Evidence map›Paper›PMID 41731819›Full record

ArticleMedicine2026

Associations of adiposity, atherogenic lipid phenotypes, systemic immune-inflammatory indices, and vascular aging markers with depression in US adults: NHANES 2005-2020.

Hongjin An, Li Zhang, Yiran Li, Jing Liu, Hailan Zhu, Lingmei He, Yachong Zhao

Abstract read
In one paragraph

Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hongjin AnOutpatient Department, The Twelfth Retirement Cadre Sanatorium of Haidian Garrison Command, Beijing, China.
Li ZhangOutpatient Department, Haidian No. 17 Retired Cadres Sanatorium, Beijing, China.
Yiran LiOutpatient Department, Shijingshan Retired Cadres Sanatorium, Beijing, China.
Jing LiuOutpatient Department, Haidian No. 17 Retired Cadres Sanatorium, Beijing, China.
Hailan ZhuOutpatient Department, The Second Medical Center of Chinese PLA General Hospital, Beijing, China.
Lingmei HeOutpatient Department, Haidian No. 20 Retired Cadres Sanatorium, Beijing, China.
Yachong ZhaoOutpatient Department, Haidian No. 8 Retired Cadres Sanatorium, Beijing, China.ORCID 0009-0003-0149-5498

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The biological mechanisms linking cardiometabolic health, immune-inflammatory activation, and vascular aging with depression remain incompletely understood. We aimed to examine the associations of body mass index (BMI), atherogenic lipid phenotypes, systemic immune-inflammatory indices, and vascular aging markers with the risk of moderate-to-severe depression among US adults. We analyzed data from 17,011 participants in the National Health and Nutrition Examination Survey (NHANES) 2005-2020. Depression was defined as a Patient Health Questionnaire-9 score ≥ 10. Independent predictors included BMI, atherogenic lipid profiles (atherogenic index of plasma, high-density lipoprotein cholesterol [HDL-C], triglyceride/HDL-C, non-HDL-C, Castelli indices), immune-inflammatory indices (systemic immune-inflammation index, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, neutrophil-to-platelet ratio), and vascular aging markers (estimated pulse wave velocity, urinary albumin-to-creatinine ratio). Weighted logistic regression and receiver operating characteristic analyses assessed associations and predictive performance. Among 17,011 participants, 8477 were women and 8534 were men. Moderate-to-severe depression prevalence was 10.9% in women and 6.2% in men. In fully adjusted models, higher BMI, atherogenic index of plasma, triglyceride/HDL-C, Castelli indices, systemic immune-inflammation index, neutrophil-to-lymphocyte ratio, neutrophil-to-platelet ratio, estimated pulse wave velocity, and urinary albumin-to-creatinine ratio were significantly associated with greater odds of depression. HDL-C showed an inverse association in women. Associations were generally stronger in women than in men, particularly for atherogenic lipid indices and inflammatory markers. Predictive models incorporating these indices improved classification of moderate-to-severe depression beyond sociodemographic and clinical factors, with area under the curve increases of 0.024 to 0.045 (all P < .05). Adiposity, dyslipidemia, systemic immune-inflammatory activation, and vascular aging were independently associated with depression. These findings support the role of cardiometabolic and inflammatory pathways in depression pathogenesis and highlight potential avenues for prevention and intervention.

Indexed as

AdiposityAgingAtherosclerosisDepressionInflammationLipidsAdultAgedBiomarkersBody Mass IndexFemaleHumansMaleMiddle AgedNutrition SurveysPhenotypeBiomarkersLipidsatherogenic lipid profilesbody mass indexdepression risksystemic inflammationvascular aging

Identifiers

PMID41731819
PMCPMC12928979

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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.