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美国心脏协会新的“生命八大基本指标”与美国普通成年人抑郁症状之间的关联:基于2005 - 2018年美国国家健康与营养检查调查的研究结果

Association between the American Heart Association's New Life's Essential 8 Metrics and Depression Symptom in U.S General Adults, Finding from NHANES 2005-2018.

作者信息

Ruan Zhuoer, Zhu Jie, Xu Shengnan, Liang Jinghong, Shi Shengqiao

机构信息

Department of Psychiatry, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, China.

出版信息

Front Psychiatry. 2024 Nov 18;15:1480036. doi: 10.3389/fpsyt.2024.1480036. eCollection 2024.

Abstract

BACKGROUND

The American Heart Association (AHA) recently introduced a new metric for promoting cardiovascular health (CVH) called Life's Essential 8 (LE8). However, there has been no investigation into the relationship between levels of LE8 and the risk of depression symptom. Therefore, our objective was to determine this association using a nationally representative sample of U.S adults.

METHODS

Utilizing cross-sectional data from the NHANES spanning the years 2005 to 2018, we computed scores for both overall CVH and individual LE8 components. The survey-weighted logistic regression models were conducted to determine whether LE8 was associated with depression symptom.

RESULTS

A total of 25,357 adults aged 20 and above were included in the study, representing a population of 1,184 million non-institutionalized U.S residents. The study revealed that individuals with positive scores in both individual and total LE8 metrics were less likely to experience depressive symptoms compared to those with negative scores. Furthermore, a significant negative linear trend was observed, showing that as the overall number of favorable LE8 scores increased, the likelihood of depressive symptoms decreased.

CONCLUSION

Attaining a higher CVH score, as defined by the LE8, is strongly linked to a lower risk of experiencing depressive symptoms in adult residents of the U.S.

摘要

背景

美国心脏协会(AHA)最近推出了一种新的促进心血管健康(CVH)的指标,称为生命基本八项(LE8)。然而,尚未对LE8水平与抑郁症状风险之间的关系进行调查。因此,我们的目标是使用具有全国代表性的美国成年人样本确定这种关联。

方法

利用2005年至2018年美国国家健康与营养检查调查(NHANES)的横断面数据,我们计算了总体CVH和各个LE8组成部分的得分。进行调查加权逻辑回归模型以确定LE8是否与抑郁症状相关。

结果

共有25357名20岁及以上的成年人纳入研究,代表了11.84亿非机构化美国居民的人口。研究表明,与得分阴性的个体相比,LE8指标的个体得分和总分均为阳性的个体出现抑郁症状的可能性较小。此外,观察到显著的负线性趋势,表明随着LE8有利得分的总数增加,出现抑郁症状的可能性降低。

结论

在美国成年居民中,达到由LE8定义的更高CVH得分与经历抑郁症状的较低风险密切相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0852/11609172/3d791cabc075/fpsyt-15-1480036-g001.jpg

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