Depression is associated with low plasma Aβ42 independently of cardiovascular disease in the homebound elderly

Background Depression often precedes the onset of Alzheimer's disease (AD) before the appearance of cognitive symptoms. Plasma Amyloid‐β peptide 42 (Aβ42) declines before and soon after the onset of AD, yet the relationship between plasma Aβ42 and depression is unclear. Methods We used 515 home...

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Veröffentlicht in:International journal of geriatric psychiatry 2007-06, Vol.22 (6), p.536-542
Hauptverfasser: Qiu, Wei Qiao, Sun, Xiaoyan, Selkoe, Dennis J., Mwamburi, D. Mkaya, Huang, Tina, Bhadela, Refeeque, Bergethon, Peter, Scott, Tammy M., Summergrad, Paul, Wang, Lixia, Rosenberg, Irwin, Folstein, Marshal
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container_end_page 542
container_issue 6
container_start_page 536
container_title International journal of geriatric psychiatry
container_volume 22
creator Qiu, Wei Qiao
Sun, Xiaoyan
Selkoe, Dennis J.
Mwamburi, D. Mkaya
Huang, Tina
Bhadela, Refeeque
Bergethon, Peter
Scott, Tammy M.
Summergrad, Paul
Wang, Lixia
Rosenberg, Irwin
Folstein, Marshal
description Background Depression often precedes the onset of Alzheimer's disease (AD) before the appearance of cognitive symptoms. Plasma Amyloid‐β peptide 42 (Aβ42) declines before and soon after the onset of AD, yet the relationship between plasma Aβ42 and depression is unclear. Methods We used 515 homebound elders aged 60 and older in a population‐based, cross‐sectional study to investigate associations between plasma Aβ levels and depression with and without cardiovascular co‐morbidities. Depression was evaluated by using the Center for Epidemiological Studies Depression (CES‐D) scale. Plasma Aβ40 and Aβ42 were measured. Results The elderly with depression had lower plasma Aβ42 (median: 15.3 vs. 18.9, p = 0.008) than those without depression. The CES‐D score was inversely associated with plasma Aβ42 (p = 0.001) in subjects with no cardiovascular disease (CVD); however, in the presence of CVD, this association did not exist. Low plasma Aβ42 (OR = 0.41, p = 0.007) and the presence of CVD (OR = 1.84, p = 0.005) were independently associated with depression after adjusting for the confounders of age, stroke and apolipoprotein E4. Conclusions Depressive symptoms are associated with low plasma Aβ42 independently of CVD. Prospective studies are needed to determine whether depression associated with low plasma Aβ42 is a separate depression subtype that could predict the onset of AD. Copyright © 2006 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/gps.1710
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Mkaya ; Huang, Tina ; Bhadela, Refeeque ; Bergethon, Peter ; Scott, Tammy M. ; Summergrad, Paul ; Wang, Lixia ; Rosenberg, Irwin ; Folstein, Marshal</creator><creatorcontrib>Qiu, Wei Qiao ; Sun, Xiaoyan ; Selkoe, Dennis J. ; Mwamburi, D. Mkaya ; Huang, Tina ; Bhadela, Refeeque ; Bergethon, Peter ; Scott, Tammy M. ; Summergrad, Paul ; Wang, Lixia ; Rosenberg, Irwin ; Folstein, Marshal</creatorcontrib><description>Background Depression often precedes the onset of Alzheimer's disease (AD) before the appearance of cognitive symptoms. Plasma Amyloid‐β peptide 42 (Aβ42) declines before and soon after the onset of AD, yet the relationship between plasma Aβ42 and depression is unclear. Methods We used 515 homebound elders aged 60 and older in a population‐based, cross‐sectional study to investigate associations between plasma Aβ levels and depression with and without cardiovascular co‐morbidities. Depression was evaluated by using the Center for Epidemiological Studies Depression (CES‐D) scale. Plasma Aβ40 and Aβ42 were measured. Results The elderly with depression had lower plasma Aβ42 (median: 15.3 vs. 18.9, p = 0.008) than those without depression. The CES‐D score was inversely associated with plasma Aβ42 (p = 0.001) in subjects with no cardiovascular disease (CVD); however, in the presence of CVD, this association did not