Childhood-onset depression and arterial stiffness in young adulthood
The literature on childhood-onset depression and future compromised vascular function is suggestive but limited. The objective of this study was to determine if arterial stiffness, a predictor of future cardiovascular disease (CVD), measured in young adulthood, is associated with childhood-onset dep...
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Published in | Journal of psychosomatic research Vol. 148; p. 110551 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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London
Elsevier Inc
01.09.2021
Elsevier Science Ltd |
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Abstract | The literature on childhood-onset depression and future compromised vascular function is suggestive but limited. The objective of this study was to determine if arterial stiffness, a predictor of future cardiovascular disease (CVD), measured in young adulthood, is associated with childhood-onset depression.
Cardiometabolic risk factors and pulse wave velocity (PWV), a measure of arterial stiffness, were cross-sectionally assessed in young adults with a history of childhood-onset depression (clinical diagnosis of major depressive episode or dysthymic disorder; N = 294 probands; initially recruited via child mental health facilities across Hungary; mean age of first depressive episode = 10.4 years), their never-depressed full biological siblings (N = 269), and never-depressed controls (N = 169). The mean ages of probands, siblings, and controls at the PWV visit were 25.6, 25.0, and 21.7 years, respectively, and 8.8% of the probands were in a current depressive episode.
Controlling for age, sex, age*sex, education, and family clusters, PWV (m/s) did not statistically differ across the groups (probands = 7.01; siblings = 6.98; controls = 6.81). However, after adjusting for key covariates, there were several across-group differences in CVD risk factors: compared to controls, probands and siblings had higher diastolic blood pressure and lower high-density lipoprotein cholesterol, probands had higher triglycerides, and siblings had higher body mass index (all p < 0.05).
We found limited evidence of an association between a history of childhood-onset depression and young adulthood arterial stiffness. However, our findings of elevated cardiovascular risk factors in those with childhood-onset depression suggest that pediatric depression may predispose to increased CVD risk later in life and warrants further investigation.
•Pediatric depression was not associated with young adulthood arterial stiffness.•Pediatric depression was associated with adverse young adulthood CVD risk factors.•These risk factors include diastolic blood pressure, HDL-c and triglycerides.•Childhood-onset depression may predispose youth to CVD risk later in life. |
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AbstractList | The literature on childhood-onset depression and future compromised vascular function is suggestive but limited. The objective of this study was to determine if arterial stiffness, a predictor of future cardiovascular disease (CVD), measured in young adulthood, is associated with childhood-onset depression.
Cardiometabolic risk factors and pulse wave velocity (PWV), a measure of arterial stiffness, were cross-sectionally assessed in young adults with a history of childhood-onset depression (clinical diagnosis of major depressive episode or dysthymic disorder; N = 294 probands; initially recruited via child mental health facilities across Hungary; mean age of first depressive episode = 10.4 years), their never-depressed full biological siblings (N = 269), and never-depressed controls (N = 169). The mean ages of probands, siblings, and controls at the PWV visit were 25.6, 25.0, and 21.7 years, respectively, and 8.8% of the probands were in a current depressive episode.
Controlling for age, sex, age*sex, education, and family clusters, PWV (m/s) did not statistically differ across the groups (probands = 7.01; siblings = 6.98; controls = 6.81). However, after adjusting for key covariates, there were several across-group differences in CVD risk factors: compared to controls, probands and siblings had higher diastolic blood pressure and lower high-density lipoprotein cholesterol, probands had higher triglycerides, and siblings had higher body mass index (all p < 0.05).
We found limited evidence of an association between a history of childhood-onset depression and young adulthood arterial stiffness. However, our findings of elevated cardiovascular risk factors in those with childhood-onset depression suggest that pediatric depression may predispose to increased CVD risk later in life and warrants further investigation.
