Depressive symptoms and metabolic control in African-Americans with type 2 diabetes
Depressive symptoms and metabolic control in African-Americans with type 2 diabetes. T L Gary , R M Crum , L Cooper-Patrick , D Ford and F L Brancati Department of Epidemiology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. Abstract OBJECTIVE: To determine the prevalence of depre...
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| creator | GARY, TIFFANY L CRUM, ROSA M COOPER-PATRICK, LISA FORD, DANIEL BRANCATI, FREDERICK L |
| description | Depressive symptoms and metabolic control in African-Americans with type 2 diabetes.
T L Gary ,
R M Crum ,
L Cooper-Patrick ,
D Ford and
F L Brancati
Department of Epidemiology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Abstract
OBJECTIVE: To determine the prevalence of depressive symptoms and the relationship between depressive symptoms and metabolic
control. RESEARCH DESIGN AND METHODS: We conducted a cross-sectional study of 183 African-American adults aged 35-75 years
with type 2 diabetes who were recruited from two primary care clinics in East Baltimore, Maryland. Depressive symptoms, using
the Center for Epidemiological Studies Depression Scale (CES-D), HbA1c, fasting lipid profile, BMI, and blood pressure, were
measured on each participant. Diabetes-related health behaviors were assessed by questionnaire. RESULTS: The prevalence of
depressive symptoms (CES-D > or =22) was 30%. After adjustment for age, sex, income, social support, and duration of diabetes
in linear regression models, there were significant graded relationships between greater depressive symptoms and higher serum
levels of cholesterol and triglycerides (P |
| doi_str_mv | 10.2337/diacare.23.1.23 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmed_primary_10857963</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A59175299</galeid><sourcerecordid>A59175299</sourcerecordid><originalsourceid>FETCH-LOGICAL-c469t-86169a68caa4daecf51284bbc0047f79658e5c2affc91edb51585055a654c0603</originalsourceid><addsrcrecordid>eNptkdFvFCEQxonR2Ovps2-G-GB8cFtgl114vFRrTZr4UH0mLDvc0ezCClyb--9Lu2ditJkwMJPfDF_yIfSOkjNW19354LTREUpxRkt6gVZU1rzivBEv0YrQRlZcSnaCTlO6JYQ0jRCv0QklgneyrVfo5gvMEVJyd4DTYZpzmBLWfsATZN2H0Rlsgs8xjNh5vLHRGe2rzQRPj4TvXd7hfJgBM1zE9JAhvUGvrB4TvD3ea_Tr8uvPi6vq-se37xeb68o0rcyVaGkrdSuM1s2gwVhOmWj63hSZnS3yuABumLbWSApDzykXnHCuW94Y0pJ6jT4ue-cYfu8hZTW5ZGActYewT6qjjNa8nDX68A94G_bRF22Ksbr8xgQr0OcF2uoRlPM25KjNFjxEPQYP1pX2hkvacSZlwatn8BIDTM48x58vvIkhpQhWzdFNOh4UJerRS3X0shSKPnbW6P1R9b6fYPiLX8wrwKcF2Lnt7t6V0T8O_LfrAR_hqRg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>223047282</pqid></control><display><type>article</type><title>Depressive symptoms and metabolic control in African-Americans with type 2 diabetes</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>GARY, TIFFANY L ; CRUM, ROSA M ; COOPER-PATRICK, LISA ; FORD, DANIEL ; BRANCATI, FREDERICK L</creator><creatorcontrib>GARY, TIFFANY L ; CRUM, ROSA M ; COOPER-PATRICK, LISA ; FORD, DANIEL ; BRANCATI, FREDERICK L</creatorcontrib><description>Depressive symptoms and metabolic control in African-Americans with type 2 diabetes.
