Estimated glucose disposal rate is correlated with increased depression: a population-based study

Abstract Background Recent studies have identified a correlation between insulin resistance (IR) and depression. This study aims to explore the correlation between estimated glucose disposal rate (eGDR), a practical and noninvasive measure for assessing IR, and depression in the general population....

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Main Authors: Yuanyuan Chen, Hao Lin, Jing Xu, Xinhe Zhou
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-024-06257-2
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author Yuanyuan Chen
Hao Lin
Jing Xu
Xinhe Zhou
author_facet Yuanyuan Chen
Hao Lin
Jing Xu
Xinhe Zhou
author_sort Yuanyuan Chen
collection DOAJ
description Abstract Background Recent studies have identified a correlation between insulin resistance (IR) and depression. This study aims to explore the correlation between estimated glucose disposal rate (eGDR), a practical and noninvasive measure for assessing IR, and depression in the general population. Methods In this population-based cross-sectional study, data from 28,444 adults aged 18 years old or older in the NHANES during the period from 1999 to 2018 were analyzed. The correlation between eGDR and depression was examined through multivariate logistic regression analyses, subgroup analyses, restricted cubic spline, and interaction tests. Furthermore, a mediation analysis was conducted to elucidate the role of the atherogenic index of plasma (AIP) in mediating the effect of eGDR on depression. Results Multivariate logistic regression analysis and restricted cubic splines analysis indicated that eGDR can exhibit a linearly correlation with depression (OR = 0.913; 95% CI: 0.875, 0.953). Subjects in eGDR6-8 and eGDR > 8 groups had a decrease risk of depression as 25.4% and 41.5% than those in the eGDR < 4 group. This negative correlation was more pronounced in those with obesity. Mediation analysis indicated that AIP mediated 9.6% of the correlation between eGDR and depression. Conclusions eGDR was linear negatively correlated with depression, with AIP playing a mediating role. This study provides a novel perspective on the mechanism connecting IR to depression. Managing IR and monitoring AIP may contribute to alleviating depression.
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spelling doaj-art-471dce812edb45049294679830a472c52024-11-17T12:40:18ZengBMCBMC Psychiatry1471-244X2024-11-0124111110.1186/s12888-024-06257-2Estimated glucose disposal rate is correlated with increased depression: a population-based studyYuanyuan Chen0Hao Lin1Jing Xu2Xinhe Zhou3Department of Endocrinology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, Pingyang Hospital of Wenzhou Medical UniversityDepartment of Endocrinology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical UniversityDepartment of Endocrinology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical UniversityAbstract Background Recent studies have identified a correlation between insulin resistance (IR) and depression. This study aims to explore the correlation between estimated glucose disposal rate (eGDR), a practical and noninvasive measure for assessing IR, and depression in the general population. Methods In this population-based cross-sectional study, data from 28,444 adults aged 18 years old or older in the NHANES during the period from 1999 to 2018 were analyzed. The correlation between eGDR and depression was examined through multivariate logistic regression analyses, subgroup analyses, restricted cubic spline, and interaction tests. Furthermore, a mediation analysis was conducted to elucidate the role of the atherogenic index of plasma (AIP) in mediating the effect of eGDR on depression. Results Multivariate logistic regression analysis and restricted cubic splines analysis indicated that eGDR can exhibit a linearly correlation with depression (OR = 0.913; 95% CI: 0.875, 0.953). Subjects in eGDR6-8 and eGDR > 8 groups had a decrease risk of depression as 25.4% and 41.5% than those in the eGDR < 4 group. This negative correlation was more pronounced in those with obesity. Mediation analysis indicated that AIP mediated 9.6% of the correlation between eGDR and depression. Conclusions eGDR was linear negatively correlated with depression, with AIP playing a mediating role. This study provides a novel perspective on the mechanism connecting IR to depression. Managing IR and monitoring AIP may contribute to alleviating depression.https://doi.org/10.1186/s12888-024-06257-2Estimated glucose disposal rateDepressionInsulin resistanceWaist circumference
spellingShingle Yuanyuan Chen
Hao Lin
Jing Xu
Xinhe Zhou
Estimated glucose disposal rate is correlated with increased depression: a population-based study
BMC Psychiatry
Estimated glucose disposal rate
Depression
Insulin resistance
Waist circumference
title Estimated glucose disposal rate is correlated with increased depression: a population-based study
title_full Estimated glucose disposal rate is correlated with increased depression: a population-based study
title_fullStr Estimated glucose disposal rate is correlated with increased depression: a population-based study
title_full_unstemmed Estimated glucose disposal rate is correlated with increased depression: a population-based study
title_short Estimated glucose disposal rate is correlated with increased depression: a population-based study
title_sort estimated glucose disposal rate is correlated with increased depression a population based study
topic Estimated glucose disposal rate
Depression
Insulin resistance
Waist circumference
url https://doi.org/10.1186/s12888-024-06257-2
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AT haolin estimatedglucosedisposalrateiscorrelatedwithincreaseddepressionapopulationbasedstudy
AT jingxu estimatedglucosedisposalrateiscorrelatedwithincreaseddepressionapopulationbasedstudy
AT xinhezhou estimatedglucosedisposalrateiscorrelatedwithincreaseddepressionapopulationbasedstudy