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Screening Cardiovascular Risk in Patients with High Depression Scores

Burkay Yakar1, Yusuf Haydar Ertekin2

  • 1Dr. Burkay Yakar, Department of Family Medicine, Firat University School of Medicine, Elazig, Turkey.

Pakistan Journal of Medical Sciences
|July 24, 2018
PubMed

Insights

Obesity is a significant predictor of cardiovascular risk in individuals with depression. Screening for obesity in depressed patients can help identify those at high risk for cardiovascular events.

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Cardiovascular diseases (CVD) are a leading cause of mortality globally.
  • Depression is a recognized risk factor for developing cardiovascular diseases.
  • Primary healthcare services play a crucial role in screening and counseling for CVD risk.

Purpose of the Study:

  • To identify specific features associated with cardiovascular risk in individuals with diagnosed depression but no prior cardiovascular events.
  • To explore the relationship between depression severity and cardiovascular risk factors.

Main Methods:

  • A cross-sectional study was conducted at a family health center from June 2016 to June 2017.
  • Participants without known cardiovascular disease were assessed using the Beck Depression Inventory (BDI) and the Framingham risk score.
  • Patients were categorized into high BDI (score ≥ 10) and low BDI (score < 10) groups for comparative analysis.

Main Results:

  • Age, LDL cholesterol, total cholesterol, triglycerides, and blood pressure correlated with cardiovascular risk scores.
  • HDL cholesterol and body mass index (BMI) showed correlation with risk scores only in the high BDI group.
  • Obese patients within the high BDI group exhibited higher cardiovascular risk scores compared to non-obese individuals.

Conclusions:

  • Obesity, particularly a BMI > 30, is a strong predictor of high cardiovascular risk in depressed individuals.
  • Integrating cardiovascular risk screening, including BMI assessment, within mental health services for depression is feasible and valuable.
  • Early identification of obesity in depressed patients can facilitate timely interventions to mitigate cardiovascular risk.
Abstract

Keywords:
Beck Depression InventoryCardiovascular RiskFramingham Risk ScoreObesityPrimary Healthcare Services

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