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Hyperglycemia, Type 2 Diabetes, and Depressive Symptoms: The British Whitehall II study

Identifieur interne : 008289 ( Main/Exploration ); précédent : 008288; suivant : 008290

Hyperglycemia, Type 2 Diabetes, and Depressive Symptoms: The British Whitehall II study

Auteurs : Mika Kivimaki [Royaume-Uni, Finlande] ; Adam G. Tabak [Royaume-Uni, Hongrie] ; G. David Batty [Royaume-Uni, Australie] ; Archana Singh-Manoux [Royaume-Uni, France] ; Markus Jokela [Royaume-Uni] ; Tasnime N. Akbaraly [Royaume-Uni, France] ; Daniel R. Witte [Danemark] ; Eric J. Brunner [Royaume-Uni] ; Michael G. Marmot [Royaume-Uni] ; Debbie A. Lawlor [Royaume-Uni]

Source :

RBID : Pascal:09-0439050

Descripteurs français

English descriptors

Abstract

OBJECTIVE - To examine the recent suggestion that impaired fasting glucose may protect against depression, whereas a diagnosis of diabetes might then result in depression. RESEARCH DESIGN AND METHODS - Cross-sectional analysis of 4,228 adults (mean age 60.7 years, 73.0% men) who underwent oral glucose tolerance testing and completed the Center for Epidemiologic Studies Depression scale (CES-D). RESULTS- After adjustment for demographic factors, health behaviors, and clinical measurements (BMI, waist circumference, lipid profile, and blood pressure), there was a U-shaped association between fasting glucose and depression (Pcurve = 0.001), with elevated CES-D at low and very high glucose levels. This finding was replicable with 2-h postload glucose (P = 0.11) and AlC(P= 0.007). CONCLUSIONS - The U-shaped association between blood glucose and CES-D, with the lowest depression risk seen among those in the normoglycemic range of AlC, did not support the hypothesized protective effect of hyperglycemia.

