Evidence map›Paper›PMID 32971394›Full record

ArticleAtherosclerosis2020

Subclinical macro and microvascular disease is differently associated with depressive symptoms in men and women: Findings from the SABRE population-based study.

Jingyi Wang, Therese Tillin, Alun D Hughes, Marcus Richards, Naveed Sattar, Chloe Park, Nish Chaturvedi

Abstract read
In one paragraph

Article in Atherosclerosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jingyi WangMRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, London, United Kingdom; Department of Social Medicine, School of Public Health, Fudan University, Shanghai, China. Electronic address: jingyi_wang@fudan.edu.cn.
Therese TillinMRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, London, United Kingdom. Electronic address: t.tillin@ucl.ac.uk.
Alun D HughesMRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, London, United Kingdom.
Marcus RichardsMRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, London, United Kingdom.
Naveed SattarInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.
Chloe ParkMRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, London, United Kingdom.
Nish ChaturvediMRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, London, United Kingdom.

Funding

British Heart Foundation CS/13/1/30327British Heart Foundation PG/12/29/29497British Heart Foundation SP/07/001/23603Medical Research Council MC_UU_00019/3Medical Research Council MC_UU_12019/3
6 · The paper itself

Abstract

BACKGROUND AND

aimsMechanisms underlying the association between cardiovascular disease (CVD) and depression are unknown, and sex differences understudied. We investigated associations between a comprehensive set of measures of macro and microvascular disease and depressive symptoms in older men and women.

methodsWe performed cross-sectional analyses of the SABRE (Southall And Brent REvisited) population-based study. Participants (1396) attended clinic between 2008 and 2011 for assessment of subclinical macrovascular (carotid ultrasound, echocardiography, cerebral magnetic resonance imaging) and microvascular (retinopathy, nephropathy) disease, and depression.

resultsMean age of 1396 participants was 69.5 years, and 76.2% were male. The median (interquartile range) of depression score was 1 [0, 2] for men and 1 [0, 3] for women. All measures of subclinical macro and microvascular disease were adversely associated with depressive symptoms, even when known CVD was excluded. Physical activity partly explained some of these relationships. The association between left atrial dimension index (LADI), a measure of chronic elevated left ventricular filling pressure, and depressive symptoms was stronger in women (regression coefficient 0.23 [95% CI 0.11, 0.35]) than men (0.07 [-0.01, 0.15]), p for interaction 0.06, on multivariable adjustment.

conclusionsSubclinical macro and microvascular disease is associated with depressive symptoms, even in the absence of established CVD. These were in part accounted for by physical activity. We observed stronger association between LADI and depressive symptoms in women than in men. The beneficial role of physical activity in abrogating the association between subclinical CVD and depression warrants further investigation.

Indexed as

Cardiovascular DiseasesDepressionAgedCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleRisk FactorsSex CharacteristicsDepressionEpidemiologyRisk factorsSex differencesVascular diseases

Identifiers

PMID32971394
PMCPMC7594642

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