Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/20008
Título
Blood pressure values and depression in hypertensive individuals at high cardiovascular risk
Autor(es)
Mejia-Lancheros, Cilia | Estruch, Ramon | Angel Martinez-Gonzalez, Miguel | Salas-Salvado, Jordi | Corella, Dolores | Gomez-Gracia, Enrique | Fiol Sala, Miquel | Manuel Santos, Jose | Fito, Montserrat | Aros, Fernando | Serra-Majem, Lluis | Pinto, Xavier | Basora, Josep | Vicente Sorli, Jose | Munoz, Miguel-Angel | PREDIMED Study Investigators
Fecha de publicación
2014-08-26
Cita
Mejia-Lancheros C, Estruch R, Martinez-Gonzalez MA, Salas-Salvado J, Corella D, Gomez-Gracia E, et al. Blood pressure values and depression in hypertensive individuals at high cardiovascular risk. BMC Cardiovasc Disord. 2014 Aug 26;14:109.
Idioma
Inglés
Tipo de documento
research article
Resumen
Background: Hypertension and depression are both important risk factors for cardiovascular diseases. Nevertheless, the association of blood pressure on and depression has not been completely established. This study aims to analyze whether depression may influence the control of blood pressure in hypertensive individuals at high cardiovascular risk. Methods: Cross-sectional study, embedded within the PREDIMED clinical trial, of 5954 hypertensive patients with high cardiovascular risk factor profiles. The relationship between blood pressure control and depression was analyzed. A multivariate analysis (logistic and log-linear regression), adjusting for potential confounders (socio-demographic factors, body mass index, lifestyle, diabetes, dyslipidemia, and antihypertensive treatment), was performed. Results: Depressive patients, with and without antidepressant treatment, had better blood pressure control (OR: 1.28, CI 95%: 1.06-1.55, and OR: 1.30, CI 95%: 1.03-1.65, respectively) than non-depressive ones. Regarding blood pressure levels, systolic blood pressure values (mmHg) were found to be lower in both treated and untreated depressive patients (Log coefficient Beta: -1.59, 95% CI: -0.50 to -2.69 and Log coefficient Beta: -3.49, 95% CI: -2.10 to -4.87, respectively). Conclusions: Among hypertensive patients at high cardiovascular risk, the control of blood pressure was better in those diagnosed with depression.
Palabras clave
MESH
Aged, 80 and over | Aged | Humans | Depression | Hypertension | Middle Aged | Blood Pressure | Cross-Sectional Studies | Male | Multivariate Analysis | Chi-Square Distribution | Risk Factors | Antidepressive Agents | Treatment Outcome | Odds Ratio | Antihypertensive Agents | Linear Models | Logistic Models
DECS
Modelos Lineales | Antihipertensivos | Resultado del Tratamiento | Antidepresivos | Modelos Logísticos | Oportunidad Relativa | Distribución de Chi-Cuadrado | Análisis Multivariante | Masculino | Hipertensión | Estudios Transversales | Factores de Riesgo | Presión Sanguínea | Humanos | Persona de Mediana Edad | Depresión | Anciano | Anciano de 80 o más Años
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