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Trajectories of Depressive Episodes and Hypertension Over 24 Years: The Whitehall II Prospective Cohort Study

Prospective data on depressive symptoms and blood pressure are scarce, and the impact of age on this association is poorly understood. The present study examines longitudinal trajectories of depressive episodes and the probability of hypertension associated with these trajectories over time. Partici... Full description

Journal Title: Hypertension (Dallas Tex. 1979), 2011, Vol.57 (4), p.710-716
Main Author: Nabi, Hermann
Other Authors: Chastang, Jean-François , Lefèvre, Thomas , Dugravot, Aline , Melchior, Maria , Marmot, Michael G , Shipley, Martin J , Kivimäki, Mika , Singh-Manoux, Archana
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Hagerstown, MD: American Heart Association, Inc
ID: ISSN: 0194-911X
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3065997
title: Trajectories of Depressive Episodes and Hypertension Over 24 Years: The Whitehall II Prospective Cohort Study
format: Article
creator:
  • Nabi, Hermann
  • Chastang, Jean-François
  • Lefèvre, Thomas
  • Dugravot, Aline
  • Melchior, Maria
  • Marmot, Michael G
  • Shipley, Martin J
  • Kivimäki, Mika
  • Singh-Manoux, Archana
subjects:
  • Adult
  • Age Factors
  • Aged
  • Analysis of Variance
  • Arterial hypertension. Arterial hypotension
  • Article
  • Biological and medical sciences
  • Blood and lymphatic vessels
  • Blood Pressure - physiology
  • Cardiology. Vascular system
  • Clinical manifestations. Epidemiology. Investigative techniques. Etiology
  • Depression
  • Depression - diagnosis
  • Depression - epidemiology
  • Female
  • Humans
  • hypertension
  • Hypertension - diagnosis
  • Hypertension - epidemiology
  • Logistic Models
  • longitudinal analysis
  • Longitudinal Studies
  • Male
  • Medical sciences
  • Middle Aged
  • Prevalence
  • Prospective Studies
  • repeated measures
  • Risk
  • Surveys and Questionnaires
ispartof: Hypertension (Dallas, Tex. 1979), 2011, Vol.57 (4), p.710-716
description: Prospective data on depressive symptoms and blood pressure are scarce, and the impact of age on this association is poorly understood. The present study examines longitudinal trajectories of depressive episodes and the probability of hypertension associated with these trajectories over time. Participants were 6889 men and 3413 women, London-based civil servants aged 35 to 55 years at baseline, followed for 24 years between 1985 and 2009. Depressive episode (defined as scoring ≥4 on the General Health Questionnaire-Depression subscale or using prescribed antidepressant medication) and hypertension (systolic/diastolic blood pressure ≥140/90 mm Hg or use of antihypertensive medication) were assessed concurrently at 5 medical examinations. In the fully adjusted longitudinal logistic regression analyses based on generalized estimating equations using age as the time scale, participants in the “increasing depression” group had a 24% (P
language: eng
source:
identifier: ISSN: 0194-911X
fulltext: no_fulltext
issn:
  • 0194-911X
  • 1524-4563
url: Link


