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Depression and Anxiety Are Associated With Cardiovascular Health in Young Adults

BACKGROUND: Cardiovascular health (CVH) declines in young adulthood, and mood disorders commonly emerge during this life stage. This study examined the association between depression, anxiety, and CVH metrics among young adults. METHODS AND RESULTS: We conducted a cross‐sectional analysis of partici...

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Autores principales: Patterson, Sierra L., Marcus, Michele, Goetz, Margarethe, Vaccarino, Viola, Gooding, Holly C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9798786/
https://www.ncbi.nlm.nih.gov/pubmed/36533593
http://dx.doi.org/10.1161/JAHA.122.027610
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author Patterson, Sierra L.
Marcus, Michele
Goetz, Margarethe
Vaccarino, Viola
Gooding, Holly C.
author_facet Patterson, Sierra L.
Marcus, Michele
Goetz, Margarethe
Vaccarino, Viola
Gooding, Holly C.
author_sort Patterson, Sierra L.
collection PubMed
description BACKGROUND: Cardiovascular health (CVH) declines in young adulthood, and mood disorders commonly emerge during this life stage. This study examined the association between depression, anxiety, and CVH metrics among young adults. METHODS AND RESULTS: We conducted a cross‐sectional analysis of participants aged 18 to 34 years who completed the Emory Healthy Aging Study Health History Questionnaire (n=875). We classified participants as having poor, intermediate, or ideal levels of the 8 CVH metrics using definitions set forth by the American Heart Association with adaptions when necessary. We defined depression and anxiety as absent, mild, or moderate to severe using standard cutoffs for Patient Health Questionnaire and General Anxiety Disorder scales. We used multivariable regression to examine the association between depression and anxiety and CVH, adjusting for age, sex, race and ethnicity, income, and education. The mean participant age was 28.3 years, and the majority identified as women (724; 82.7%); 129 (14.7%) participants had moderate to severe anxiety, and 128 (14.6%) participants had moderate to severe depression. Compared with those without anxiety, participants with moderate to severe anxiety were less likely to meet ideal levels of physical activity (adjusted prevalence ratio [aPR], 0.60 [95% CI, 0.44–0.82]), smoking (aPR, 0.90 [95% CI, 0.82–0.99]), and body mass index (aPR, 0.79 [95% CI, 0.66–0.95]). Participants with moderate to severe depression were less likely than those without depression to meet ideal levels of physical activity (aPR, 0.48 [95% CI, 0.34–0.69]), body mass index (aPR, 0.75 [95% CI, 0.61–0.91]), sleep (aPR, 0.79 [95% CI, 0.66–0.94]), and blood pressure (aPR, 0.92 [95% CI, 0.86–0.99]). CONCLUSIONS: Anxiety and depression are associated with less ideal CVH in young adults. Interventions targeting CVH behaviors such as physical activity, diet, and sleep may improve both mood and CVH.
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spelling pubmed-97987862023-01-05 Depression and Anxiety Are Associated With Cardiovascular Health in Young Adults Patterson, Sierra L. Marcus, Michele Goetz, Margarethe Vaccarino, Viola Gooding, Holly C. J Am Heart Assoc Original Research BACKGROUND: Cardiovascular health (CVH) declines in young adulthood, and mood disorders commonly emerge during this life stage. This study examined the association between depression, anxiety, and CVH metrics among young adults. METHODS AND RESULTS: We conducted a cross‐sectional analysis of participants aged 18 to 34 years who completed the Emory Healthy Aging Study Health History Questionnaire (n=875). We classified participants as having poor, intermediate, or ideal levels of the 8 CVH metrics using definitions set forth by the American Heart Association with adaptions when necessary. We defined depression and anxiety as absent, mild, or moderate to severe using standard cutoffs for Patient Health Questionnaire and General Anxiety Disorder scales. We used multivariable regression to examine the association between depression and anxiety and CVH, adjusting for age, sex, race and ethnicity, income, and education. The mean participant age was 28.3 years, and the majority identified as women (724; 82.7%); 129 (14.7%) participants had moderate to severe anxiety, and 128 (14.6%) participants had moderate to severe depression. Compared with those without anxiety, participants with moderate to severe anxiety were less likely to meet ideal levels of physical activity (adjusted prevalence ratio [aPR], 0.60 [95% CI, 0.44–0.82]), smoking (aPR, 0.90 [95% CI, 0.82–0.99]), and body mass index (aPR, 0.79 [95% CI, 0.66–0.95]). Participants with moderate to severe depression were less likely than those without depression to meet ideal levels of physical activity (aPR, 0.48 [95% CI, 0.34–0.69]), body mass index (aPR, 0.75 [95% CI, 0.61–0.91]), sleep (aPR, 0.79 [95% CI, 0.66–0.94]), and blood pressure (aPR, 0.92 [95% CI, 0.86–0.99]). CONCLUSIONS: Anxiety and depression are associated with less ideal CVH in young adults. Interventions targeting CVH behaviors such as physical activity, diet, and sleep may improve both mood and CVH. John Wiley and Sons Inc. 2022-12-19 /pmc/articles/PMC9798786/ /pubmed/36533593 http://dx.doi.org/10.1161/JAHA.122.027610 Text en © 2022 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Research
Patterson, Sierra L.
Marcus, Michele
Goetz, Margarethe
Vaccarino, Viola
Gooding, Holly C.
Depression and Anxiety Are Associated With Cardiovascular Health in Young Adults
title Depression and Anxiety Are Associated With Cardiovascular Health in Young Adults
title_full Depression and Anxiety Are Associated With Cardiovascular Health in Young Adults
title_fullStr Depression and Anxiety Are Associated With Cardiovascular Health in Young Adults
title_full_unstemmed Depression and Anxiety Are Associated With Cardiovascular Health in Young Adults
title_short Depression and Anxiety Are Associated With Cardiovascular Health in Young Adults
title_sort depression and anxiety are associated with cardiovascular health in young adults
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9798786/
https://www.ncbi.nlm.nih.gov/pubmed/36533593
http://dx.doi.org/10.1161/JAHA.122.027610
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