exist. Low plasma Aβ42 (OR = 0.41, p = 0.007) and the presence of CVD (OR = 1.84, p = 0.005) were independently associated with depression after adjusting for the confounders of age, stroke and apolipoprotein E4. Conclusions Depressive symptoms are associated with low plasma Aβ42 independently of CVD. Prospective studies are needed to determine whether depression associated with low plasma Aβ42 is a separate depression subtype that could predict the onset of AD. Copyright © 2006 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.1710</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Adult and adolescent clinical studies ; Alzheimer's disease (AD) ; amyloid-β) peptide 42 (Aβ42 ; Biological and medical sciences ; Depression ; Fundamental and applied biological sciences. Psychology ; Geriatrics ; Medical sciences ; Mood disorders ; Psychoanalysis ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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Mkaya</creatorcontrib><creatorcontrib>Huang, Tina</creatorcontrib><creatorcontrib>Bhadela, Refeeque</creatorcontrib><creatorcontrib>Bergethon, Peter</creatorcontrib><creatorcontrib>Scott, Tammy M.</creatorcontrib><creatorcontrib>Summergrad, Paul</creatorcontrib><creatorcontrib>Wang, Lixia</creatorcontrib><creatorcontrib>Rosenberg, Irwin</creatorcontrib><creatorcontrib>Folstein, Marshal</creatorcontrib><title>Depression is associated with low plasma Aβ42 independently of cardiovascular disease in the homebound elderly</title><title>International journal of geriatric psychiatry</title><addtitle>Int. J. Geriat. Psychiatry</addtitle><description>Background Depression often precedes the onset of Alzheimer's disease (AD) before the appearance of cognitive symptoms. Plasma Amyloid‐β peptide 42 (Aβ42) declines before and soon after the onset of AD, yet the relationship between plasma Aβ42 and depression is unclear. Methods We used 515 homebound elders aged 60 and older in a population‐based, cross‐sectional study to investigate associations between plasma Aβ levels and depression with and without cardiovascular co‐morbidities. Depression was evaluated by using the Center for Epidemiological Studies Depression (CES‐D) scale. Plasma Aβ40 and Aβ42 were measured. Results The elderly with depression had lower plasma Aβ42 (median: 15.3 vs. 18.9, p = 0.008) than those without depression. The CES‐D score was inversely associated with plasma Aβ42 (p = 0.001) in subjects with no cardiovascular disease (CVD); however, in the presence of CVD, this association did not exist. Low plasma Aβ42 (OR = 0.41, p = 0.007) and the presence of CVD (OR = 1.84, p = 0.005) were independently associated with depression after adjusting for the confounders of age, stroke and apolipoprotein E4. Conclusions Depressive symptoms are associated with low plasma Aβ42 independently of CVD. Prospective studies are needed to determine whether depression associated with low plasma Aβ42 is a separate depression subtype that could predict the onset of AD. Copyright © 2006 John Wiley &amp; Sons, Ltd.</description><subject>Adult and adolescent clinical studies</subject><subject>Alzheimer's disease (AD)</subject><subject>amyloid-β) peptide 42 (Aβ42</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Geriatrics</subject><subject>Medical sciences</subject><subject>Mood disorders</subject><subject>Psychoanalysis</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Mkaya</creator><creator>Huang, Tina</creator><creator>Bhadela, Refeeque</creator><creator>Bergethon, Peter</creator><creator>Scott, Tammy M.