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titleTrajectories of Depressive Episodes and Hypertension Over 24 Years: The Whitehall II Prospective Cohort Study
creatorNabi, Hermann ; Chastang, Jean-François ; Lefèvre, Thomas ; Dugravot, Aline ; Melchior, Maria ; Marmot, Michael G ; Shipley, Martin J ; Kivimäki, Mika ; Singh-Manoux, Archana
creatorcontribNabi, Hermann ; Chastang, Jean-François ; Lefèvre, Thomas ; Dugravot, Aline ; Melchior, Maria ; Marmot, Michael G ; Shipley, Martin J ; Kivimäki, Mika ; Singh-Manoux, Archana
descriptionProspective data on depressive symptoms and blood pressure are scarce, and the impact of age on this association is poorly understood. The present study examines longitudinal trajectories of depressive episodes and the probability of hypertension associated with these trajectories over time. Participants were 6889 men and 3413 women, London-based civil servants aged 35 to 55 years at baseline, followed for 24 years between 1985 and 2009. Depressive episode (defined as scoring ≥4 on the General Health Questionnaire-Depression subscale or using prescribed antidepressant medication) and hypertension (systolic/diastolic blood pressure ≥140/90 mm Hg or use of antihypertensive medication) were assessed concurrently at 5 medical examinations. In the fully adjusted longitudinal logistic regression analyses based on generalized estimating equations using age as the time scale, participants in the “increasing depression” group had a 24% (P<0.05) lower risk of hypertension at ages 35 to 39 years compared with those in the “low/transient depression” group. However, there was a faster age-related increase in hypertension in the increasing depression group, corresponding with a 7% (P<0.01) greater increase in the odds of hypertension for each 5-year increase in age. A higher risk of hypertension in the first group of participants was not evident before 55 years of age. A similar pattern of association was observed in men and women, although it was stronger in men. This study suggests that the risk of hypertension increases with repeated experience of depressive episodes over time and becomes evident in later adulthood.
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subjectAdult ; Age Factors ; Aged ; Analysis of Variance ; Arterial hypertension. Arterial hypotension ; Article ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure - physiology ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Depression ; Depression - diagnosis ; Depression - epidemiology ; Female ; Humans ; hypertension ; Hypertension - diagnosis ; Hypertension - epidemiology ; Logistic Models ; longitudinal analysis ; Longitudinal Studies ; Male ; Medical sciences ; Middle Aged ; Prevalence ; Prospective Studies ; repeated measures ; Risk ; Surveys and Questionnaires
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descriptionProspective data on depressive symptoms and blood pressure are scarce, and the impact of age on this association is poorly understood. The present study examines longitudinal trajectories of depressive episodes and the probability of hypertension associated with these trajectories over time. Participants were 6889 men and 3413 women, London-based civil servants aged 35 to 55 years at baseline, followed for 24 years between 1985 and 2009. Depressive episode (defined as scoring ≥4 on the General Health Questionnaire-Depression subscale or using prescribed antidepressant medication) and hypertension (systolic/diastolic blood pressure ≥140/90 mm Hg or use of antihypertensive medication) were assessed concurrently at 5 medical examinations. In the fully adjusted longitudinal logistic regression analyses based on generalized estimating equations using age as the time scale, participants in the “increasing depression” group had a 24% (P<0.05) lower risk of hypertension at ages 35 to 39 years compared with those in the “low/transient depression” group. However, there was a faster age-related increase in hypertension in the increasing depression group, corresponding with a 7% (P<0.01) greater increase in the odds of hypertension for each 5-year increase in age. A higher risk of hypertension in the first group of participants was not evident before 55 years of age. A similar pattern of association was observed in men and women, although it was stronger in men. This study suggests that the risk of hypertension increases with repeated experience of depressive episodes over time and becomes evident in later adulthood.
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titleTrajectories of Depressive Episodes and Hypertension Over 24 Years: The Whitehall II Prospective Cohort Study
authorNabi, Hermann ; Chastang, Jean-François ; Lefèvre, Thomas ; Dugravot, Aline ; Melchior, Maria ; Marmot, Michael G ; Shipley, Martin J ; Kivimäki, Mika ; Singh-Manoux, Archana
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abstractProspective data on depressive symptoms and blood pressure are scarce, and the impact of age on this association is poorly understood. The present study examines longitudinal trajectories of depressive episodes and the probability of hypertension associated with these trajectories over time. Participants were 6889 men and 3413 women, London-based civil servants aged 35 to 55 years at baseline, followed for 24 years between 1985 and 2009. Depressive episode (defined as scoring ≥4 on the General Health Questionnaire-Depression subscale or using prescribed antidepressant medication) and hypertension (systolic/diastolic blood pressure ≥140/90 mm Hg or use of antihypertensive medication) were assessed concurrently at 5 medical examinations. In the fully adjusted longitudinal logistic regression analyses based on generalized estimating equations using age as the time scale, participants in the “increasing depression” group had a 24% (P<0.05) lower risk of hypertension at ages 35 to 39 years compared with those in the “low/transient depression” group. However, there was a faster age-related increase in hypertension in the increasing depression group, corresponding with a 7% (P<0.01) greater increase in the odds of hypertension for each 5-year increase in age. A higher risk of hypertension in the first group of participants was not evident before 55 years of age. A similar pattern of association was observed in men and women, although it was stronger in men. This study suggests that the risk of hypertension increases with repeated experience of depressive episodes over time and becomes evident in later adulthood.
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