Evidence map›Paper›PMID 41189848›Full record

ArticleCureus2025

Interaction Effects of Diabetes and Depression on Hypertension Among US Adults: A Cohort Study.

Lifeng Zhao, Haisheng Chen

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Lifeng ZhaoDepartment of Cardiovascular Surgery, Guangzhou First People's Hospital School of Medicine, South China University of Technology, Guangzhou, CHN.
Haisheng ChenDepartment of Cardiovascular Surgery, Guangzhou First People's Hospital School of Medicine, South China University of Technology, Guangzhou, CHN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension, depression, and diabetes are major public health concerns that are closely interlinked. This study examined the independent associations of depression and diabetes with hypertension, as well as their combined effects, using data from the National Health and Nutrition Examination Survey (NHANES) between 2005 and 2018.

methodsData from NHANES 2005-2018 were analyzed for diabetes, depression, hypertension, and potential confounders. Weighted multivariate logistic regression models were used to assess the associations of depression and diabetes with hypertension, with subgroup analyses by depression severity. Additive interaction effects of depression and diabetes on hypertension were evaluated using the relative excess risk due to interaction (RERI), attributable proportion (AP), and synergy index (SI).

resultsA total of 29,747 participants were included, of whom 10,682 (35.9%) had hypertension. Diabetes was associated with a significantly higher risk of hypertension (odds ratio (OR) = 2.67, 95% confidence interval (CI): 2.40-2.96). Depression was also associated with an increased risk of hypertension (OR = 1.69, 95% CI: 1.48-1.94). Significant additive interaction effects were observed between depression and diabetes on hypertension risk (RERI = 0.75, 95% CI: 0.01-0.48; AP = 0.20, 95% CI: 0.04-0.36; SI = 1.38, 95% CI: 1.04-1.82).

conclusionDepression and diabetes demonstrated a synergistic interaction in increasing the risk of hypertension, particularly in patients with moderate depression. These findings highlight the importance of integrated management of mental health and diabetes to prevent or mitigate hypertension.

Indexed as

depressiondiabeteshypertensioninteractionnhanes

Identifiers

PMID41189848
PMCPMC12580615

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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.