•Pediatric depression was not associated with young adulthood arterial stiffness.•Pediatric depression was associated with adverse young adulthood CVD risk factors.•These risk factors include diastolic blood pressure, HDL-c and triglycerides.•Childhood-onset depression may predispose youth to CVD risk later in life. Objectives The literature on childhood-onset depression and future compromised vascular function is suggestive but limited. The objective of this study was to determine if arterial stiffness, a predictor of future cardiovascular disease (CVD), measured in young adulthood, is associated with childhood-onset depression. Methods Cardiometabolic risk factors and pulse wave velocity (PWV), a measure of arterial stiffness, were cross-sectionally assessed in young adults with a history of childhood-onset depression (clinical diagnosis of major depressive episode or dysthymic disorder; N = 294 probands; initially recruited via child mental health facilities across Hungary; mean age of first depressive episode = 10.4 years), their never-depressed full biological siblings (N = 269), and never-depressed controls (N = 169). The mean ages of probands, siblings, and controls at the PWV visit were 25.6, 25.0, and 21.7 years, respectively, and 8.8% of the probands were in a current depressive episode. Results Controlling for age, sex, age*sex, education, and family clusters, PWV (m/s) did not statistically differ across the groups (probands = 7.01; siblings = 6.98; controls = 6.81). However, after adjusting for key covariates, there were several across-group differences in CVD risk factors: compared to controls, probands and siblings had higher diastolic blood pressure and lower high-density lipoprotein cholesterol, probands had higher triglycerides, and siblings had higher body mass index (all p < 0.05). Conclusion We found limited evidence of an association between a history of childhood-onset depression and young adulthood arterial stiffness. However, our findings of elevated cardiovascular risk factors in those with childhood-onset depression suggest that pediatric depression may predispose to increased CVD risk later in life and warrants further investigation. OBJECTIVESThe literature on childhood-onset depression and future compromised vascular function is suggestive but limited. The objective of this study was to determine if arterial stiffness, a predictor of future cardiovascular disease (CVD), measured in young adulthood, is associated with childhood-onset depression. METHODSCardiometabolic risk factors and pulse wave velocity (PWV), a measure of arterial stiffness, were cross-sectionally assessed in young adults with a history of childhood-onset depression (clinical diagnosis of major depressive episode or dysthymic disorder; N = 294 probands; initially recruited via child mental health facilities across Hungary; mean age of first depressive episode = 10.4 years), their never-depressed full biological siblings (N = 269), and never-depressed controls (N = 169). The mean ages of probands, siblings, and controls at the PWV visit were 25.6, 25.0, and 21.7 years, respectively, and 8.8% of the probands were in a current depressive episode. RESULTSControlling for age, sex, age*sex, education, and family clusters, PWV (m/s) did not statistically differ across the groups (probands = 7.01; siblings = 6.98; controls = 6.81). However, after adjusting for key covariates, there were several across-group differences in CVD risk factors: compared to controls, probands and siblings had higher diastolic blood pressure and lower high-density lipoprotein cholesterol, probands had higher triglycerides, and siblings had higher body mass index (all p < 0.05). CONCLUSIONWe found limited evidence of an association between a history of childhood-onset depression and young adulthood arterial stiffness. However, our findings of elevated cardiovascular risk factors in those with childhood-onset depression suggest that pediatric depression may predispose to increased CVD risk later in life and warrants further investigation. |
ArticleNumber | 110551 |
Author | Barinas-Mitchell, Emma Matthews, Karen A. Kiss, Enikő Columbus, Mindy L. Kapornai, Krisztina George, Charles J. Evans, Rhobert Kovacs, Maria Yang, Xiao Dósa, Edit |
AuthorAffiliation | c Department of Interventional Radiology, Heart and Vascular Center, Semmelweis University, Budapest, Hungary e Department of Pediatrics and Child Health Center, Child and Adolescent Psychiatry Unit, University of Szeged, Szeged, Hungary d Hungarian Vascular Radiology Research Group b Department of Psychiatry, University of Pittsburgh, PA, USA a Department of Epidemiology, University of Pittsburgh, PA, USA |
