ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2020
Longitudinal Changes in Depressive Symptoms and Risks of Cardiovascular Disease and All-Cause Mortality: A Nationwide Population-Based Cohort Study.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Acupuncture in treating cardiovascular disease complicated with depression: A systematic review and meta-analysis.Frontiers in psychiatry · 2022Pooled it
- Potential cardiovascular benefits of sustained improvement in depressive symptoms among middle-aged and older adults: a longitudinal hypothetical intervention study.BMC public health · 2026Article
- Cardiovascular Health Profiles in Pregnant, Postpartum, and Nonpregnant Reproductive-Aged Women Using Life's Essential 8 Scores.JACC. Advances · 2026Article
- Impacts of opioid use, postoperative pain, pain interference, and side effects on postoperative psychological distress: a retrospective study of the PAIN OUT registry in seven Asian regions.BioPsychoSocial medicine · 2026Article
- Longitudinal changes in estimated glucose disposal rate and risk of cardiovascular disease among adults with cardiovascular-kidney-metabolic syndrome stages 0-3: a nationwide prospective cohort study.European journal of medical research · 2025Article
- Temporal and joint associations of hypertension and estimated pulse wave velocity with incident cardiovascular diseases: a population-based cohort study.European journal of medical research · 2025Article
- Courses of depressive symptoms and diabetes incidence among middle-aged and older adults: A prospective study.PloS one · 2025Article
- Article
- The Impact of Changes in Depression on Cardiovascular Outcomes in Patients With Coronary Heart Disease.JACC. Advances · 2024Article
- Association between changes in depressive symptoms and risk of anemia: from the China Health and Retirement longitudinal study.Archives of public health = Archives belges de sante publique · 2024Article
- Pathophysiological dynamics of acute myocardial infarction rats under chronic psychological stress at different time points.Scientific reports · 2024Article
- Prevalence and management of depressive symptoms in coronary heart disease patients and relationship with cardiovascular prognosis: a prospective cohort study.BMC psychiatry · 2024Article
- Depressive symptoms are not associated with clinically important levels of digital home blood pressure in the electronic Framingham Heart Study.Cardiovascular digital health journal · 2024Article
- Influencing Factors on Cardiovascular Health in China.Journal of geriatric cardiology : JGC · 2024Article
- Comparison of Imputation Strategies for Incomplete Longitudinal Data in Life-Course Epidemiology.American journal of epidemiology · 2023Article
- Predictors of Psychological Distress among Post-Operative Cardiac Patients: A Narrative Review.Healthcare (Basel, Switzerland) · 2023Review
- Role of endocrine PACAP in age-related diseases.Frontiers in endocrinology · 2023Review
- Estimated glucose disposal rate and risk of cardiovascular disease: evidence from the China Health and Retirement Longitudinal Study.BMC geriatrics · 2022Article
- Persistence of Depressive Symptoms and Risk of Incident Cardiovascular Disease With and Without Diabetes: Results from the REGARDS Study.Journal of general internal medicine · 2022Article
- Loneliness, social network size and mortality in older adults: a meta-analysis.European journal of ageing · 2022Review
Corrections and comments
- Erratum issued
Authors and funding
11 authors.
Funding
Abstract
backgroundThere remains a relative paucity of evidence for the association between changes in depressive symptoms with cardiovascular disease (CVD) and mortality. This study aimed to evaluate the association of change in depressive symptoms and incident CVD and mortality in a large prospective cohort of middle-aged and older adults.
methodsA total of 6,810 participants free of CVD in the China Health and Retirement Longitudinal Study with two assessments of depressive symptoms at wave 1 (2011-2012) and wave 2 (2013-2014) were included. Elevated depressive symptoms were defined as a score of ≥12 on the 10-item Center for Epidemiologic Studies Depression scale. We used a modified Poisson regression to examine the association of changes in depressive symptoms (never, onset, remitted, and persistent) and incident CVD (a composite endpoint of heart disease or stroke) and mortality at wave 3 (2015-2016).
resultsDuring follow-up, 457 CVDs and 148 deaths occurred. Multivariable analyses revealed that persistent depressive symptoms were associated with an elevated risk of CVD (risk ratio = 1.77, 95% confidence interval = 1.38-2.26) and mortality (risk ratio = 1.63, 95% confidence interval = 1.01-2.64) compared with participants without any depressive symptoms. New-onset depressive symptoms increased the mortality risk (risk ratio = 2.37, 95% confidence interval = 1.52-3.69), but not CVD (risk ratio = 1.15, 95% confidence interval = 0.84-1.58). Remitted depressive symptoms were associated with a 35% and 13% excess risk of CVD and mortality, respectively.
conclusionPersistent and remitted depressive symptoms were associated with an increased risk of CVD. New-onset depressive symptoms predicted elevated mortality risk.
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