Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil
ABSTRACT BACKGROUND: Cardiovascular risk factors can mediate the association between depression and cardiovascular diseases. OBJECTIVE: To evaluate cardiovascular risk factors in adult individuals with and without histories of major depression in the metropolitan region of São Paulo, Brazil. DESI...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2021-06-01
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400364&tlng=en |
| _version_ | 1819284942788493312 |
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| author | Danielle Bivanco-Lima Itamar de Souza Santos Yuan-Pang Wang Maria Carmen Viana Laura Helena Andrade Paulo Andrade Lotufo Isabela Judith Martins Benseñor |
| author_facet | Danielle Bivanco-Lima Itamar de Souza Santos Yuan-Pang Wang Maria Carmen Viana Laura Helena Andrade Paulo Andrade Lotufo Isabela Judith Martins Benseñor |
| author_sort | Danielle Bivanco-Lima |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Cardiovascular risk factors can mediate the association between depression and cardiovascular diseases. OBJECTIVE: To evaluate cardiovascular risk factors in adult individuals with and without histories of major depression in the metropolitan region of São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study in São Paulo (SP), Brazil. METHODS: This study evaluated 423 individuals without any lifetime diagnosis of major depression and 203 individuals with a previous diagnosis of major depression (n = 626). The participants underwent a psychiatric evaluation using a structured clinical interview (SCID-1), an anthropometric evaluation and a clinical evaluation that included blood pressure measurement and assessment of fasting blood glucose, lipid profile and physical activity levels. RESULTS: Individuals with histories of major depression were more likely to be female (P < 0.0001). Individuals with lifetime diagnoses of major depression were more likely to be current smokers (odds ratio, OR 1.61; 95% confidence interval, CI 1.01-2.59) and to have diabetes (OR 1.79; 95% CI 1.01-3.21); and less likely to be obese (OR 0.58; 95% CI 0.35-0.94). CONCLUSION: Individuals with major depression had higher odds of presenting tobacco smoking and diabetes, and lower odds of being obese. Healthcare professionals need to be aware of this, so as to increase the rates of diagnosis and treatment in this population. |
| first_indexed | 2024-12-24T01:55:24Z |
| format | Article |
| id | doaj.art-61620d0de6464d41b1cf3a0869282c1b |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-24T01:55:24Z |
| publishDate | 2021-06-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-61620d0de6464d41b1cf3a0869282c1b2022-12-21T17:21:36ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602021-06-01139436437110.1590/1516-3180.2020.0054.r1.1802021Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, BrazilDanielle Bivanco-Limahttps://orcid.org/0000-0001-9243-0232Itamar de Souza Santoshttps://orcid.org/0000-0003-3212-8466Yuan-Pang Wanghttps://orcid.org/0000-0001-7076-8312Maria Carmen Vianahttps://orcid.org/0000-0002-0464-4845Laura Helena Andradehttps://orcid.org/0000-0002-2362-3521Paulo Andrade Lotufohttps://orcid.org/0000-0002-4856-8450Isabela Judith Martins Benseñorhttps://orcid.org/0000-0002-6723-5678ABSTRACT BACKGROUND: Cardiovascular risk factors can mediate the association between depression and cardiovascular diseases. OBJECTIVE: To evaluate cardiovascular risk factors in adult individuals with and without histories of major depression in the metropolitan region of São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study in São Paulo (SP), Brazil. METHODS: This study evaluated 423 individuals without any lifetime diagnosis of major depression and 203 individuals with a previous diagnosis of major depression (n = 626). The participants underwent a psychiatric evaluation using a structured clinical interview (SCID-1), an anthropometric evaluation and a clinical evaluation that included blood pressure measurement and assessment of fasting blood glucose, lipid profile and physical activity levels. RESULTS: Individuals with histories of major depression were more likely to be female (P < 0.0001). Individuals with lifetime diagnoses of major depression were more likely to be current smokers (odds ratio, OR 1.61; 95% confidence interval, CI 1.01-2.59) and to have diabetes (OR 1.79; 95% CI 1.01-3.21); and less likely to be obese (OR 0.58; 95% CI 0.35-0.94). CONCLUSION: Individuals with major depression had higher odds of presenting tobacco smoking and diabetes, and lower odds of being obese. Healthcare professionals need to be aware of this, so as to increase the rates of diagnosis and treatment in this population.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400364&tlng=enDepressionRisk factorsCardiovascular diseasesDepressive disorder, majorDepressive disordersCardiovascular riskMajor depressive disorderDepressed individualsLifestyle and risk factors |
| spellingShingle | Danielle Bivanco-Lima Itamar de Souza Santos Yuan-Pang Wang Maria Carmen Viana Laura Helena Andrade Paulo Andrade Lotufo Isabela Judith Martins Benseñor Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil São Paulo Medical Journal Depression Risk factors Cardiovascular diseases Depressive disorder, major Depressive disorders Cardiovascular risk Major depressive disorder Depressed individuals Lifestyle and risk factors |
| title | Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil |
| title_full | Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil |
| title_fullStr | Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil |
| title_full_unstemmed | Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil |
| title_short | Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil |
| title_sort | cardiovascular risk factors and major depressive disorder a cross sectional study in sao paulo brazil |
| topic | Depression Risk factors Cardiovascular diseases Depressive disorder, major Depressive disorders Cardiovascular risk Major depressive disorder Depressed individuals Lifestyle and risk factors |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400364&tlng=en |
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