Association between mental health and comorbid obesity and hypertension among children and adolescents in the US

Tevie, Justin; Shaya, Fadia T.

doi:10.1007/s00787-014-0598-8

Cited by 29 publications

(18 citation statements)

References 21 publications

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“…With lower odds for female participants, hypertension-related, chronic hypothalamic-pituitary-adrenal axis reactivity may be more important for males [28]. Moreover, the study results also mirror conclusions reached by other studies, which demonstrate higher rates of cardiovascular disease among patients with psychiatric symptoms [29,30,31,32,33]. …”

Section: Discussionsupporting

confidence: 76%

Psychological Distress and Hypertension: Results from the National Health Interview Survey for 2004-2013

et al. 2016

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Background/Aims: Psychological conditions are increasingly linked with cardiovascular disorders. We aimed to examine the association between psychological distress and hypertension. Methods: We used data from the National Health Interview Survey for 2004-2013. Hypertension was self-reported and the 6-item Kessler Psychological Distress Scale was used to assess psychological distress (a score ≥13 indicated distress). We used a logistic regression model to test the assumption that hypertension was associated with psychological distress. Results: Among the study participants completing the survey (n = 288,784), 51% were female; the overall mean age (±SEM) was 35.3 ± 0.02 years and the mean body mass index was 27.5 ± 0.01. In the entire sample, the prevalence of psychological distress was 3.2%. The adjusted odds of reporting hypertension in psychologically distressed individuals was 1.53 (95% CI = 1.31-1.80, p = 0.01). Conclusion: The findings suggest that psychological distress is associated with higher odds of hypertension after adjusting for other risk factors for high blood pressure. Further studies are needed to confirm these findings and to elucidate the mechanisms by which stress increases hypertension risk.

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Section: Discussionsupporting

confidence: 76%

Psychological Distress and Hypertension: Results from the National Health Interview Survey for 2004-2013

et al. 2016

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“…As the first and second disorders in the WHO's list of greatest expected causes of global illness burden by 2020, depression and HTN often coexist, and each complicates the management of the other . Depression is well recognized as a risk factor for HTN and may impact its treatment adherence .…”

Section: Introductionmentioning

confidence: 99%

Treatment adherence as a mediator of blood pressure control in Chinese older adults with depression

Xue

Conwell

Tang

et al. 2018

Int J Geriat Psychiatry

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Objectives: Both depression and hypertension (HTN) are prevalent, costly, and destructive, and frequently coexist among the aging population of China. This study aimed to examine the role that treatment adherence plays in blood pressure control in older adult Chinese with depression.Methods: Data for these analyses were taken from a randomized control trial of a collaborative depression care management intervention conducted in rural villages of Zhejiang Province, China with older adults who had comorbid depression and HTN. They included baseline assessments of 2362 subjects ages ≥60 years, whose blood pressure and depression were measured using a calibrated manual sphygmomanometer and the Chinese version of the 17-item Hamilton Depression Rating Scale (HDRS-17), respectively. Treatment adherence was identified by a single question asking whether patients on occasion did not take their medicine.Results: Uncontrolled HTN was associated with older age (t = 3.10, P<0.01), higher HDRS-17 score (t = 5.76, P<0.01), and higher rates of non-adherence to HTN treatment (χ 2 = 21.34, P<0.01). Logistic regression models indicated that adherence accounted for 39.4% of the total effect between depression and HTN. Specifically, those with poor adherence were at 1.417 greater odds of having their HTN uncontrolled compared with those with good adherence.Conclusions: Hypertension control in older adults with depression is complicated by nonadherence to treatment. In addition to diagnosing and treating depression in their older adult patients, primary care physicians can optimize blood pressure control by identifying and addressing their patients' adherence to recommendations for HTN management.

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“…In addition, HTN is associated with psychological distress, as well as depression (Baldissera and Bueno, 2012; Kretchy et al ., 2014; Liao et al ., 2004; Tevie and Shaya, 2015). Depression is a treatable illness that disproportionally places older adults at risk for functional and cognitive decline.…”

Section: Introductionmentioning

confidence: 99%

The prevalence of depressive symptoms among older patients with hypertension in rural China

Xue

Chen

Bogner

et al. 2016

Int J Geriat Psychiatry

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Objective The comorbidity of depression and hypertension (HTN) is common and complicates the management of both conditions. This study investigated the prevalence of depressive symptoms among older patients with HTN in rural China and explored the relationship between the two conditions. Methods The baseline data of older patients diagnosed with HTN included in the depression/HTN in Chinese Older Adults—Collaborations for Health Study were used for the analysis. The Chinese Older Adults—Collaborations for Health Study was conducted in rural villages of Tonglu County, Zhejiang Province, China. In all, 10 389 older village residents had HTN (57.2% female, mean age 71.5 ± 8.1 years). Blood pressure was measured by using a calibrated manual sphygmomanometer and stethoscope. Depressive symptom was measured by using the Chinese version of the nine-item Patient Health Questionnaire. Results Among 10 389 patients with HTN, 12.8% had significant depressive symptoms (nine-item Patient Health Questionnaire ≥10). Rates of significant depressive symptoms were 5.3% and 32.8% among patients with controlled and uncontrolled HTN (systolic blood pressure ≥ 140 and/or diastolic blood pressure ≥ 90), respectively (χ2=8.701, p<0.001). Logistic regression analysis indicated that those in older age group (≥70 years) and with uncontrolled HTN have higher rates of significant depressive symptoms than those who are younger (age 60 to <70) and with controlled HTN. Conclusion Our findings show high rates of depressive symptoms among patients with HTN in rural China and higher rates of depressive symptoms among patients with uncontrolled HTN. These support the development and dissemination of integrative care approaches for older adults with HTN and depression in rural China.

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Association between mental health and comorbid obesity and hypertension among children and adolescents in the US

Cited by 29 publications

References 21 publications

Psychological Distress and Hypertension: Results from the National Health Interview Survey for 2004-2013

Psychological Distress and Hypertension: Results from the National Health Interview Survey for 2004-2013

Treatment adherence as a mediator of blood pressure control in Chinese older adults with depression

The prevalence of depressive symptoms among older patients with hypertension in rural China

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