Evidence map›Paper›PMID 21636660›Full record

SynthesisPsychosomatic medicine2011

Depressed mood and flow-mediated dilation: a systematic review and meta-analysis.

Denise C Cooper, Lianne M Tomfohr, Milos S Milic, Loki Natarajan, Wayne A Bardwell, Michael G Ziegler, Joel E Dimsdale

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Psychosomatic medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

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  8. Resting beat-to-beat blood pressure variability is preserved in young adults with major depressive disorder.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Denise C CooperDepartment of Psychiatry, University of California San Diego, La Jolla, CA 92093-0804, USA. dccooper@ucsd.edu
Lianne M Tomfohr
Milos S Milic
Loki Natarajan
Wayne A Bardwell
Michael G Ziegler
Joel E Dimsdale
University of California, San Diego · US

Funding

ZOVIRAX CREAM TO TREAT HERPES LABIALIS IN ADOLESCENTSM01RR000827 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BRENNER, DAVID A. · 1985 to 2010
$74.3M
San Diego EXPORT Comprehensive NCMHD Research CenterP60MD000220 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI VILLARREAL, FRANCISCO · 2002 to 2011
$11.0M
STRESS PHYSIOLOGY, DIETARY SALT, AND HYPERTENSIONR01HL036005 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIMSDALE, JOEL E · 1985 to 2010
$5.1M
NCRR NIH HHS M01 RR000827NCRR NIH HHS RR00827NHLBI NIH HHS HL36005NHLBI NIH HHS R01 HL036005NIMHD NIH HHS P60 MD000220NIMHD NIH HHS P60MD00220
6 · The paper itself

Abstract

objectiveThis systematic and quantitative review evaluates the literature on associations between depressed mood and flow-mediated dilation (FMD), a measure of endothelial function, in adults.

methodsPublished English-language articles (through December 2010) were identified from literature searches, assessed for data extraction, and evaluated for quality.

resultsThe literature includes cross-sectional (n = 9) and retrospective examinations (n = 3) of how FMD correlates with clinical or subclinical depression in healthy adults and cardiovascular patients (total N across 12 studies = 1491). FMD was assessed using a variety of methodologies. Samples were predominately older white and Asian subjects with higher socioeconomic status. In eight of the 12 articles selected for this review, at least one significant inverse association was noted between depressed mood and FMD, with primarily moderate effect sizes. The overall meta-analysis (random-effects model) revealed a combined effect size of correlation coefficient r = 0.19 (95% confidence interval = 0.08-0.29, p = .001). Significant combined effects were found for subgroups of studies that a) received better quality ratings (r = 0.29), b) examined patients with cardiovascular disease or with cardiovascular disease risk factors/comorbidity (r = 0.29), c) used maximum vasodilation to quantify FMD (r = 0.27), and d) assessed samples that had a mean age of 55 years and older (r = 0.15).

conclusionsDiverse studies support the inverse correlation between depressed mood and endothelial function, as measured by FMD. This literature would be strengthened by prospective studies, increased methodological consistency in FMD testing, and broader sampling (e.g., African Americans, younger age, lower socioeconomic status).

Indexed as

AdultCardiovascular DiseasesCross-Sectional StudiesDepressionEndothelium, VascularFemaleHumansHyperemiaMaleRetrospective StudiesSocial ClassVasodilation

Identifiers

PMID21636660
PMCPMC4266566
OpenAlexW2041695697

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.