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February 15, 2023JAMA PsychiatryOpen Access

Association of Cardiovascular Health With Risk of Clinically Relevant Depressive Symptoms

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Why the study?

Data on the association of cardiovascular health across midlife with depressive symptoms are lacking.

Does better cardiovascular health reduce the risk of incident depressive symptoms in adults?

Population

6980 participants without depressive symptoms from the GAZEL cohort in France

Comparison

Cardiovascular health metrics at intermediate or ideal levels and 7-year change vs lower levels

Design

Prospective community-based cohort study

Follow-up

19 years

Key result

Higher baseline cardiovascular health was associated with a lower risk of incident depressive symptoms (OR per additional metric 0.87; 95% CI 0.84-0.91).

Authors

TSThomas T. van SlotenEVEugénie ValentinRCRachel E. Climie

Discussion

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Member takes

Overview

May inform CVH counseling; leaves open whether interventions reduce incident depression.

Study Design

Type

Cohort (n=6,980)

Structured PICO

Does better cardiovascular health reduce the risk of incident depressive symptoms in adults?

P
Population
6,980 adults without baseline depressive symptoms from a French community-based cohort, followed for 19 years.
E
Exposure
Higher number of cardiovascular health metrics (smoking, body mass index, physical activity, diet, blood pressure, glucose, and cholesterol) at an intermediate or ideal level at baseline (1997) and 7-year improvement (1990-1997).
C
Comparator
Lower number of cardiovascular health metrics or lack of improvement.
O
Outcome
Incident depressive symptoms (20-item Center for Epidemiologic Studies-Depression Scale [CES-D] score of 17 or greater in men or 23 or greater in women).patient reported

Main Result

Odds Ratio: 0.87 (95% CI 0.84–0.91)

Better baseline cardiovascular health and its improvement over time are associated with a significantly lower risk of developing depressive symptoms in midlife adults.

Cite This Study

Sloten et al. (2023) conducted a cohort in Depressive symptoms (n=6,980). Higher cardiovascular health (number of metrics at intermediate or ideal level) vs. Lower cardiovascular health was evaluated on Incident depressive symptoms (CES-D score ≥17 in men or ≥23 in women) (OR 0.87, 95% CI 0.84-0.91). Higher baseline cardiovascular health was associated with a lower risk of incident depressive symptoms (OR per additional metric 0.87; 95% CI 0.84-0.91).

synapsesocial.com/papers/6a7c510c89223840d90855fchttps://doi.org/10.1001/jamapsychiatry.2022.5056
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