Association between remnant cholesterol and depression in middle-aged and older Chinese adults: a population-based cohort study

BackgroundThe focus on remnant cholesterol (RC) has intensified because of its association with various diseases. In this study, we investigated the association between RC and depression in middle-aged and older adults.MethodsThe study involved 7,305 participants from the 2015 and 2018 waves of the...

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Main Authors: Yang Zhou, Yan Lin, Yanhui Yang, Wang Lei, Juan Xu, Yuanzeng Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1456370/full
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author Yang Zhou
Yan Lin
Yanhui Yang
Wang Lei
Juan Xu
Yuanzeng Zhu
author_facet Yang Zhou
Yan Lin
Yanhui Yang
Wang Lei
Juan Xu
Yuanzeng Zhu
author_sort Yang Zhou
collection DOAJ
description BackgroundThe focus on remnant cholesterol (RC) has intensified because of its association with various diseases. In this study, we investigated the association between RC and depression in middle-aged and older adults.MethodsThe study involved 7,305 participants from the 2015 and 2018 waves of the China Health and Retirement Longitudinal Study. Based on the 10-item Center for Epidemiological Studies Depression Scale (CESD-10), depression was indicated by scores ≥ 12. To assess the correlation between RC levels and depression, a logistic regression model that incorporated restricted cubic spline techniques was used.ResultsOf the study population, (mean age: 60.0 ± 9.5 years), 50.3% were female. From 2015 to 2018, the mean CESD-10 score increased from 6.31 ± 3.56 to 7.85 ± 5.23. Following adjustment for confounding factors, individuals in the higher RC level quartile exhibited a higher depression risk (Q3: odds ratio [OR]: 1.75, 95% confidence intervals [CI]: 1.29–2.39; Q4: OR: 2.68, 95% CI: 1.96–3.68, P for trend < 0.001), with a linear correlation between RC levels and depression (P for nonlinearity = 0.108). And the subgroup analysis yielded results consistent with the primary findings.ConclusionThis study revealed that in China, in middle-aged and older individuals, elevated RC levels were associated with a higher depression risk, suggesting RC is a promising target for depression prevention and treatment.
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spelling doaj-art-f2583cac764b40f4b82477096ea16f3f2025-02-03T05:11:57ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-02-011610.3389/fendo.2025.14563701456370Association between remnant cholesterol and depression in middle-aged and older Chinese adults: a population-based cohort studyYang Zhou0Yan Lin1Yanhui Yang2Wang Lei3Juan Xu4Yuanzeng Zhu5Department of Gastrointestinal Surgery, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, People’s Hospital of Henan University, Zhengzhou, ChinaDepartment of Endocrinology, The People’s Hospital of Danyang, Danyang Hospital of Nantong University, Danyang, Jiangsu, ChinaDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Breast Surgery, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, People’s Hospital of Henan University, Zhengzhou, ChinaDepartment of General Surgery, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, ChinaDepartment of Gastrointestinal Surgery, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, People’s Hospital of Henan University, Zhengzhou, ChinaBackgroundThe focus on remnant cholesterol (RC) has intensified because of its association with various diseases. In this study, we investigated the association between RC and depression in middle-aged and older adults.MethodsThe study involved 7,305 participants from the 2015 and 2018 waves of the China Health and Retirement Longitudinal Study. Based on the 10-item Center for Epidemiological Studies Depression Scale (CESD-10), depression was indicated by scores ≥ 12. To assess the correlation between RC levels and depression, a logistic regression model that incorporated restricted cubic spline techniques was used.ResultsOf the study population, (mean age: 60.0 ± 9.5 years), 50.3% were female. From 2015 to 2018, the mean CESD-10 score increased from 6.31 ± 3.56 to 7.85 ± 5.23. Following adjustment for confounding factors, individuals in the higher RC level quartile exhibited a higher depression risk (Q3: odds ratio [OR]: 1.75, 95% confidence intervals [CI]: 1.29–2.39; Q4: OR: 2.68, 95% CI: 1.96–3.68, P for trend < 0.001), with a linear correlation between RC levels and depression (P for nonlinearity = 0.108). And the subgroup analysis yielded results consistent with the primary findings.ConclusionThis study revealed that in China, in middle-aged and older individuals, elevated RC levels were associated with a higher depression risk, suggesting RC is a promising target for depression prevention and treatment.https://www.frontiersin.org/articles/10.3389/fendo.2025.1456370/fullremnant cholesteroldepressionCHARLSmiddle-agedolder
spellingShingle Yang Zhou
Yan Lin
Yanhui Yang
Wang Lei
Juan Xu
Yuanzeng Zhu
Association between remnant cholesterol and depression in middle-aged and older Chinese adults: a population-based cohort study
Frontiers in Endocrinology
remnant cholesterol
depression
CHARLS
middle-aged
older
title Association between remnant cholesterol and depression in middle-aged and older Chinese adults: a population-based cohort study
title_full Association between remnant cholesterol and depression in middle-aged and older Chinese adults: a population-based cohort study
title_fullStr Association between remnant cholesterol and depression in middle-aged and older Chinese adults: a population-based cohort study
title_full_unstemmed Association between remnant cholesterol and depression in middle-aged and older Chinese adults: a population-based cohort study
title_short Association between remnant cholesterol and depression in middle-aged and older Chinese adults: a population-based cohort study
title_sort association between remnant cholesterol and depression in middle aged and older chinese adults a population based cohort study
topic remnant cholesterol
depression
CHARLS
middle-aged
older
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1456370/full
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