AuthorAffiliation_xml | – name: d Hungarian Vascular Radiology Research Group – name: b Department of Psychiatry, University of Pittsburgh, PA, USA – name: e Department of Pediatrics and Child Health Center, Child and Adolescent Psychiatry Unit, University of Szeged, Szeged, Hungary – name: a Department of Epidemiology, University of Pittsburgh, PA, USA – name: c Department of Interventional Radiology, Heart and Vascular Center, Semmelweis University, Budapest, Hungary |
Author_xml | – sequence: 1 givenname: Emma surname: Barinas-Mitchell fullname: Barinas-Mitchell, Emma email: ejb4@pitt.edu organization: Department of Epidemiology, University of Pittsburgh, PA, USA – sequence: 2 givenname: Xiao surname: Yang fullname: Yang, Xiao organization: Department of Psychiatry, University of Pittsburgh, PA, USA – sequence: 3 givenname: Karen A. surname: Matthews fullname: Matthews, Karen A. organization: Department of Psychiatry, University of Pittsburgh, PA, USA – sequence: 4 givenname: Mindy L. surname: Columbus fullname: Columbus, Mindy L. organization: Department of Epidemiology, University of Pittsburgh, PA, USA – sequence: 5 givenname: Charles J. surname: George fullname: George, Charles J. organization: Department of Psychiatry, University of Pittsburgh, PA, USA – sequence: 6 givenname: Edit surname: Dósa fullname: Dósa, Edit organization: Department of Interventional Radiology, Heart and Vascular Center, Semmelweis University, Budapest, Hungary – sequence: 7 givenname: Enikő surname: Kiss fullname: Kiss, Enikő organization: Department of Pediatrics and Child Health Center, Child and Adolescent Psychiatry Unit, University of Szeged, Szeged, Hungary – sequence: 8 givenname: Krisztina surname: Kapornai fullname: Kapornai, Krisztina organization: Department of Pediatrics and Child Health Center, Child and Adolescent Psychiatry Unit, University of Szeged, Szeged, Hungary – sequence: 9 givenname: Rhobert surname: Evans fullname: Evans, Rhobert organization: Department of Epidemiology, University of Pittsburgh, PA, USA – sequence: 10 givenname: Maria surname: Kovacs fullname: Kovacs, Maria organization: Department of Psychiatry, University of Pittsburgh, PA, USA |
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CitedBy_id | crossref_primary_10_1016_j_jad_2023_06_017 crossref_primary_10_1016_j_jpsychores_2022_110720 crossref_primary_10_1007_s11883_023_01111_4 crossref_primary_10_1007_s12529_022_10060_2 crossref_primary_10_1016_j_jaacop_2024_04_004 crossref_primary_10_1161_JAHA_123_030741 crossref_primary_10_1186_s12888_024_05848_3 crossref_primary_10_1016_j_jpsychores_2023_111386 crossref_primary_10_3390_medicina59030477 |
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Keywords | Major depressive episode Arterial stiffness Dysthymic disorder Childhood depression Cardiovascular risk |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 MK conceived the idea for the study. MK and KM designed the study. EBM, ED, and MC were involved in data collection. XY and CG performed the statistical analyses. EBM wrote the first draft of the manuscript. All revised the manuscript critically and have given their final approval of the version to be published. Contributors |
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Snippet | The literature on childhood-onset depression and future compromised vascular function is suggestive but limited. The objective of this study was to determine... Objectives The literature on childhood-onset depression and future compromised vascular function is suggestive but limited. The objective of this study was to... OBJECTIVESThe literature on childhood-onset depression and future compromised vascular function is suggestive but limited. The objective of this study was to... |
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SubjectTerms | Age Age differences Age of onset Arterial stiffness Blood pressure Body mass index Cardiovascular diseases Cardiovascular risk Child & adolescent mental health Childhood depression Children Cholesterol Density Dysthymic disorder Life course Major depressive episode Medical diagnosis Mental depression Mental health Pediatrics Risk factors Siblings Triglycerides Young adults |
Title | Childhood-onset depression and arterial stiffness in young adulthood |
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