在美国中老年糖尿病患者中,抑郁症状与关节血糖、血压和胆固醇控制没有纵向关系。

IF 3.6 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Namitha Mary Varghese, Jithin Sam Varghese
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引用次数: 0

摘要

背景:相对于无糖尿病的普通人群,抑郁症合并糖尿病的发生率是其两倍,但尚不清楚抑郁症是否与普通人群的糖尿病控制有纵向关系。目的:研究美国中老年糖尿病患者(≥50岁)抑郁症状与血糖、血压(BP)和胆固醇控制(ABC控制)共同实现之间的纵向关联。方法:收集2006-2017年全国代表性健康与退休研究的数据,每2年进行一次研究。采用流行病学研究中心抑郁量表(CES-D8)评估基线抑郁症状(≥3分)。4年后通过HbA1c确定联合ABC控制(结果:研究样本包括来自2 531例个体的3 332次观察(平均年龄:64.4岁[SD: 8.8], 55.4%为女性)。校正协变量后,抑郁症状与联合ABC控制(RR: 0.91 [95% CI, 0.76-1.09])和血糖、血压或胆固醇控制均无相关性。根据年龄、性别、基线ABC控制、药物使用和糖尿病持续时间定义的不同亚组的研究结果一致。结论:基线抑郁症状不影响未来的糖尿病管理。护理模式应该分别关注这两种情况,以潜在地改善整体健康状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Depressive symptoms are not longitudinally associated with joint glycemic, blood pressure and cholesterol control among middle-aged and older adults with diabetes in USA.

Background: Depression co-occurs with diabetes at twice the rate, relative to the general population without diabetes but it is unknown whether depression is longitudinally associated with diabetes control in the general population.

Purpose: To characterize the longitudinal association between depressive symptoms and joint achievement of glycemic, blood pressure (BP), and cholesterol control (ABC control) among middle-aged and older adults (≥50 years) with diabetes in United States.

Methods: Data of the nationally representative Health and Retirement Study 2006-2017 were pooled across study waves conducted every 2 years. Center for Epidemiological Studies Depression (CES-D8) scale was used to assess baseline depressive symptoms (≥3 points). Joint ABC control 4 years later was ascertained using HbA1c (<7.0% [53 mmol/mol] if <65 years, <7.5% [58 mmol/mol] if ≥65 years or <8.0% [64 mmol/mol] with comorbidities), BP (systolic < 140 and diastolic < 90 mm Hg), and non-HDL cholesterol (<130 mg/dL). Survey-weighted modified Poisson regressions were used to study the association (risk ratios [RR]) of depressive symptoms with ABC control.

Results: The study sample consisted of 3 332 observations from 2 531 individuals (mean age: 64.4 years [SD: 8.8], 55.4% women). Depressive symptoms were neither associated with the achievement of joint ABC control (RR: 0.91 [95% CI, 0.76-1.09]) nor achievement of glycemic, BP or cholesterol control after adjusting for covariates. Findings were consistent across various subgroups defined by age, gender, baseline ABC control, medication use, and duration of diabetes.

Conclusions: Baseline depressive symptoms do not compromise future diabetes management. Care models should focus on both conditions independently to potentially improve overall health.

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来源期刊
Annals of Behavioral Medicine
Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
7.00
自引率
5.30%
发文量
65
期刊介绍: Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .
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