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Novel biomarkers of the Framingham risk score in patients with depression: A cross-sectional study
Li-Na Zhou1, Yan Mao2, Bai-Jia Li3
1Department of Psychiatry, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China. zhoulinapsy@xjtu.edu.cn.
Insights
Patients with depression have a higher risk of coronary heart disease (CHD). Novel biomarkers like triglyceride and uric acid levels, along with illness duration and family history, can help predict this increased CHD risk.
Area of Science:
- Cardiology
- Psychiatry
- Biomarkers
Background:
- Coronary heart disease (CHD) prevalence is elevated in individuals with depression.
- Novel biomarkers for CHD risk assessment are often altered in patients with depression.
Purpose of the Study:
- To investigate the association between novel cardiovascular biomarkers and increased CHD risk in patients diagnosed with depression.
Main Methods:
- Recruited 164 patients with depression and 279 healthy controls for comparison.
- Assessed CHD risk using the Framingham CHD risk score.
- Analyzed novel cardiovascular biomarkers and clinical data in relation to CHD risk.
Main Results:
- Patients with depression exhibited a 5.3% higher CHD risk and altered biomarker levels (e.g., lower thyroid stimulating hormone, albumin, total bilirubin, cholesterol; higher triglyceride and uric acid).
- Illness duration, family history of depression, serum triglyceride, and uric acid levels significantly correlated with CHD risk in the depression group.
Conclusions:
- Patients with depression face higher CHD risk, influenced by illness duration, family history, triglyceride, and uric acid levels.
- Elevated CHD risk in depression is linked to physiological changes and potential genetic susceptibility.
Background:
The prevalence of coronary heart disease (CHD) is higher in patients with depression than in the general population. Recently, multiple novel biomarkers have been proposed to predict CHD risk, and these factors have been reported to be altered in patients with depression.
Aim:
To explore whether these new biomarkers are associated with an increased risk of CHD in patients with depression.
Methods:
We recruited 279 healthy controls and 164 sex- and age-matched patients with depression and collected their clinical characteristics and laboratory values of novel cardiovascular biomarkers. The Framingham CHD risk score was used to assess the CHD risk of all individuals, and the cardiovascular markers related to the CHD risk in patients with depression were analyzed.
Results:
Patients with depression had an increased CHD risk of 5.3% (95% confidence interval: 4.470-6.103) and altered novel cardiovascular biomarkers compared to healthy controls, which included lower levels of thyroid stimulating hormone, albumin, total bilirubin, total cholesterol, high-density lipoprotein cholesterol, and higher levels of triglyceride (TG) and uric acid. Further regression analysis showed that illness duration, family history of depression, serum TG, and urea acid levels were significantly correlated with the Framingham risk score in patients with depression.
Conclusion:
Patients with depression had a higher CHD risk and that their illness duration, family history of depression, serum TG, and uric acid levels could play important roles in predicting CHD risk. Moreover, elevated CHD risk in patients with depression was not only related to physiological changes caused by depression but also to their genetic susceptibility.
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