Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/17987
Título: Blood pressure values and depression in hypertensive individuals at high cardiovascular risk
Autores/as: Mejía-Lancheros, Cilia
Estruch, Ramón
Martínez-González, Miguel Ángel
Salas-Salvadó, Jordi
Corella, Dolores
Gómez-Gracia, Enrique
Fiol, Miquel
Santos, José Manuel
Fitó, Montse
Arós, Fernando
Serra-Majem, Lluis 
Pinto, Xavier
Basora, Josep
Sorlí, José V.
Muñoz, Miguel-Angel
Clasificación UNESCO: 3206 Ciencias de la nutrición
Palabras clave: Hypertension
Depression
Blood pressure
Fecha de publicación: 2014
Publicación seriada: BMC Cardiovascular Disorders 
Resumen: © 2014 Mejia-Lancheros et al.; licensee BioMed Central Ltd.Background: Hypertension and depression are both important risk factors for cardiovascular diseases. Nevertheless, the association of blood pressure on and depression has not been completely established. This study aims to analyze whether depression may influence the control of blood pressure in hypertensive individuals at high cardiovascular risk.Methods: Cross-sectional study, embedded within the PREDIMED clinical trial, of 5954 hypertensive patients with high cardiovascular risk factor profiles. The relationship between blood pressure control and depression was analyzed. A multivariate analysis (logistic and log-linear regression), adjusting for potential confounders (socio-demographic factors, body mass index, lifestyle, diabetes, dyslipidemia, and antihypertensive treatment), was performed. Results: Depressive patients, with and without antidepressant treatment, had better blood pressure control (OR: 1.28, CI 95%: 1.06-1.55, and OR: 1.30, CI 95%: 1.03-1.65, respectively) than non-depressive ones. Regarding blood pressure levels, systolic blood pressure values (mmHg) were found to be lower in both treated and untreated depressive patients (Log coefficient Beta: -1.59, 95% CI: -0.50 to -2.69 and Log coefficient Beta: -3.49, 95% CI: -2.10 to -4.87, respectively). Conclusions: Among hypertensive patients at high cardiovascular risk, the control of blood pressure was better in those diagnosed with depression. Trial registration: Unique identifier: ISRCTN35739639.
URI: http://hdl.handle.net/10553/17987
ISSN: 1471-2261
DOI: 10.1186/1471-2261-14-109
Fuente: BMC Cardiovascular Disorders[EISSN 1471-2261],v. 14 (1), (Agosto 2014)
Derechos: by-nc-nd
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