Cardiovascular risk factors and major depressive disorder: a cross-sectional study in São Paulo, Brazil
São Paulo med. j
; 139(4): 364-371, Jul.-Aug. 2021. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1290244
Biblioteca responsável:
BR1.1
ABSTRACT
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 ANDSETTING:
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.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Doenças Cardiovasculares
/
Transtorno Depressivo Maior
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo de prevalência
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
São Paulo med. j
Assunto da revista:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicina
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Center for Clinical and Epidemiological Research, Hospital Universitário (HU), Universidade de Sao Paulo, Sao Paulo, SP, BR, and Full Professor/BR
/
Center for Clinical and Epidemiological Research, Hospital Universitário (HU), Universidade de Sao Paulo, Sao Paulo, SP, BR, and Professor, Department of Internal Medicine, Faculdade de Medicina FMUSP/BR
/
Department of Public Health/BR
/
Postgraduate Program on Collective Health/BR
/
Section of Psychiatric Epidemiology (LIM-23), Institute of Psychiatry, Hospital das Clínicas FMUSP, Faculdade de Medicina/BR