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A Prospective Study of Ideal Cardiovascular Health and Depressive Symptoms

机译：理想的心血管健康和抑郁症状的前瞻性研究

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Background: Ideal cardiovascular health is a new construct defined by the American Heart Association as part of its 2020 Impact Goal. Objective: The purpose of this study was to examine whether the simultaneous presence of ideal cardiovascular health behaviors and factors could reduce the odds of developing depressive symptoms. Methods: Participants from the Aerobics Center Longitudinal Study, who did not have any mental disorder/condition at baseline, were examined between 1987 and 1998, and they were followed up for a mean period of 6.1 years. Ideal cardiovascular health behaviors (never smoking, body mass index 25kg/m2, physical activity at goal, and appropriate diet consistent with guideline recommendations) and factors (total cholesterol 200mg/dL, blood pressure 120/80mm Hg, and fasting blood glucose 100mg/dL) were measured at baseline. Depressive symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression Scale in 1990, 1995, or 1999. Results: Of the 5110 participants, 641 reported depressive symptoms. Participants meeting 3-4 or 5-7 ideal cardiovascular health components had 28% (odds ratio = 0.72; 95% confidence interval 0.59-0.87) and 36% (odds ratio = 0.64; confidence interval 0.50-0.82) decreased odds of depressive symptoms, respectively, when compared with those meeting 0-2 ideal components. Ideal behaviors were associated with lower odds of depressive symptoms in participants meeting 2 or 3-4 ideal behaviors, compared with those meeting 0-1 (odds ratio = 0.81; confidence interval 0.67-0.98 and odds ratio = 0.72; confidence interval 0.57-0.91). Ideal factors were not associated with depressive symptoms. Conclusion: Ideal cardiovascular health components, especially health behaviors, present an inverse relationship with depressive symptoms.
机译：背景：理想的心血管健康是美国心脏协会（American Heart Association）将其定义为“ 2020年影响目标”的一部分的新方法。目的：本研究的目的是检查同时存在理想的心血管健康行为和因素是否可以降低出现抑郁症状的几率。方法：1987年至1998年之间，对有氧运动中心纵向研究的参与者进行了检查，这些参与者在基线时没有任何精神障碍/状况，并进行了平均6.1年的随访。理想的心血管健康行为（禁止吸烟，体重指数<25kg / m2，有目标的体育锻炼和符合指南建议的适当饮食）和因素（总胆固醇<200mg / dL，血压<120 / 80mm Hg和空腹血液）血糖<100mg / dL）在基线进行测量。使用1990年，1995年或1999年的10个项目的流行病学研究中心抑郁量表对抑郁症状进行了评估。结果：在5110名参与者中，有641名报告了抑郁症状。达到3-4或5-7个理想心血管健康组成部分的参与者的抑郁症状发生几率降低了28％（几率= 0.72; 95％置信区间0.59-0.87）和36％（几率= 0.64;置信区间0.50-0.82）分别与满足0-2个理想组件的组件进行比较。满足2或3-4种理想行为的参与者的理想行为与较低的抑郁症状发生几率相关，而与满足0-1种行为的参与者相比，理想行为的抑郁症状几率较低（几率= 0.81;置信区间0.67-0.98和几率= 0.72;置信区间0.57-0.91 ）。理想因素与抑郁症状无关。结论：理想的心血管健康成分，尤其是健康行为，与抑郁症状呈反比关系。

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