T L Gary ,
R M Crum ,
L Cooper-Patrick ,
D Ford and
F L Brancati
Department of Epidemiology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Abstract
OBJECTIVE: To determine the prevalence of depressive symptoms and the relationship between depressive symptoms and metabolic
control. RESEARCH DESIGN AND METHODS: We conducted a cross-sectional study of 183 African-American adults aged 35-75 years
with type 2 diabetes who were recruited from two primary care clinics in East Baltimore, Maryland. Depressive symptoms, using
the Center for Epidemiological Studies Depression Scale (CES-D), HbA1c, fasting lipid profile, BMI, and blood pressure, were
measured on each participant. Diabetes-related health behaviors were assessed by questionnaire. RESULTS: The prevalence of
depressive symptoms (CES-D > or =22) was 30%. After adjustment for age, sex, income, social support, and duration of diabetes
in linear regression models, there were significant graded relationships between greater depressive symptoms and higher serum
levels of cholesterol and triglycerides (P<0.050). Similar, albeit less statistically significant, relationships were found
with higher levels of HbA1c (P = 0.104), diastolic blood pressure (P = 0.073), and LDL cholesterol (P = 0.176). Unexpectedly,
individuals who reported more depressive symptoms also had higher serum levels of HDL cholesterol (P = 0.047). The associations
were not explained by differences in diabetes-related health behaviors. CONCLUSIONS: Depressive symptoms are marginally associated
with suboptimal levels of HbA1c, diastolic blood pressure, and LDL cholesterol, and significantly associated with suboptimal
levels of total cholesterol and triglyceride levels. Prospective studies are required to determine whether improved identification
and management of depressive symptoms would enhance metabolic control in this population.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/diacare.23.1.23</identifier><identifier>PMID: 10857963</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>United States: American Diabetes Association</publisher><subject>Adult ; African Americans ; African Continental Ancestry Group ; Aged ; Baltimore - epidemiology ; Blood Glucose Self-Monitoring ; Blood Pressure ; Cross-Sectional Studies ; Depression - epidemiology ; Depression, Mental ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetes Mellitus, Type 2 - psychology ; Diabetics ; Diseases ; Female ; Health Behavior ; Humans ; Lipids - blood ; Male ; Measurement ; Middle Aged ; Psychiatric Status Rating Scales ; Psychological aspects ; Smoking ; Socioeconomic Factors</subject><ispartof>Diabetes care, 2000-01, Vol.23 (1), p.23-29</ispartof><rights>COPYRIGHT 2000 American Diabetes Association</rights><rights>Copyright American Diabetes Association Jan 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-86169a68caa4daecf51284bbc0047f79658e5c2affc91edb51585055a654c0603</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10857963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GARY, TIFFANY L</creatorcontrib><creatorcontrib>CRUM, ROSA M</creatorcontrib><creatorcontrib>COOPER-PATRICK, LISA</creatorcontrib><creatorcontrib>FORD, DANIEL</creatorcontrib><creatorcontrib>BRANCATI, FREDERICK L</creatorcontrib><title>Depressive symptoms and metabolic control in African-Americans with type 2 diabetes</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>Depressive symptoms and metabolic control in African-Americans with type 2 diabetes.
T L Gary ,
R M Crum ,
L Cooper-Patrick ,
D Ford and
F L Brancati
Department of Epidemiology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Abstract
OBJECTIVE: To determine the prevalence of depressive symptoms and the relationship between depressive symptoms and metabolic
control. RESEARCH DESIGN AND METHODS: We conducted a cross-sectional study of 183 African-American adults aged 35-75 years
with type 2 diabetes who were recruited from two primary care clinics in East Baltimore, Maryland. Depressive symptoms, using
the Center for Epidemiological Studies Depression Scale (CES-D), HbA1c, fasting lipid profile, BMI, and blood pressure, were
measured on each participant. Diabetes-related health behaviors were assessed by questionnaire. RESULTS: The prevalence of
depressive symptoms (CES-D > or =22) was 30%. After adjustment for age, sex, income, social support, and duration of diabetes
in linear regression models, there were significant graded relationships between greater depressive symptoms and higher serum
levels of cholesterol and triglycerides (P<0.050). Similar, albeit less statistically significant, relationships were found
with higher levels of HbA1c (P = 0.104), diastolic blood pressure (P = 0.073), and LDL cholesterol (P = 0.176). Unexpectedly,
individuals who reported more depressive symptoms also had higher serum levels of HDL cholesterol (P = 0.047). The associations
were not explained by differences in diabetes-related health behaviors. CONCLUSIONS: Depressive symptoms are marginally associated
with suboptimal levels of HbA1c, diastolic blood pressure, and LDL cholesterol, and significantly associated with suboptimal
levels of total cholesterol and triglyceride levels. Prospective studies are required to determine whether improved identification
