Depressive Symptoms, Antidepressant Medication Use, and Inflammatory Markers in the Diabetes Prevention Program
| Autor: | William C. Knowler, Kieren J. Mather, Todd Doyle, Yong Ma, David W. Price, David G. Marrero, Mary de Groot, Ronald N. Goldberg, Frank L. Schwartz, Lisa Mele |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Comorbidity Placebo Article Body Mass Index 03 medical and health sciences 0302 clinical medicine Interquartile range Internal medicine Diabetes mellitus Outcome Assessment Health Care medicine Humans Hypoglycemic Agents Program Development Psychiatry Applied Psychology Inflammation biology Depression Interleukin-6 business.industry C-reactive protein Beck Depression Inventory Middle Aged medicine.disease Antidepressive Agents Metformin 030227 psychiatry Psychiatry and Mental health C-Reactive Protein Diabetes Mellitus Type 2 biology.protein Female business Risk Reduction Behavior Body mass index 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Psychosomatic Medicine. 80:167-173 |
| ISSN: | 1534-7796 0033-3174 |
| Popis: | Objective Antidepressant medication use (ADM) has been shown to predict diabetes. This article assessed the role of inflammatory markers in this relationship within the Diabetes Prevention Program (DPP). Methods DPP participants randomized to metformin (MET), life-style intervention (ILS), or placebo (PLB) were assessed for depression (Beck Depression Inventory [BDI]) annually, ADM use semiannually, serum inflammatory markers (C-reactive protein [CRP], interleukin 6 [IL-6]) at baseline and year 1, and diagnosis of type 2 diabetes mellitus (T2DM) semiannually (for 3.2 years). Results At baseline (N = 3187), M (SD) body mass index was 34 (6) kg/m and the median (interquartile range) BDI score was 3 (1-7). One hundred eighty-one (5.7%) reported ADM use and 328 (10%) had BDI scores of 11 or higher. CRP and IL-6 levels did not differ by treatment group. Baseline ADM, but not BDI score, was associated with higher levels of baseline CRP adjusted for demographic, anthropometric variables, and other medications (20% higher, p = .01). Year 1 CRP decreased for non-ADM users in the MET (-13.2%) and ILS (-34%) groups and ADM users in the ILS group (-29%). No associations were found with IL-6. CRP and continuous use of ADM predicted incident T2DM in the PLB group. In the ILS group, continuous and intermittent ADM, but not CRP, predicted T2DM. In the MET group, CRP predicted incident T2DM. CRP did not mediate the risk of T2DM with ADM use in any group. Conclusions ADM was significantly associated with elevated CRP and incident T2DM. In the PLB group, ADM and CRP independently predicted onset of T2DM; however, CRP did not significantly mediate the effect of ADM. |
| Databáze: | OpenAIRE |
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