</creator><creator>Summergrad, Paul</creator><creator>Wang, Lixia</creator><creator>Rosenberg, Irwin</creator><creator>Folstein, Marshal</creator><general>John Wiley &amp; Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>200706</creationdate><title>Depression is associated with low plasma Aβ42 independently of cardiovascular disease in the homebound elderly</title><author>Qiu, Wei Qiao ; Sun, Xiaoyan ; Selkoe, Dennis J. ; Mwamburi, D. Mkaya ; Huang, Tina ; Bhadela, Refeeque ; Bergethon, Peter ; Scott, Tammy M. ; Summergrad, Paul ; Wang, Lixia ; Rosenberg, Irwin ; Folstein, Marshal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2480-8f8fd553c670ccad7b852492b7f1b8dcc3847aa4984a4754f0a2480114f35a7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Alzheimer's disease (AD)</topic><topic>amyloid-β) peptide 42 (Aβ42</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Geriatrics</topic><topic>Medical sciences</topic><topic>Mood disorders</topic><topic>Psychoanalysis</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qiu, Wei Qiao</creatorcontrib><creatorcontrib>Sun, Xiaoyan</creatorcontrib><creatorcontrib>Selkoe, Dennis J.</creatorcontrib><creatorcontrib>Mwamburi, D. Mkaya</creatorcontrib><creatorcontrib>Huang, Tina</creatorcontrib><creatorcontrib>Bhadela, Refeeque</creatorcontrib><creatorcontrib>Bergethon, Peter</creatorcontrib><creatorcontrib>Scott, Tammy M.</creatorcontrib><creatorcontrib>Summergrad, Paul</creatorcontrib><creatorcontrib>Wang, Lixia</creatorcontrib><creatorcontrib>Rosenberg, Irwin</creatorcontrib><creatorcontrib>Folstein, Marshal</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>CrossRef</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Qiu, Wei Qiao</au><au>Sun, Xiaoyan</au><au>Selkoe, Dennis J.</au><au>Mwamburi, D. Mkaya</au><au>Huang, Tina</au><au>Bhadela, Refeeque</au><au>Bergethon, Peter</au><au>Scott, Tammy M.</au><au>Summergrad, Paul</au><au>Wang, Lixia</au><au>Rosenberg, Irwin</au><au>Folstein, Marshal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression is associated with low plasma Aβ42 independently of cardiovascular disease in the homebound elderly</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int. J. Geriat. Psychiatry</addtitle><date>2007-06</date><risdate>2007</risdate><volume>22</volume><issue>6</issue><spage>536</spage><epage>542</epage><pages>536-542</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><abstract>Background Depression often precedes the onset of Alzheimer's disease (AD) before the appearance of cognitive symptoms. Plasma Amyloid‐β peptide 42 (Aβ42) declines before and soon after the onset of AD, yet the relationship between plasma Aβ42 and depression is unclear. Methods We used 515 homebound elders aged 60 and older in a population‐based, cross‐sectional study to investigate associations between plasma Aβ levels and depression with and without cardiovascular co‐morbidities. Depression was evaluated by using the Center for Epidemiological Studies Depression (CES‐D) scale. Plasma Aβ40 and Aβ42 were measured. Results The elderly with depression had lower plasma Aβ42 (median: 15.3 vs. 18.9, p = 0.008) than those without depression. The CES‐D score was inversely associated with plasma Aβ42 (p = 0.001) in subjects with no cardiovascular disease (CVD); however, in the presence of CVD, this association did not exist. Low plasma Aβ42 (OR = 0.41, p = 0.007) and the presence of CVD (OR = 1.84, p = 0.005) were independently associated with depression after adjusting for the confounders of age, stroke and apolipoprotein E4. Conclusions Depressive symptoms are associated with low plasma Aβ42 independently of CVD. Prospective studies are needed to determine whether depression associated with low plasma Aβ42 is a separate depression subtype that could predict the onset of AD. Copyright © 2006 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><doi>10.1002/gps.1710</doi><tpages>7</tpages></addata></record>
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source Wiley Online Library Journals Frontfile Complete
subjects Adult and adolescent clinical studies
Alzheimer's disease (AD)
amyloid-β) peptide 42 (Aβ42
Biological and medical sciences
Depression
Fundamental and applied biological sciences. Psychology
Geriatrics
Medical sciences
Mood disorders
Psychoanalysis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
title Depression is associated with low plasma Aβ42 independently of cardiovascular disease in the homebound elderly
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