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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/226966
Association between type 2 diabetes and depressive symptoms after a 1-year follow-up in an older adult Mediterranean population
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To examine the cross-sectional association between baseline depressive symptoms and the presence of type 2 diabetes (T2D), and its association with glycated hemoglobin (HbA1c) and other metabolic variables, and the prospective association of depressive symptoms and HbA1c after 1 year of follow-up.
Methods: n = 6224 Mediterranean older adults with overweight/obesity and metabolic syndrome (48% females, mean age 64.9 ± 4.9 years) were evaluated in the framework of the PREDIMED-Plus study cohort. Depressive symptoms were assessed using the Beck Depression Inventory-II and HbA1c was used to measure metabolic control.Results: The presence of T2D increased the likelihood of higher levels of depressive symptoms (χ2 = 15.84, p = 0.001). Polynomial contrast revealed a positive linear relationship (χ2 = 13.49, p = 0.001), the higher the depressive symptoms levels, the higher the prevalence of T2D. Longitudinal analyses showed that the higher baseline depressive symptoms levels, the higher the likelihood of being within the HbA1c ≥ 7% at 1-year level (Wald-χ2 = 24.06, df = 3, p < .001, for the full adjusted model). Additionally, depressive levels at baseline and duration of T2D predicted higher HbA1c and body mass index, and lower physical activity and adherence to Mediterranean Diet at 1 year of follow-up.
Conclusions: This study supports an association between T2D and the severity of depressive symptoms, suggesting a worse metabolic control from mild severity levels in the short-medium term, influenced by lifestyle habits related to diabetes care. Screening for depressive symptoms and a multidisciplinary integrative therapeutic approach should be ensured in patients with T2D
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BAENAS, Isabel, CAMACHO BARCIA, Lucía, GRANERO, Roser, RAZQUIN, Cristina, CORELLA PIQUER, Dolores, GÓMEZ MARTÍNEZ, Carlos, CASTAÑER NIÑO, Olga, MARTÍNEZ, J. alfredo, ALONSO GÓMEZ, Ángel m., WÄRNBERG, Julia, VIOQUE, Jesús, ROMAGUERA, Dora, LÓPEZ MIRANDA, José, ESTRUCH RIBA, Ramon, TINAHONES, Francisco j., LAPETRA, José, SERRA MAJEM, Lluís, CANO-IBAÑEZ, Naomi, TUR MARÍ, Josep a. (josep antoni), MARTÍN SÁNCHEZ, Vicente, PINTÓ SALA, Xavier, GAFORIO, José juan, MATÍA MARTÍN, Pilar, VIDAL I CORTADA, Josep, VÁZQUEZ, Clotilde, DAIMIEL, Lidia, ROS RAHOLA, Emilio, JIMÉNEZ-MURCIA, Susana, DALSGAARD, Søren, GARCÍA ARELLANO, Ana, BABIO, Nancy, SORLÍ, José v., LASSALE, Camille, GARCÍA DE LA HERA, Manuela, GÓMEZ GARCÍA, Enrique, ZULET, M. angeles, KONIECZNA, Jadwiga, MARTÍN-PELÁEZ, Sandra, TOJAL SIERRA, Lucas, BASTERRA GORTARI, F. javier, HERAS DELGADO, Sara de las, PORTOLÉS, Olga, MUÑOZ PÉREZ, Miguel ángel, ARENAS LARRIVA, Antonio p., COMPAÑ GABUCIO, Laura, EGUARAS, Sonia, SHYAM, Sangeetha, FITÓ COLOMER, Montserrat, BAÑOS RIVERA, Rosa maría, Salas-Salvadó J, FERNÁNDEZ ARANDA, Fernando. Association between type 2 diabetes and depressive symptoms after a 1-year follow-up in an older adult Mediterranean population. _Journal of Endocrinological Investigation_. 2024. Vol. 47, núm. 1405-1418. [consulta: 22 de febrer de 2026]. ISSN: 0391-4097. [Disponible a: https://hdl.handle.net/2445/226966]