Related Experiment Videos
Association of depressive symptoms with coagulation factors in young healthy individuals
Athanassios D Doulalas1, Loukianos S Rallidis, Theodoros Gialernios
1Cardiology Department, 424 General Army Hospital, Thessaloniki, Greece.
Insights
Depressive symptoms in young adults are linked to higher levels of blood clotting factors VII and X. This hypercoagulant state may contribute to an increased risk of coronary heart disease (CHD).
Area of Science:
- Cardiovascular Health
- Psychiatry
- Hematology
Background:
- Depression is an established risk factor for coronary heart disease (CHD).
- The relationship between depressive symptoms and cardiovascular markers in young, healthy individuals remains under-explored.
Purpose of the Study:
- To investigate the association between depressive symptoms and specific lipids and coagulation factors in young adults without CHD.
Main Methods:
- 1073 healthy young adults (mean age 18.4 years) were assessed for depressive symptoms using the Minnesota Multiphasic Personality Inventory.
- Measurements included total cholesterol, triglycerides, HDL, LDL, lipoprotein (a), fibrinogen, and coagulation factors VII, VIII, and X.
Main Results:
- Individuals with higher depression scores exhibited significantly elevated levels of coagulation factors VII and X.
- Depression was identified as an independent predictor of higher factor VII levels.
- Factor VII and X levels showed significant associations with triglyceride and cholesterol levels.
Conclusions:
- Depressed mood in young adults is associated with a hypercoagulant profile, indicated by increased levels of factors VII and X.
- This hypercoagulability may partially explain the elevated risk of CHD observed in individuals experiencing depressive symptoms.
Background:
Depression has been reported to be an independent risk factor for coronary heart disease (CHD). We investigated the association of depressive symptoms with lipids and coagulation factors in young individuals free of CHD.
Methods:
We recruited 1073 young healthy individuals candidates for military academies (mean age=18.4+/-0.8 years, males 762) in whom the presence of depressive symptoms was assessed by using the depression scale of Minnesota Multiphasic Personality Inventory test. Total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, lipoprotein (a), fibrinogen, factors VII, VIII and X were measured.
Results:
The depression score ranged from 22 to 90. The participants were divided into quartiles according to the depression score. Three hundred twenty-two subjects were classified in the upper quartile (score>48) and 269 in the lower quartile (score<37) of the depression score. Factor VII (102.95+/-24 versus 98.5+/-20%) and X levels (92+/-11 versus 89.7+/-10%) were significantly higher in individuals in the upper quartile compared to the lower quartile of the depression score. In a logistic regression model with factor VII as dependent variable (upper versus lower quartile) and depression score, age, gender, body mass index, exercise and smoking as predictor variables, depression was an independent predictor of factor VII levels with an adjusted odds ratio for high levels of factor VII of 1.05 (95% confidence interval 1.008-1.09, p=0.01). Factor VII levels were associated with triglycerides (r=0.21, p=0.001) while factor X with triglycerides (r=0.22, p<0.001) and cholesterol levels (r=0.12, p<0.001).
Conclusions:
Depressed mood is associated with a hypercoagulant profile as it is expressed by the higher levels of coagulation factors VII and X. This might partially explain the higher propensity for CHD of people with depressive symptoms.
Related Concept Videos
Disorders of Hemostasis
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Coagulation
Coagulation
During the coagulation phase, clotting factors, or procoagulants, play a vital role in initiating and progressing the coagulation cascade. This cascade is a series of reactions...
Factors Affecting Illness
For instance, risk factors are connected to illness, disability,...
Psychoneuroimmunology: Cardiovascular Disease
A key area of focus in PNI is the relationship between stress and coronary...
Anticoagulant Drugs: Low-Molecular-Weight Heparins