Tuesday, October 11, 2016

EBA Do depression symptoms predict early hypertension incidence in young adults in the CARDIA study?



I found this article extremely interesting mainly because I relate to the subject. I myself suffered from depression as a teenager and I now have hypertension. Recent analyses of almost 3,000 subjects enrolled in the National Health and Nutrition Examination Survey I Epidemiologic Follow-Up Study who were followed up for 7-16 years showed that high depressive and anxious symptoms assessed with a standardized measure were significant predictors of hypertension onset. Independent and significant increased risk was found for white subjects aged 45-65 years and for black subjects aged 25-64 years. Hypertension incidence was significantly more elevated in the high and intermediate depressive symptom groups than in the low depressive symptom group for both the full sample and the black cohort. Of the subjects classified as having hypertension, 47% used antihypertensive medication, 51% had a resting diastolic BP higher than 95mmHg, and 1% had a resting systolic BP higher than 160mmHg. Finally, 1% of the subjects met both the diastolic and systolic BP criteria. High depressive symptoms in blacks predicted hypertension better than any other potential risk factor for hypertension. The results of this study shows that depressive symptoms were predictive of later hypertension incidence in young adults. The relation between depression and hypertension is biologically plausible given the increased adrenergic activity in depression that may have a pressor effect on the cardiovascular system. I hope you find this as interesting as I did! 

1 comment:

  1. Great article. Interesting that both hypertension and early depression correlate with each other. I would have not thought that and this article was very informative on how they do so. Good information!

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