Association between platelet to lymphocyte ratio and depression and symptom severity among adults in the United States: A cross-sectional study
Background: The pathogenesis of depression has not yet been fully understood. The association between platelet to lymphocyte ratio (PLR) and depression has been investigated in previous studies, however, the results were controversial. The objective of the study was to explore the potential relation...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023073358 |
| _version_ | 1797669712301129728 |
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| author | Moshui Shan Zhi Yang Zhonghua Sun Yi Yang Qi Cheng Yu Pan |
| author_facet | Moshui Shan Zhi Yang Zhonghua Sun Yi Yang Qi Cheng Yu Pan |
| author_sort | Moshui Shan |
| collection | DOAJ |
| description | Background: The pathogenesis of depression has not yet been fully understood. The association between platelet to lymphocyte ratio (PLR) and depression has been investigated in previous studies, however, the results were controversial. The objective of the study was to explore the potential relationship between PLR and depression and symptom severity. Methods: A cross-sectional study was conducted based on the National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2018. Totally 30,032 adults were analyzed, and 2480 reported depression. Depression and symptom severity were assessed with the Patient Health Questionnaire (PHQ-9). PLR was calculated as the ratio of platelets to lymphocytes. Multivariable weighted-logistic regression models and generalized additive model (GAM) were employed to evaluate the linear and nonlinear association between PLR and depression and symptom severity. Results: There was a negative association for Q3 (odds ratio [OR]: 0.82, 95% confidence interval [CI]: 0.68 to 0.99) when comparing participants for Q1 between 10-PLR and depression after fully adjusting the covariates; however, there was no significant association between 10-PLR and symptom severity. GAM showed that 10-PLR was associated with depression and symptom severity in a nonlinear manner. The inflection points were at 12.15. Subgroup analyses showed nonlinear relationships only in specific subgroups. Conclusions: PLR is associated with depression among adults in the United States. U-shaped nonlinear relationships and threshold effects were observed between 10-PLR and depression and symptom severity. Additionally, inflammatory mechanisms vary in different sociodemographic subgroups. |
| first_indexed | 2024-03-11T20:48:29Z |
| format | Article |
| id | doaj.art-79052fdeb18f4560a6a09ddb56b442eb |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-11T20:48:29Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-79052fdeb18f4560a6a09ddb56b442eb2023-10-01T06:02:39ZengElsevierHeliyon2405-84402023-09-0199e20127Association between platelet to lymphocyte ratio and depression and symptom severity among adults in the United States: A cross-sectional studyMoshui Shan0Zhi Yang1Zhonghua Sun2Yi Yang3Qi Cheng4Yu Pan5Department of Psychiatry, The 967th Hospital of the Chinese PLA Joint Logistics Support Force, Dalian, ChinaDepartment of Pharmacy, The 967th Hospital of the Chinese PLA Joint Logistics Support Force, Dalian, ChinaDepartment of Psychiatry, The 967th Hospital of the Chinese PLA Joint Logistics Support Force, Dalian, ChinaDepartment of Psychiatry, The 967th Hospital of the Chinese PLA Joint Logistics Support Force, Dalian, ChinaDepartment of Psychiatry, The 904th Hospital of the Chinese PLA Joint Logistics Support Force, Changzhou, China; Corresponding author.Department of Medical Psychology, The First Medical Center, Chinese PLA General Hospital, Beijing, China; Corresponding author.Background: The pathogenesis of depression has not yet been fully understood. The association between platelet to lymphocyte ratio (PLR) and depression has been investigated in previous studies, however, the results were controversial. The objective of the study was to explore the potential relationship between PLR and depression and symptom severity. Methods: A cross-sectional study was conducted based on the National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2018. Totally 30,032 adults were analyzed, and 2480 reported depression. Depression and symptom severity were assessed with the Patient Health Questionnaire (PHQ-9). PLR was calculated as the ratio of platelets to lymphocytes. Multivariable weighted-logistic regression models and generalized additive model (GAM) were employed to evaluate the linear and nonlinear association between PLR and depression and symptom severity. Results: There was a negative association for Q3 (odds ratio [OR]: 0.82, 95% confidence interval [CI]: 0.68 to 0.99) when comparing participants for Q1 between 10-PLR and depression after fully adjusting the covariates; however, there was no significant association between 10-PLR and symptom severity. GAM showed that 10-PLR was associated with depression and symptom severity in a nonlinear manner. The inflection points were at 12.15. Subgroup analyses showed nonlinear relationships only in specific subgroups. Conclusions: PLR is associated with depression among adults in the United States. U-shaped nonlinear relationships and threshold effects were observed between 10-PLR and depression and symptom severity. Additionally, inflammatory mechanisms vary in different sociodemographic subgroups.http://www.sciencedirect.com/science/article/pii/S2405844023073358DepressionPlatelet to lymphocyte ratioInflammation |
| spellingShingle | Moshui Shan Zhi Yang Zhonghua Sun Yi Yang Qi Cheng Yu Pan Association between platelet to lymphocyte ratio and depression and symptom severity among adults in the United States: A cross-sectional study Heliyon Depression Platelet to lymphocyte ratio Inflammation |
| title | Association between platelet to lymphocyte ratio and depression and symptom severity among adults in the United States: A cross-sectional study |
| title_full | Association between platelet to lymphocyte ratio and depression and symptom severity among adults in the United States: A cross-sectional study |
| title_fullStr | Association between platelet to lymphocyte ratio and depression and symptom severity among adults in the United States: A cross-sectional study |
| title_full_unstemmed | Association between platelet to lymphocyte ratio and depression and symptom severity among adults in the United States: A cross-sectional study |
| title_short | Association between platelet to lymphocyte ratio and depression and symptom severity among adults in the United States: A cross-sectional study |
| title_sort | association between platelet to lymphocyte ratio and depression and symptom severity among adults in the united states a cross sectional study |
| topic | Depression Platelet to lymphocyte ratio Inflammation |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023073358 |
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