Metabolic and Inflammatory Links to Depression in Youth With Diabetes
Year: 2012
Type: article
Abstract: OBJECTIVE: Youth with diabetes are at increased risk for depression. The objectives of this study were to provide preliminary evidence that this at-risk status for depression is associated with metabolic and inflammatory markers and to inform future, more stringent examinations of the directionality of these associations. RESEARCH DESIGN AND METHODS: Data from SEARCH for Diabetes in Youth (SEARCH), an observational study of U.S. children diagnosed with diabetes at <20 years of age, were used for these analyses. SEARCH participants were drawn from four geographically defined populations in Ohio, Washington, South Carolina, and Colorado; health plan enrollees in Hawaii and California; and Indian Health Service beneficiaries from four Native American populations. Participants were 2,359 youth with diabetes from the 2001 prevalent and 2002-2004 incident SEARCH cohorts. Depression was measured with the Center for Epidemiologic Studies Depression scale. Eight metabolic and inflammatory markers were measured: adiponectin, leptin, C-reactive protein, serum amyloid A, apolipoprotein B (apoB), lipoprotein A, interleukin-6, and LDL. RESULTS: Six of eight markers were significantly (P < 0.006) associated with depression in youth with diabetes in bivariate analyses. In general, higher levels of depression were associated with indicators of worse metabolic or inflammatory functioning. In regression models stratified by diabetes type and accounting for demographic and clinical characteristics, only higher levels of apoB remained associated with higher levels of depression in youth with type 1 diabetes. CONCLUSIONS: These data suggest that depression reported by youth with diabetes is partially associated with metabolic abnormalities and systemic inflammation.
Source: Diabetes Care
DOI: 10.2337/dc11-2329
Authors: Korey K. Hood, Jean M. Lawrence, Andrea Anderson, Ronny Bell, Dana Dabelea, Stephen Daniels, Beatriz Rodriguez, Lawrence M. Dolan, for the SEARCH for Diabetes in Youth Study Group
Institutions: University of California, San Francisco, Kaiser Permanente, Wake Forest University Health Sciences, Wake Forest University, Colorado School of Public Health, University of Colorado Denver, University of Hawaiʻi at Mānoa, Cincinnati Children's Hospital Medical Center, University of Cincinnati
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Funders: U.S. Department of Veterans Affairs, National Institutes of Health, U.S. Public Health Service, National Institute of Diabetes and Digestive and Kidney Diseases, National Center for Research Resources, National Center for Chronic Disease Prevention and Health Promotion, National Center for Advancing Translational Sciences
Awards: G1061576540, G1092462818, South Carolina Clinical & Translational Research Institute (SCTR), G142556933, G1841928114, UCHSC Diabetes and Endocrinology Research Center, G2027946723, G206755211, G2091809135, G22646245, G2320993242, Cincinnati Center for Clinical and Translational Sciences and Training, G248045910, G249568976, G2698360221, G278975345, G2962638713, G3146357332, G325765397, G3437629819, G3753588054, G3798223455, G386564605, South Carolina Clinical & Translational Research Institute (SCTR), G4976965329, G5105936691, G561931883, General Clinical Research Center, General Clinical Research Center, G8005556827, G822274331, G832786732, Cincinnati Center for Clinical and Translational Sciences and Training, G874743574, G891215646, G951231213
OpenAlex ID: W2108682642