Evidence map›Paper›PMID 26817654›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2016

Direction of Association Between Depressive Symptoms and Lifestyle Behaviors in Patients with Coronary Heart Disease: the Heart and Soul Study.

Nancy L Sin, Anupama D Kumar, Anil K Gehi, Mary A Whooley

Abstract read
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In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
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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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  3. Psychological interventions for acute pain after open heart surgery.The Cochrane database of systematic reviews · 2017
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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

4 authors.

Nancy L SinCenter for Healthy Aging, The Pennsylvania State University, 422 Biobehavioral Health Building, University Park, PA, 16802, USA. nancy.sin@psu.edu.ORCID 0000-0003-2519-7797
Anupama D KumarTufts University School of Medicine, Boston, MA, USA.
Anil K GehiDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Mary A WhooleyDepartment of Medicine, University of California, San Francisco, CA, USA.

Funding

RESEARCH TRAINING IN GERIATRIC MEDICINET32AG000212 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 1991 to 2026
$7.7M
Epidemiology of Depression and Heart Failure in AgingR01HL079235 · NHLBI · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WHOOLEY, MARY A · 2005 to 2009
$4.2M
The Role of Daily Well-Being in Inflammatory Processes and Diurnal Cortisol RhythmsF32AG048698 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI SIN, NANCY L · 2015 to 2016
$119k
NHLBI NIH HHS R01 HL079235NIA NIH HHS F32 AG048698NIA NIH HHS T32 AG000212
6 · The paper itself

Abstract

backgroundEmerging evidence indicates that the association between depression and subsequent cardiovascular events is largely mediated by health behaviors. However, it is unclear whether depression is the cause or the consequence of poor health behaviors. PURPOSE: The purpose of the present study is to examine prospective, bidirectional relationships of depressive symptoms with behavioral and lifestyle factors among patients with coronary heart disease.

methodsDepressive symptoms and lifestyle behaviors (physical activity, medication adherence, body mass index, waist to hip ratio, sleep quality, and smoking status) were assessed at baseline and 5 years later among a prospective cohort of 667 patients with stable coronary heart disease.

resultsGreater depressive symptoms at baseline predicted poorer lifestyle behaviors 5 years later (less physical activity, lower medication adherence, higher body mass index, higher waist to hip ratio, worse sleep quality, and smoking). After adjustment for demographics, cardiac disease severity, comorbidity, and baseline lifestyle behaviors, depressive symptom severity remained predictive of subsequent worsening of physical activity (beta = -0.08; 95 % confidence interval (CI) = -0.16, -0.01; p = 0.03), medication adherence (beta = -0.16; 95 % CI = -0.24, -0.08; p < 0.001), and sleep quality (beta = -0.19; 95 % CI = -0.27, -0.11; p < 0.001). Baseline lifestyle behaviors also predicted 5-year change in depressive symptoms, although the associations were attenuated after adjustment for baseline depressive symptoms and covariates.

conclusionsAmong patients with coronary heart disease, depressive symptoms were linked to a range of lifestyle risk factors and predicted further declines in physical activity, medication adherence, and sleep quality.

Indexed as

Health BehaviorLife StyleAgedCase-Control StudiesCoronary DiseaseDepressionFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsCoronary heart diseaseDepressionHealth behaviorsMedication adherencePhysical activitySleep quality

Identifiers

PMID26817654
PMCPMC4935549

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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.