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Le document en format XML

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<sZ>9 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
<settlement type="city">Londres</settlement>
</placeName>
<orgName type="university">University College de Londres</orgName>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="08">
<s1>INSERM U 888, Montpellier</s1>
<s2>34093, Montpellier</s2>
<s3>FRA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Occitanie (région administrative)</region>
<region type="old region">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Witte, Daniel R" sort="Witte, Daniel R" uniqKey="Witte D" first="Daniel R." last="Witte">Daniel R. Witte</name>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>Steno Diabetes Center</s1>
<s2>Gentofte</s2>
<s3>DNK</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Danemark</country>
<wicri:noRegion>Steno Diabetes Center</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Brunner, Eric J" sort="Brunner, Eric J" uniqKey="Brunner E" first="Eric J." last="Brunner">Eric J. Brunner</name>
<affiliation wicri:level="4">
<inist:fA14 i1="01">
<s1>Department of Epidemiology and Public Health, University College London</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
<settlement type="city">Londres</settlement>
</placeName>
<orgName type="university">University College de Londres</orgName>
</affiliation>
</author>
<author>
<name sortKey="Marmot, Michael G" sort="Marmot, Michael G" uniqKey="Marmot M" first="Michael G." last="Marmot">Michael G. Marmot</name>
<affiliation wicri:level="4">
<inist:fA14 i1="01">
<s1>Department of Epidemiology and Public Health, University College London</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
<settlement type="city">Londres</settlement>
</placeName>
<orgName type="university">University College de Londres</orgName>
</affiliation>
</author>
<author>
<name sortKey="Lawlor, Debbie A" sort="Lawlor, Debbie A" uniqKey="Lawlor D" first="Debbie A." last="Lawlor">Debbie A. Lawlor</name>
<affiliation wicri:level="1">
<inist:fA14 i1="10">
<s1>Medical Research Council, Centre for Causal Analyses in Translational Epidemiology, University of Bristol</s1>
<s2>Bristol</s2>
<s3>GBR</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Bristol</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Diabetes care</title>
<title level="j" type="abbreviated">Diabetes care</title>
<idno type="ISSN">0149-5992</idno>
<imprint>
<date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Diabetes care</title>
<title level="j" type="abbreviated">Diabetes care</title>
<idno type="ISSN">0149-5992</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Cohort study</term>
<term>Depression</term>
<term>Endocrinology</term>
<term>Epidemiology</term>
<term>Great Britain</term>
<term>Human</term>
<term>Hyperglycemia</term>
<term>Metabolic diseases</term>
<term>Nutrition</term>
<term>Prospective</term>
<term>Public health</term>
<term>Type 2 diabetes</term>
<term>United Kingdom</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Hyperglycémie</term>
<term>Royaume-Uni</term>
<term>Grande Bretagne</term>
<term>Diabète de type 2</term>
<term>Epidémiologie</term>
<term>Etude cohorte</term>
<term>Etat dépressif</term>
<term>Prospective</term>
<term>Santé publique</term>
<term>Endocrinologie</term>
<term>Maladie métabolique</term>
<term>Nutrition</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Royaume-Uni</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Prospective</term>
<term>Santé publique</term>
<term>Nutrition</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">OBJECTIVE - To examine the recent suggestion that impaired fasting glucose may protect against depression, whereas a diagnosis of diabetes might then result in depression. RESEARCH DESIGN AND METHODS - Cross-sectional analysis of 4,228 adults (mean age 60.7 years, 73.0% men) who underwent oral glucose tolerance testing and completed the Center for Epidemiologic Studies Depression scale (CES-D). RESULTS- After adjustment for demographic factors, health behaviors, and clinical measurements (BMI, waist circumference, lipid profile, and blood pressure), there was a U-shaped association between fasting glucose and depression (P
<sub>curve</sub>
= 0.001), with elevated CES-D at low and very high glucose levels. This finding was replicable with 2-h postload glucose (P = 0.11) and AlC(P= 0.007). CONCLUSIONS - The U-shaped association between blood glucose and CES-D, with the lowest depression risk seen among those in the normoglycemic range of AlC, did not support the hypothesized protective effect of hyperglycemia.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Danemark</li>
<li>Finlande</li>
<li>France</li>
<li>Hongrie</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Angleterre</li>
<li>Grand Londres</li>
<li>Hongrie centrale</li>
<li>Languedoc-Roussillon</li>
<li>Nouvelle-Galles du Sud</li>
<li>Occitanie (région administrative)</li>
<li>Écosse</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Budapest</li>
<li>Glasgow</li>
<li>Londres</li>
<li>Montpellier</li>
<li>Paris</li>
<li>Sydney</li>
<li>Édimbourg</li>
</settlement>
<orgName>
<li>University College de Londres</li>
<li>Université d'Édimbourg</li>
<li>Université de Glasgow</li>
</orgName>
</list>
<tree>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Kivimaki, Mika" sort="Kivimaki, Mika" uniqKey="Kivimaki M" first="Mika" last="Kivimaki">Mika Kivimaki</name>
</region>
<name sortKey="Akbaraly, Tasnime N" sort="Akbaraly, Tasnime N" uniqKey="Akbaraly T" first="Tasnime N." last="Akbaraly">Tasnime N. Akbaraly</name>
<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G. David" last="Batty">G. David Batty</name>
<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G. David" last="Batty">G. David Batty</name>
<name sortKey="Brunner, Eric J" sort="Brunner, Eric J" uniqKey="Brunner E" first="Eric J." last="Brunner">Eric J. Brunner</name>
<name sortKey="Jokela, Markus" sort="Jokela, Markus" uniqKey="Jokela M" first="Markus" last="Jokela">Markus Jokela</name>
<name sortKey="Lawlor, Debbie A" sort="Lawlor, Debbie A" uniqKey="Lawlor D" first="Debbie A." last="Lawlor">Debbie A. Lawlor</name>
<name sortKey="Marmot, Michael G" sort="Marmot, Michael G" uniqKey="Marmot M" first="Michael G." last="Marmot">Michael G. Marmot</name>
<name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name>
<name sortKey="Tabak, Adam G" sort="Tabak, Adam G" uniqKey="Tabak A" first="Adam G." last="Tabak">Adam G. Tabak</name>
</country>
<country name="Finlande">
<noRegion>
<name sortKey="Kivimaki, Mika" sort="Kivimaki, Mika" uniqKey="Kivimaki M" first="Mika" last="Kivimaki">Mika Kivimaki</name>
</noRegion>
</country>
<country name="Hongrie">
<region name="Hongrie centrale">
<name sortKey="Tabak, Adam G" sort="Tabak, Adam G" uniqKey="Tabak A" first="Adam G." last="Tabak">Adam G. Tabak</name>
</region>
</country>
<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G. David" last="Batty">G. David Batty</name>
</region>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name>
</region>
<name sortKey="Akbaraly, Tasnime N" sort="Akbaraly, Tasnime N" uniqKey="Akbaraly T" first="Tasnime N." last="Akbaraly">Tasnime N. Akbaraly</name>
</country>
<country name="Danemark">
<noRegion>
<name sortKey="Witte, Daniel R" sort="Witte, Daniel R" uniqKey="Witte D" first="Daniel R." last="Witte">Daniel R. Witte</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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