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  • Depression Symptoms...

Depression Symptoms tied with increased Risk for Incident HF in Black Adults

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2022-05-04T09:30:22+05:30  |  Updated On 4 May 2022 10:17 AM IST
Depression Symptoms tied with increased Risk for Incident HF in Black Adults
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Depressive Symptoms Linked to Risk for Incident Heart Failure in Black Adult Patients, according to a recent study published in the Journal of the American Heart Association.

Associations between depression, incident heart failure (HF), and mortality are well documented in predominately White samples. Yet, there are sparse data from racial minorities, including those who are women, and depression is underrecognized and undertreated in the Black population. Thus, we examined associations between baseline depressive symptoms, incident HF, and all‐cause mortality across 10 years.

Results

  • They included Jackson Heart Study (JHS) participants with no history of HF at baseline (n=2651; 63.9% women; median age, 53 years).
  • Cox proportional hazards models tested if the risk of incident HF or mortality differed by clinically significant depressive symptoms at baseline (Center for Epidemiological Studies–Depression scores ≥16 versus <16).
  • Models were conducted in the full sample and by sex, with hierarchical adjustment for demographics, HF risk factors, and lifestyle factors.
  • Overall, 538 adults (20.3%) reported high depressive symptoms (71.0% were women), and there were 181 cases of HF (cumulative incidence, 0.06%). In the unadjusted model, individuals with high depressive symptoms had a 43% greater risk of HF (P=0.035).
  • The association remained with demographic and HF risk factors but was attenuated by lifestyle factors. All‐cause mortality was similar regardless of depressive symptoms.
  • By sex, the unadjusted association between depressive symptoms and HF remained for women only (P=0.039). The fully adjusted model showed a 53% greater risk of HF for women with high depressive symptoms (P=0.043).

Thus, among Black adults, there were sex‐specific associations between depressive symptoms and incident HF, with greater risk among women. Sex‐specific management of depression may be needed to improve cardiovascular outcomes.

Reference:

Depressive Symptoms and Incident Heart Failure in the Jackson Heart Study: Differential Risk Among Black Men and Women by Allison E. Gaffey et al. published in the Journal of the American Heart Association.

https://doi.org/10.1161/JAHA.121.022514

Keywords:

Journal of the American Heart Association, Depressive Symptoms, Incident Heart Failure, Jackson Heart Study, Black Adult Patients, Allison E. Gaffey, Casey E. Cavanagh, Lindsey Rosman, Kaicheng Wang, Yanhong Deng, Mario Sims, Emily C. O'Brien, Alanna M. Chamberlain, Robert J. Mentz, LáShauntá M. Glover and Matthew M. Burg


Journal of the American Heart Associationincidentheart failureblack patientsdepression
Source : Journal of the American Heart Association
Dr. Shravani Dali
Dr. Shravani Dali

    Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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