ABSTRACT
【Objective】 To investigate the association of depressive symptoms with the predicted risk of coronary heart disease in middle-aged and elderly Chinese based on a large community study. 【Methods】 A total of 2532 cases in the group without depression and 2758 cases in the group with depression were included. We compared the two groups in general demographics, information related to coronary heart disease risk, and physical function and ability to perform daily living. We also analyzed the factors associated with coronary heart disease risk by linear regression. 【Results】 ① Demographic information: The group with depression had a higher mean age, a higher proportion of women, more people with poor marital status, and a higher number of comorbid chronic diseases compared with the group without depression (all P<0.05). ② Risk indicators related to coronary heart disease: The group with depression had more people with diabetes and a significantly higher systolic blood pressure compared with the group without depression (P<0.05). The two groups did not significantly differ in the proportion of smokers, diastolic blood pressure, LDL-C, or HDL-C (all P>0.05). The risk of coronary heart disease was significantly higher in the group with depression than in the group without depression (P<0.05). ③ Physical function and ability of daily living: The physical function score, physical self-care score, and instrumental daily living ability were significantly higher in the group with depression than in the group without depression (all P<0.001). ④ Linear regression showed that except for gender, age, marital status, comorbid diabetes, smoking, systolic and diastolic blood pressure, HDL-C and LDL-C were associated with risk of coronary heart disease (P<0.05); CESD was the only factor associated with the risk of coronary heart disease [B=0.019, 95% CI: (0.015, 0.032), P=0.032]. 【Conclusion】 The risk of coronary heart disease is higher in middle-aged and elderly people with depressive symptoms than in those without depressive symptoms. Having depressive symptoms is one of the risk factors for coronary heart disease in middle-aged and elderly people.
ABSTRACT
Objective To investigate the changes of body weight and metabolism related indexes after risperidone treatment in schizophrenia and to analyze the relationship of leptin gene 2548G/A polymorphism and polymorphism of ghrelin gene leucine 72 methionine (Leu72Met) with changes in body weight and metabolism related indicators. Methods Sixty-eight patients with schizophrenia were treated with risperidone monotherapy for 10 weeks. The metabolic indexes including body mass index (BMI), waist circumference, fasting blood glucose and blood lipid levels were measured at 4 and 10 weeks after treatment. Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) technique was used to detect the polymorphisms of leptin gene and ghrelin gene. Results The patients' body weight, blood glucose and blood lipids were significantly increased during treatment (P 0.05). Conclusion During the acute phase of risperidone treatment, patients may have different levels of body weight, blood glucose and blood lipid. The ghrelin gene Leu72 allele may be a risk factor for hyperglycemia in patients with schizophrenia treated with risperidone.