Should Global Burden of Disease Estimates Include Depression as a Risk Factor for Coronary Heart Disease?
2011

Including Depression as a Risk Factor for Heart Disease

publication Evidence: high

Author Information

Author(s): Fiona J Charlson, Nicholas J C Stapelberg, Amanda J Baxter, Harvey A Whiteford

Primary Institution: Queensland Centre for Mental Health Research

Hypothesis

Should major depression be considered an independent risk factor in the development of coronary heart disease for global burden of disease estimates?

Conclusion

There is strong evidence that major depression is an independent risk factor for coronary heart disease.

Supporting Evidence

  • Depression is linked to a higher risk of coronary heart disease.
  • Major depression has a strong association with cardiac events.
  • The evidence for depression as a risk factor is consistent across multiple studies.
  • Depression's impact on heart disease is comparable to that of smoking.

Takeaway

This study says that feeling very sad can make your heart sick, just like smoking or being overweight can.

Potential Biases

Publication bias may over-represent positive studies showing increased risk.

Limitations

Challenges include heterogeneity issues, definition and measurement of depression and coronary heart disease, publication bias, and residual confounding.

Statistical Information

Confidence Interval

95%CI 1.34-1.92

Digital Object Identifier (DOI)

10.1186/1741-7015-9-47

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