2017
DOI: 10.1037/hea0000425
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Interaction between smoking and depressive symptoms with subclinical heart disease in the Coronary Artery Risk Development in Young Adults (CARDIA) study.

Abstract: Objective Evaluate whether smoking exposure and depressive symptoms accumulated over 25 years are synergistically associated with subclinical heart disease, measured by coronary artery calcification (CAC). Methods Participants (baseline: 54.5% female; 51.5% Black; age range=18–30 years) were followed prospectively from 1985 to 2010 in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Smoking status was queried yearly from Year 0 to Year 25 to compute packyears of smoking exposure. Depressi… Show more

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Cited by 24 publications
(19 citation statements)
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References 62 publications
(83 reference statements)
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“…The depressive symptoms observed here failed to achieve a diagnosis of depression since the level of the symptoms was below the lower threshold used for psychiatric diagnosis (16/60) [24]. The range of CES-D values we observed was similar to that of a young adult population included in a large longitudinal study [27]. In these young subjects, cumulative exposure to such a level of depressive symptoms was shown to be associated with increased incidence of vascular wall pathology.…”
Section: Discussionsupporting
confidence: 46%
See 1 more Smart Citation
“…The depressive symptoms observed here failed to achieve a diagnosis of depression since the level of the symptoms was below the lower threshold used for psychiatric diagnosis (16/60) [24]. The range of CES-D values we observed was similar to that of a young adult population included in a large longitudinal study [27]. In these young subjects, cumulative exposure to such a level of depressive symptoms was shown to be associated with increased incidence of vascular wall pathology.…”
Section: Discussionsupporting
confidence: 46%
“…This was an exploratory study with no sample size calculation. In subjects with metabolic syndrome, a weight-decreasing diet intervention was shown to be associated with simultaneous decreases in adiposity, inflammatory markers, and depressive symptoms [27]. An RCT in major depression in adults showed an improvement in the dietary intervention group [31].…”
Section: Discussionmentioning
confidence: 99%
“…A strength of our study is the cumulative measures of depressive symptoms and smoking exposure, as cumulative measures are superior to concurrent measures in predicting CAC (Loria et al, 2007). In particular, these measurements better modeled the chronic nature of smoking and depression, as well as the synergistic accumulation of risk associated with CAC (Carroll et al, In Press). …”
Section: Discussionmentioning
confidence: 99%
“…Several studies have reported significant relationships between depressive symptomatology and CAC (e.g., Hamer, Kivimaki, Lahiri, Marmot, & Steptoe, 2010). Furthermore, in a recent study, we observed that smoking and depressive symptoms had a synergistic association with subclinical atherosclerosis, where higher lifetime smoking exposure and depressive symptoms were synergistically associated with higher odds of CAC (Carroll et al, In Press). …”
mentioning
confidence: 92%
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