title: Association between Ideal Cardiovascular Health Metrics and Depression in Chinese Population: A Cross-sectional Study.
abstract: The study aimed to examine the association between ideal cardiovascular health (CVH) metrics and depression. We conducted a population-based, cross-sectional study of 6,851 participants aged 20 years or older (3,525 men and 3,326 women) living in Tangshan City, China. Information on the seven CVH metrics (including smoking, body mass index, dietary intake, physical activity, blood pressure, total cholesterol and fasting blood glucose) was collected via questionnaires, physical examination and laboratory test. Depression status was assessed using the Epidemiologic Studies Depression Scale (CES-D) and a score of 16 or above was considered depression. The relationship between CVH metrics and depression was analyzed using logistic regression. Of the 6,851 participants, 525 (7.7%) were in depression status. After adjustment for potential confounders, men in the highest quartile of ideal CVH metric summary score had a reduced likelihood of having depression compared to those in the lowest quartile (adjusted odds ratio (AOR): 0.46, 95% confidence interval (CI): 0.28-0.75, p = 0.002). A similar trend was found among women, even though the association was not significant (AOR = 0.74, 95%CI: 0.46-1.18, p = 0.211). This study suggested that better CVH status is associated with a lower risk of depression especially in Chinese male and young population.
authors.affiliation: Department of Cardiology, Tangshan People's Hospital, Hebei United University, Tangshan, 063000 China.
authors.forename: Zhikun
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050 China.
authors.forename: Xin
authors.initials: X
authors.lastname: Yang
authors.affiliation: Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050 China.
authors.forename: Anxin
authors.initials: A
authors.lastname: Wang
authors.affiliation: School of Public Health, Ningxia Medical University.
authors.forename: Jing
authors.initials: J
authors.lastname: Qiu
authors.affiliation: 1] Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, 100050 China [2] Postgraduate Medicine, School of Medical Sciences, Edith Cowan University, Perth, WA 6027, Australia.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.affiliation: Department of Cardiology, Tangshan People's Hospital, Hebei United University, Tangshan, 063000 China.
authors.forename: Qiaofeng
authors.initials: Q
authors.lastname: Song
authors.affiliation: Department of Cardiology, Tangshan People's Hospital, Hebei United University, Tangshan, 063000 China.
authors.forename: Xizhu
authors.initials: X
authors.lastname: Wang
mesh_terms: D000328:Adult; D002320:Cardiovascular Physiological Phenomena; D002681:China; D003430:Cross-Sectional Studies; D003863:Depression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult