Depressive Symptoms, Antidepressant Medication Use, and Inflammatory Markers in the Diabetes Prevention Program

被引：9

作者：

de Groot, Mary ^{[1
]}

Marrero, David ^{[2
]}

Mele, Lisa ^{[3
]}

Doyle, Todd ^{[4
]}

Schwartz, Frank ^{[5
]}

Mather, Kieren J. ^{[1
]}

Goldberg, Ronald ^{[6
]}

Price, David W. ^{[7
]}

Ma, Yong ^{[3
]}

Knowler, William C. ^{[8
]}

机构：

[1] Indiana Univ Sch Med, Dept Med, Indianapolis, IN 46202 USA

[2] Univ Arizona, Sch Med, Dept Med, Tucson, AZ USA

[3] George Washington Univ, Biostat Ctr, Rockville, MD USA

[4] Loyola Univ Med Ctr, Dept Psychiat & Behav Neurosci, Maywood, IL 60153 USA

[5] Camden Clark Mem Hosp, Parkersburg, WV USA

[6] Univ Miami, Sch Med, Miami, FL USA

[7] Univ Colorado, Denver Sch Med, Dept Family Med, Denver, CO 80202 USA

[8] Natl Inst Diabet & Digest & Kidney, Phoenix, AZ USA

来源：

PSYCHOSOMATIC MEDICINE | 2018年 / 80卷 / 02期

基金：

美国国家卫生研究院;

关键词：

antidepressant medications; depression; diabetes; inflammatory markers; C-REACTIVE PROTEIN; COMORBID DEPRESSION; INSULIN-RESISTANCE; MAJOR DEPRESSION; MEDICINE USE; METAANALYSIS; CYTOKINES; RISK; ASSOCIATION; MELLITUS;

D O I：

10.1097/PSY.0000000000000535

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

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(2) 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.

引用

页码：167 / 173

页数：7