Poorer cardiovascular health is associated with psychiatric comorbidity: results from the ELSA-Brasil Study

Imagem de Miniatura
Arquivos
art_SZLEJF_Poorer_cardiovascular_health_is_associated_with_psychiatric_comorbidity_2019.PDF (570.69 KB)
Citações na Scopus
30
Tipo de produção
article
Data de publicação
2019
Editora
ELSEVIER IRELAND LTD
DOI
Indexadores
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
NUNES, Maria Angelica
VIANA, Maria Carmen
BARRETO, Sandhi Maria
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
INTERNATIONAL JOURNAL OF CARDIOLOGY, v.274, p.358-365, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Common psychiatric symptoms may hinder achieving ideal cardiovascular health (ICH). We aimed to investigate the association between the ICH score and psychiatric disorders in Brazilian adults. Methods: In this cross-sectional analysis, 13,743 participants free of cardiovascular disease from the ELSA-Brasil study were assessed using the American Heart Association ICH score. Cardiovascular health was classified as poor (0-2 idealmetrics), intermediate (3-4 ideal metrics), and optimal (5-7 ideal metrics). We used the Clinical Interview Scheduled Revised (CIS-R) to assess psychiatric disorders and investigate their association with the ICH score and each non-ICH metric. Results: The frequency of poor, intermediate, and optimal cardiovascular health were 54.1%, 38.1%, and 7.8%, respectively. Depressive and anxiety disorders were associated with poor cardiovascular health (depressive disorder: OR = 2.49, 95% CI = 1.62-3.80, p < 0.001; anxiety disorder: OR = 1.47, 95% CI = 1.22-1.78, p < 0.001), and intermediate cardiovascular health (depressive disorder: OR = 1.94, 95% CI = 1.26-2.98, p = 0.002; anxiety disorder: OR = 1.22, 95% CI = 1.01-1.47, p = 0.043). In the analysis stratified by sex, these associations were significant only among women. The disorders were also associated with the following non-ICH metrics: body mass index, physical activity, healthy diet score, and smoking. Participants with depressive disorder and anxiety disorder had expected lower global and lifestyle ICH score than participants without these conditions, with significant results among women in the stratified analysis. Conclusion: Psychiatric comorbidity was associated with poorer cardiovascular health. These conditions may compromise the adoption of healthy cardiovascular risk reduction behaviors.
Palavras-chave
Ideal cardiovascular health, Depression, Anxiety, Psychiatric diagnosis, Lifestyle
URI
https://observatorio.fm.usp.br/handle/OPI/29823
Referências
  1. [Anonymous], 2011, VIGILANCIA FATORES R
  2. Aquino EML, 2012, AM J EPIDEMIOL, V175, P315, DOI 10.1093/aje/kwr294
  3. Bensenor IM, 2016, AM HEART J, V174, P51, DOI 10.1016/j.ahj.2015.12.018
  4. Cohen BE, 2015, AM J HYPERTENS, V28, P1295, DOI 10.1093/ajh/hpv047
  5. Coupland C, 2016, BMJ-BRIT MED J, V352, pi1350
  6. Craig CL, 2003, MED SCI SPORT EXER, V35, P1381, DOI 10.1249/01.MSS.0000078924.61453.FB
  7. Dhamoon MS, 2015, J AM HEART ASSOC, V4, DOI 10.1161/JAHA.114.001322
  8. Emdin CA, 2016, AM J CARDIOL, V118, P511, DOI 10.1016/j.amjcard.2016.05.041
  9. Espana-Romero V, 2013, PSYCHOSOMATICS, V54, P525, DOI 10.1016/j.psym.2013.06.016
  10. Fang N, 2016, INT J CARDIOL, V214, P280, DOI 10.1016/j.ijcard.2016.03.210
  11. Gan Y, 2014, BMC PSYCHIATRY, V14, DOI 10.1186/s12888-014-0371-z