and management of depressive symptoms would enhance metabolic control in this population.</description><subject>Adult</subject><subject>African Americans</subject><subject>African Continental Ancestry Group</subject><subject>Aged</subject><subject>Baltimore - epidemiology</subject><subject>Blood Glucose Self-Monitoring</subject><subject>Blood Pressure</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression, Mental</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetics</subject><subject>Diseases</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Lipids - blood</subject><subject>Male</subject><subject>Measurement</subject><subject>Middle Aged</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychological aspects</subject><subject>Smoking</subject><subject>Socioeconomic Factors</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkdFvFCEQxonR2Ovps2-G-GB8cFtgl114vFRrTZr4UH0mLDvc0ezCClyb--9Lu2ditJkwMJPfDF_yIfSOkjNW19354LTREUpxRkt6gVZU1rzivBEv0YrQRlZcSnaCTlO6JYQ0jRCv0QklgneyrVfo5gvMEVJyd4DTYZpzmBLWfsATZN2H0Rlsgs8xjNh5vLHRGe2rzQRPj4TvXd7hfJgBM1zE9JAhvUGvrB4TvD3ea_Tr8uvPi6vq-se37xeb68o0rcyVaGkrdSuM1s2gwVhOmWj63hSZnS3yuABumLbWSApDzykXnHCuW94Y0pJ6jT4ue-cYfu8hZTW5ZGActYewT6qjjNa8nDX68A94G_bRF22Ksbr8xgQr0OcF2uoRlPM25KjNFjxEPQYP1pX2hkvacSZlwatn8BIDTM48x58vvIkhpQhWzdFNOh4UJerRS3X0shSKPnbW6P1R9b6fYPiLX8wrwKcF2Lnt7t6V0T8O_LfrAR_hqRg</recordid><startdate>20000101</startdate><enddate>20000101</enddate><creator>GARY, TIFFANY L</creator><creator>CRUM, ROSA M</creator><creator>COOPER-PATRICK, LISA</creator><creator>FORD, DANIEL</creator><creator>BRANCATI, FREDERICK L</creator><general>American Diabetes Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20000101</creationdate><title>Depressive symptoms and metabolic control in African-Americans with type 2 diabetes</title><author>GARY, TIFFANY L ; CRUM, ROSA M ; COOPER-PATRICK, LISA ; FORD, DANIEL ; BRANCATI, FREDERICK L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-86169a68caa4daecf51284bbc0047f79658e5c2affc91edb51585055a654c0603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>African Americans</topic><topic>African Continental Ancestry Group</topic><topic>Aged</topic><topic>Baltimore - epidemiology</topic><topic>Blood Glucose Self-Monitoring</topic><topic>Blood Pressure</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Depression, Mental</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetics</topic><topic>Diseases</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Humans</topic><topic>Lipids - blood</topic><topic>Male</topic><topic>Measurement</topic><topic>Middle Aged</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychological aspects</topic><topic>Smoking</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GARY, TIFFANY L</creatorcontrib><creatorcontrib>CRUM, ROSA M</creatorcontrib><creatorcontrib>COOPER-PATRICK, LISA</creatorcontrib><creatorcontrib>FORD, DANIEL</creatorcontrib><creatorcontrib>BRANCATI, FREDERICK L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GARY, TIFFANY L</au><au>CRUM, ROSA M</au><au>COOPER-PATRICK, LISA</au><au>FORD, DANIEL</au><au>BRANCATI, FREDERICK L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depressive symptoms and metabolic control in African-Americans with type 2 diabetes</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2000-01-01</date><risdate>2000</risdate><volume>23</volume><issue>1</issue><spage>23</spage><epage>29</epage><pages>23-29</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>Depressive symptoms and metabolic control in African-Americans with type 2 diabetes.
T L Gary ,
R M Crum ,
L Cooper-Patrick ,
D Ford and
F L Brancati
Department of Epidemiology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Abstract
OBJECTIVE: To determine the prevalence of depressive symptoms and the relationship between depressive symptoms and metabolic
control. RESEARCH DESIGN AND METHODS: We conducted a cross-sectional study of 183 African-American adults aged 35-75 years
with type 2 diabetes who were recruited from two primary care clinics in East Baltimore, Maryland. Depressive symptoms, using
the Center for Epidemiological Studies Depression Scale (CES-D), HbA1c, fasting lipid profile, BMI, and blood pressure, were
measured on each participant. Diabetes-related health behaviors were assessed by questionnaire. RESULTS: The prevalence of
depressive symptoms (CES-D > or =22) was 30%. After adjustment for age, sex, income, social support, and duration of diabetes
in linear regression models, there were significant graded relationships between greater depressive symptoms and higher serum
levels of cholesterol and triglycerides (P<0.050). Similar, albeit less statistically significant, relationships were found
with higher levels of HbA1c (P = 0.104), diastolic blood pressure (P = 0.073), and LDL cholesterol (P = 0.176). Unexpectedly,
individuals who reported more depressive symptoms also had higher serum levels of HDL cholesterol (P = 0.047). The associations
were not explained by differences in diabetes-related health behaviors. CONCLUSIONS: Depressive symptoms are marginally associated
with suboptimal levels of HbA1c, diastolic blood pressure, and LDL cholesterol, and significantly associated with suboptimal
levels of total cholesterol and triglyceride levels. Prospective studies are required to determine whether improved identification
and management of depressive symptoms would enhance metabolic control in this population.</abstract><cop>United States</cop><pub>American Diabetes Association</pub><pmid>10857963</pmid><doi>10.2337/diacare.23.1.23</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Diabetes care, 2000-01, Vol.23 (1), p.23-29 |
| issn | 0149-5992 1935-5548 |
| language | eng |
| recordid | cdi_pubmed_primary_10857963 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult African Americans African Continental Ancestry Group Aged Baltimore - epidemiology Blood Glucose Self-Monitoring Blood Pressure Cross-Sectional Studies Depression - epidemiology Depression, Mental Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - physiopathology Diabetes Mellitus, Type 2 - psychology Diabetics Diseases Female Health Behavior Humans Lipids - blood Male Measurement Middle Aged Psychiatric Status Rating Scales Psychological aspects Smoking Socioeconomic Factors |
| title | Depressive symptoms and metabolic control in African-Americans with type 2 diabetes |
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