Association between Life’s Essential 8 and depression: a population-based study

Introduction Previous research has established a connection between depression and an elevated risk of cardiovascular disease. In this study, we sought to examine the association between Life’s Essential 8 (LE8), an updated metric for assessing cardiovascular health, and the prevalence and severity...

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Main Authors: Haiying Jin, Ping Wu, Zhenhua Wang, Wei Su, Lili Cai, Haizhi Chen
Format: Article
Language:English
Published: Termedia Publishing House 2024-07-01
Series:Archives of Medical Science
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Online Access:https://www.archivesofmedicalscience.com/Association-between-Life-s-Essential-8-and-depression-a-population-based-study,191238,0,2.html
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author Haiying Jin
Ping Wu
Zhenhua Wang
Wei Su
Lili Cai
Haizhi Chen
author_facet Haiying Jin
Ping Wu
Zhenhua Wang
Wei Su
Lili Cai
Haizhi Chen
author_sort Haiying Jin
collection DOAJ
description Introduction Previous research has established a connection between depression and an elevated risk of cardiovascular disease. In this study, we sought to examine the association between Life’s Essential 8 (LE8), an updated metric for assessing cardiovascular health, and the prevalence and severity of depressive symptoms. Material and methods This investigation draws on data from 29 100 participants in the 2005-2018 National Health and Nutrition Examination Survey. LE8 was determined by eight metrics (diet, physical activity (PA), nicotine exposure, sleep quality, body mass index, blood lipid levels, blood glucose, and blood pressure (BP)), and was characterized as low, moderate, and high cardiovascular health (CVH). We examined the association between LE8 scores and depression using multivariate logistic regression, adjusting for a range of sociodemographic, lifestyle, and health-related variables. Results Higher LE8 scores and CVH levels were associated with lower odds of depression. Each additional LE8 point correlated with 5% lower odds of depression ( p < 0.05). Participants with low CVH had over 8-fold higher odds of depression compared to those with high CVH ( p < 0.05). Those with moderate CVH had around 3-fold higher odds versus high CVH ( p < 0.05). These associations persisted after adjustment for sociodemographics, health behaviors, and clinical variables. A higher LE8 displayed a negative association with all-cause mortality (HR = 0.975, 95% CI: 0.972, 0.978, p < 0.0001) and cardiovascular mortality (HR = 0.987, 95% CI: 0.981,0.993, p < 0.0001). Conclusions Higher adherence to LE8 lifestyle recommendations was associated with lower odds of depression in a nationally representative sample. Promoting LE8 may be an effective public health strategy to prevent depression.
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spelling doaj-art-c10d6dd09c3145fb975bfa538e3c35572025-08-20T03:49:32ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512024-07-0121250551310.5114/aoms/191238191238Association between Life’s Essential 8 and depression: a population-based studyHaiying Jin0Ping Wu1Zhenhua Wang2Wei Su3Lili Cai4Haizhi Chen5Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Psychiatry, Huzhou Third Municipal Hospital, the Affiliated Hospital of Huzhou University, Huzhou, ChinaDepartment of Psychiatry, Huzhou Third Municipal Hospital, the Affiliated Hospital of Huzhou University, Huzhou, ChinaDepartment of Psychiatry, Huzhou Third Municipal Hospital, the Affiliated Hospital of Huzhou University, Huzhou, ChinaDepartment of Psychiatry, Huzhou Third Municipal Hospital, the Affiliated Hospital of Huzhou University, Huzhou, ChinaDepartment of Psychiatry, Huzhou Third Municipal Hospital, the Affiliated Hospital of Huzhou University, Huzhou, ChinaIntroduction Previous research has established a connection between depression and an elevated risk of cardiovascular disease. In this study, we sought to examine the association between Life’s Essential 8 (LE8), an updated metric for assessing cardiovascular health, and the prevalence and severity of depressive symptoms. Material and methods This investigation draws on data from 29 100 participants in the 2005-2018 National Health and Nutrition Examination Survey. LE8 was determined by eight metrics (diet, physical activity (PA), nicotine exposure, sleep quality, body mass index, blood lipid levels, blood glucose, and blood pressure (BP)), and was characterized as low, moderate, and high cardiovascular health (CVH). We examined the association between LE8 scores and depression using multivariate logistic regression, adjusting for a range of sociodemographic, lifestyle, and health-related variables. Results Higher LE8 scores and CVH levels were associated with lower odds of depression. Each additional LE8 point correlated with 5% lower odds of depression ( p < 0.05). Participants with low CVH had over 8-fold higher odds of depression compared to those with high CVH ( p < 0.05). Those with moderate CVH had around 3-fold higher odds versus high CVH ( p < 0.05). These associations persisted after adjustment for sociodemographics, health behaviors, and clinical variables. A higher LE8 displayed a negative association with all-cause mortality (HR = 0.975, 95% CI: 0.972, 0.978, p < 0.0001) and cardiovascular mortality (HR = 0.987, 95% CI: 0.981,0.993, p < 0.0001). Conclusions Higher adherence to LE8 lifestyle recommendations was associated with lower odds of depression in a nationally representative sample. Promoting LE8 may be an effective public health strategy to prevent depression.https://www.archivesofmedicalscience.com/Association-between-Life-s-Essential-8-and-depression-a-population-based-study,191238,0,2.htmlcardiovascular healthdepressionlife’s essential 8
spellingShingle Haiying Jin
Ping Wu
Zhenhua Wang
Wei Su
Lili Cai
Haizhi Chen
Association between Life’s Essential 8 and depression: a population-based study
Archives of Medical Science
cardiovascular health
depression
life’s essential 8
title Association between Life’s Essential 8 and depression: a population-based study
title_full Association between Life’s Essential 8 and depression: a population-based study
title_fullStr Association between Life’s Essential 8 and depression: a population-based study
title_full_unstemmed Association between Life’s Essential 8 and depression: a population-based study
title_short Association between Life’s Essential 8 and depression: a population-based study
title_sort association between life s essential 8 and depression a population based study
topic cardiovascular health
depression
life’s essential 8
url https://www.archivesofmedicalscience.com/Association-between-Life-s-Essential-8-and-depression-a-population-based-study,191238,0,2.html
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