Association between depression and blood pressure in community-dwelling older adults: focus on Bushehr elderly health (BEH) program
Abstract Introduction Depression and increased blood pressure are significant burdens in elderly care. This study was conducted to discover the association between hypertension (HTN) and depression based on data obtained from the Bushehr Elderly Health (BEH) program in a large population of Iranian...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-16288-1 |
| _version_ | 1827707882607476736 |
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| author | Akram Farhadi Hamed Javadian Hakimeh Vahedparast Maryam Marzban Reza Nemati Bagher Larijani Iraj Nabipour |
| author_facet | Akram Farhadi Hamed Javadian Hakimeh Vahedparast Maryam Marzban Reza Nemati Bagher Larijani Iraj Nabipour |
| author_sort | Akram Farhadi |
| collection | DOAJ |
| description | Abstract Introduction Depression and increased blood pressure are significant burdens in elderly care. This study was conducted to discover the association between hypertension (HTN) and depression based on data obtained from the Bushehr Elderly Health (BEH) program in a large population of Iranian elderly in Bushehr, southern Iran. Methods This study was carried out based on data obtained from the Bushehr Elderly Health (BEH) program in a large population of Iranian elderly in Bushehr, a southern city in Iran. 2419 old adults were included in the study through multi-stage random sampling. Depression was assessed using Patient Health Questionnaire-9 (PHQ-9), and blood pressure was measured using a standard mercury sphygmomanometer. Statistical analysis was conducted via chai-square, analysis of variance (ANOVA), and univariate and multivariate linear regression tests. Results The mean age of participants was 69.95 ± 6.95 years. The prevalence of depression was 23.8%. Diastolic blood pressure (DBP) decreased with increasing PHQ score (B=-0.001; 95%CI: -0.00 to -0.00, P-value = 0.011). In the final model adjusted for confounding variables, no significant association was found between depression score and DBP (B=-0.00; 95%CI: -0.00 to 0.00, P = 0.13). Conversely, in the final model, which included the confounding variable, SBP was significantly associated with depression. It was deduced that a variable acted as a negative confounder in this association; in a way that with increased depression score, SBP significantly decreased (B=-0.00; 95% CI: -0.00 to -0.00, P = 0.04). Conclusion Depression and its related medications could be significantly associated with controlled SBP. Health practitioners in primary health care centers must monitor the elderly inflicted with HTN for early symptoms of depression to help maintain blood pressure levels using medicinal and non-medicinal interventions. |
| first_indexed | 2024-03-10T16:54:58Z |
| format | Article |
| id | doaj.art-6e38604882e746bba714d158aa8cd6d6 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:54:58Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-6e38604882e746bba714d158aa8cd6d62023-11-20T11:10:08ZengBMCBMC Public Health1471-24582023-08-0123111010.1186/s12889-023-16288-1Association between depression and blood pressure in community-dwelling older adults: focus on Bushehr elderly health (BEH) programAkram Farhadi0Hamed Javadian1Hakimeh Vahedparast2Maryam Marzban3Reza Nemati4Bagher Larijani5Iraj Nabipour6The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical SciencesStudent Research Committee, Bushehr University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Bushehr University of Medical SciencesClinical Research Development Center, The Persian Gulf Martyrs Hospital, Bushehr University of Medical SciencesClinical Research Development Center, The Persian Gulf Martyrs Hospital, Bushehr University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesThe Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical SciencesAbstract Introduction Depression and increased blood pressure are significant burdens in elderly care. This study was conducted to discover the association between hypertension (HTN) and depression based on data obtained from the Bushehr Elderly Health (BEH) program in a large population of Iranian elderly in Bushehr, southern Iran. Methods This study was carried out based on data obtained from the Bushehr Elderly Health (BEH) program in a large population of Iranian elderly in Bushehr, a southern city in Iran. 2419 old adults were included in the study through multi-stage random sampling. Depression was assessed using Patient Health Questionnaire-9 (PHQ-9), and blood pressure was measured using a standard mercury sphygmomanometer. Statistical analysis was conducted via chai-square, analysis of variance (ANOVA), and univariate and multivariate linear regression tests. Results The mean age of participants was 69.95 ± 6.95 years. The prevalence of depression was 23.8%. Diastolic blood pressure (DBP) decreased with increasing PHQ score (B=-0.001; 95%CI: -0.00 to -0.00, P-value = 0.011). In the final model adjusted for confounding variables, no significant association was found between depression score and DBP (B=-0.00; 95%CI: -0.00 to 0.00, P = 0.13). Conversely, in the final model, which included the confounding variable, SBP was significantly associated with depression. It was deduced that a variable acted as a negative confounder in this association; in a way that with increased depression score, SBP significantly decreased (B=-0.00; 95% CI: -0.00 to -0.00, P = 0.04). Conclusion Depression and its related medications could be significantly associated with controlled SBP. Health practitioners in primary health care centers must monitor the elderly inflicted with HTN for early symptoms of depression to help maintain blood pressure levels using medicinal and non-medicinal interventions.https://doi.org/10.1186/s12889-023-16288-1DepressionHypertensionSystolicDiastolicElderly |
| spellingShingle | Akram Farhadi Hamed Javadian Hakimeh Vahedparast Maryam Marzban Reza Nemati Bagher Larijani Iraj Nabipour Association between depression and blood pressure in community-dwelling older adults: focus on Bushehr elderly health (BEH) program BMC Public Health Depression Hypertension Systolic Diastolic Elderly |
| title | Association between depression and blood pressure in community-dwelling older adults: focus on Bushehr elderly health (BEH) program |
| title_full | Association between depression and blood pressure in community-dwelling older adults: focus on Bushehr elderly health (BEH) program |
| title_fullStr | Association between depression and blood pressure in community-dwelling older adults: focus on Bushehr elderly health (BEH) program |
| title_full_unstemmed | Association between depression and blood pressure in community-dwelling older adults: focus on Bushehr elderly health (BEH) program |
| title_short | Association between depression and blood pressure in community-dwelling older adults: focus on Bushehr elderly health (BEH) program |
| title_sort | association between depression and blood pressure in community dwelling older adults focus on bushehr elderly health beh program |
| topic | Depression Hypertension Systolic Diastolic Elderly |
| url | https://doi.org/10.1186/s12889-023-16288-1 |
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