Depressive symptoms and serum lipid levels in young adult women

Carolyn Y. Fang, Brian L. Egleston, Kelley Pettee Gabriel, Victor J. Stevens, Peter O. Kwiterovich, Linda G. Snetselaar, Margaret L. Longacre, Joanne F. Dorgan

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Accumulating data suggest that depression is associated with risk factors for cardiovascular disease, but few studies have investigated potential behavioral mediators of such associations, particularly among women. In this study of healthy young adult women (n = 225), we examined associations among depressive symptoms, health behaviors, and serum lipid levels. Depressive symptoms were assessed with the 20-item Center for Epidemiologic Studies-Depression scale, and a fasting blood sample was obtained for serum lipid levels, including total cholesterol, high-density lipoprotein (HDL-C) and low-density lipoprotein (LDL-C). Diet was measured using 24-h recalls, and other health behaviors (physical activity, smoking) were assessed via self-report questionnaire. Results indicated a modest negative association between depressive symptoms and LDL-C levels. Higher levels of depressive symptoms were also associated with lower total and insoluble dietary fiber intake, both of which were associated with HDL-C and LDL-C. Mediational analyses indicated a significant indirect effect of depressive symptoms on LDL-C via total and insoluble dietary fiber in unadjusted analyses, but not in adjusted analyses. The present findings suggest that depressive symptoms are inversely associated with serum LDL-C levels in young adult women, but that these associations are not likely mediated by adverse lifestyle behaviors.

Original languageEnglish
Pages (from-to)143-152
Number of pages10
JournalJournal of Behavioral Medicine
Volume36
Issue number2
DOIs
StatePublished - Apr 2013

Keywords

  • Cholesterol
  • Depression
  • Diet
  • Health behaviors

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