  12. Garcia-Hermoso A, 2018, REJUV RES, V21, P333, DOI 10.1089/rej.2017.1984
  13. Gaye B, 2016, SCI REP-UK, V6, DOI 10.1038/srep18951
  14. Graciani A, 2016, CIRC-CARDIOVASC QUAL, V9, P239, DOI 10.1161/CIRCOUTCOMES.115.002294
  15. Guo L., 2017, CLIN CARDIOL, P1
  16. Kronish IM, 2006, J GEN INTERN MED, V21, P1178, DOI 10.1111/j.1525-1497.2006.00586.x
  17. Kronish IM, 2012, PLOS ONE, V7, DOI 10.1371/journal.pone.0052771
  18. Kuhl EA, 2009, AM J CARDIOL, V103, P1629, DOI 10.1016/j.amjcard.2009.02.014
  19. LEWIS G, 1992, PSYCHOL MED, V22, P465, DOI 10.1017/S0033291700030415
  20. LI Z, 2015, SCI REP, V5, P1
  21. Lloyd-Jones DM, 2010, CIRCULATION, V121, P586, DOI 10.1161/CIRCULATIONAHA.109.192703
  22. Machado LBM, 2018, INT J CARDIOL, V254, P333, DOI 10.1016/j.ijcard.2017.12.037
  23. Manczuk M, 2017, INT J CARDIOL, V230, P549, DOI 10.1016/j.ijcard.2016.12.060
  24. May HT, 2017, PSYCHOL HEALTH MED, V22, P919, DOI 10.1080/13548506.2017.1281975
  25. Murray CJL, 2015, LANCET, V386, P2145, DOI 10.1016/S0140-6736(15)61340-X
  26. Narita K, 2007, J PSYCHIATR RES, V41, P418, DOI 10.1016/j.jpsychires.2006.01.003
  27. Nicholson A, 2006, EUR HEART J, V27, P2763, DOI 10.1093/eurheartj/ehl338
  28. Nunes M. A., 2011, REV HCPA, V31, P487
  29. Pan A, 2011, JAMA-J AM MED ASSOC, V306, P1241, DOI 10.1001/jama.2011.1282
  30. Pitsavos C, 2006, ATHEROSCLEROSIS, V185, P320, DOI 10.1016/j.atherosclerosis.2005.06.001
  31. Pulkki-Raback L, 2015, CIRCULATION, V131, P245, DOI 10.1161/CIRCULATIONAHA.113.007104
  32. Roest AM, 2010, J AM COLL CARDIOL, V56, P38, DOI 10.1016/j.jacc.2010.03.034
  33. Santos IS, 2016, J AM SOC ECHOCARDIOG, V29, P1207, DOI 10.1016/j.echo.2016.09.001
  34. Santos IS, 2016, AM J CARDIOL, V118, P183, DOI 10.1016/j.amjcard.2016.04.048
  35. Santos IS, 2015, ATHEROSCLEROSIS, V240, P529, DOI 10.1016/j.atherosclerosis.2015.04.800
  36. Schmidt MI, 2015, INT J EPIDEMIOL, V44, P68, DOI 10.1093/ije/dyu027
  37. Sgoifo A, 2015, STRESS, V18, P343, DOI 10.3109/10253890.2015.1045868
  38. Shah Amit J, 2014, J Am Heart Assoc, V3, pe000741, DOI 10.1161/JAHA.113.000741
  39. Sichieri R, 1998, NUTR RES, V18, P1649, DOI 10.1016/S0271-5317(98)00151-1
  40. Silva MT, 2014, REV BRAS PSIQUIATR, V36, P262, DOI 10.1590/1516-4446-2013-1294
  41. Tan MP, 2015, CURR OPIN PSYCHIATR, V28, P371, DOI 10.1097/YCO.0000000000000181
  42. van Dooren FEP, 2016, BRAIN BEHAV IMMUN, V56, P390, DOI 10.1016/j.bbi.2016.03.004
  43. Velasquez-Melendez Gustavo, 2015, Rev. bras. epidemiol., V18, P97, DOI 10.1590/1980-5497201500060009
  44. Veromaa V, 2017, SCAND J PUBLIC HEALT, V45, P50, DOI 10.1177/1403494816677661
  45. Wassertheil-Smoller S, 2014, ANN EPIDEMIOL, V24, P822, DOI 10.1016/j.annepidem.2014.09.003
  46. WHO, 2017, GUID ATC CLASS DDD A, DOI [10.1021/la902623c, DOI 10.1021/LA902623C]
  47. Whooley MA, 2008, JAMA-J AM MED ASSOC, V300, P2379, DOI 10.1001/jama.2008.711
  48. Willett WC, 1997, AM J CLIN NUTR, V65, P1220, DOI 10.1093/ajcn/65.4.1220S
  49. Younus A, 2016, MAYO CLIN PROC, V91, P649, DOI 10.1016/j.mayocp.2016.01.019
  50. Zeng Q, 2013, INT J CARDIOL, V167, P2311, DOI 10.1016/j.ijcard.2012.06.022

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - HU
Artigos e Materiais de Revistas Científicas - LIM/20
Artigos e Materiais de Revistas Científicas - LIM/27
Artigos e Materiais de Revistas Científicas - LIM/66
Carregar mais