KorhonenUniversity of Turku

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Overview

Increased depressive symptoms are associated with a significantly higher risk of all-cause mortality specifically among normal-weight individuals with elevated cardiovascular risk, but not among those with overweight or obesity.

Study Design

Type

Cohort (n=2,509)

Multicenter

Yes

Structured PICO

Do increased depressive symptoms increase all-cause mortality in middle-aged subjects with elevated cardiovascular risk across different BMI categories?

P
Population
2,509 middle-aged adults (45-70 years) with elevated cardiovascular risk but free of established cardiovascular disease, chronic kidney disease, or type 2 diabetes, followed for 14 years.
E
Exposure
Increased depressive symptoms (Beck's Depression Inventory [BDI] score ≥10)
C
Comparator
No increased depressive symptoms (BDI score <10)
O
Outcome
All-cause mortality after 14 years follow-uphard clinical

Increased depressive symptoms are associated with a significantly higher risk of all-cause mortality specifically among normal-weight individuals with elevated cardiovascular risk, but not among those with overweight or obesity.

Main Result

Hazard Ratio: 3.26 (95% CI 1.83–5.82)

Absolute Event Rate: 21.5% vs 6%

Limitations

  • Not able to restrict analysis to never-smokers
  • Time-dependent variation in self-reported depressive symptoms and BMI was not controllable
  • Normal-weight category included subjects with underweight (BMI < 18.5 kg/m2)
  • Few subjects with high BDI scores
  • BMI < 25.0 kg/m2 category included subjects with underweight
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Cite This Study

Rantanen et al. (2023) conducted a cohort in Elevated cardiovascular risk (n=2,509). Increased depressive symptoms (BDI ≥ 10) vs. No increased depressive symptoms (BDI < 10) was evaluated on All-cause mortality in subjects with BMI < 25.0 kg/m2 (HR 3.26, 95% CI 1.83 to 5.82). Increased depressive symptoms were associated with a significantly higher risk of all-cause mortality (HR 3.26) specifically among subjects with normal weight (BMI < 25.0 kg/m2), but not among those with overweight or obesity.

synapsesocial.com/papers/6a221bcb9e220ae9ef494f73https://doi.org/10.1038/s41366-023-01296-3
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