دورية أكاديمية
The Relationship of Depressive Symptoms and Vitamin D Intake to Cardiac Event-Free Survival in Patients With Heart Failure.
| العنوان: | The Relationship of Depressive Symptoms and Vitamin D Intake to Cardiac Event-Free Survival in Patients With Heart Failure. |
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| المؤلفون: | Song EK; Eun Kyeung Song, PhD, RN Associate Professor, University of Ulsan, College of Medicine, Department of Nursing, Korea. Seok-Min Kang, MD, PhD Professor, Cardiology Division, Yonsei Cardiovascular Center Cardiovascular Research Institute, Severance Hospital, Seoul, Korea., Kang SM |
| المصدر: | The Journal of cardiovascular nursing [J Cardiovasc Nurs] 2017 Sep/Oct; Vol. 32 (5), pp. 480-487. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8703516 Publication Model: Print Cited Medium: Internet ISSN: 1550-5049 (Electronic) Linking ISSN: 08894655 NLM ISO Abbreviation: J Cardiovasc Nurs Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [Frederick, MD : Aspen Publishers, c1986- |
| مواضيع طبية MeSH: | Dietary Supplements* , Nutritional Status*, Depression/*prevention & control , Heart Failure/*therapy , Vitamin D/*administration & dosage , Vitamins/*administration & dosage, Aged ; Depression/etiology ; Disease-Free Survival ; Female ; Heart Failure/complications ; Heart Failure/drug therapy ; Humans ; Logistic Models ; Male ; Middle Aged ; Vitamin D Deficiency/prevention & control |
| مستخلص: | Background: Low vitamin D and depressive symptoms are associated with inflammation activation that predicts cardiovascular disease. Little is known about the relationships among vitamin D intake, depressive symptoms, and cardiac events in heart failure (HF). Purpose: The aim of this study is to determine the relationships among vitamin D deficiency, depressive symptoms, and cardiac events. Methods: A total of 204 HF patients completed a 3-day food diary to determine average daily intake of vitamin D. Patients completed the Patient Health Questionnaire-9 to assess somatic and cognitive depressive symptoms and were split into 2 groups using the Patient Health Questionnaire-9 cut-point score of 10 (< 10, no depressive symptoms; ≥ 10, depressive symptoms). Data on cardiac events during 1 year were obtained through medical record review. Hierarchical Cox and logistic regressions were used for data analyses. Results: Sixty patients (29.4%) had depressive symptoms and 106 (52.0%) had vitamin D deficiency. Depressive symptoms (hazard ratio [HR], 1.93; P = .031) and vitamin D deficiency (HR, 1.84, P = .036) predicted shorter cardiac event-free survival in Cox regression. Depressive symptoms predicted shorter cardiac event-free survival in patients with vitamin D deficiency (HR, 2.16; P = .038), but not those with vitamin D adequacy. Somatic depressive symptoms were associated with vitamin D deficiency (odds ratio, 1.12; P = .028) in logistic regression, whereas cognitive depressive symptoms were not. Conclusions: Vitamin D deficiency and depressive symptoms predicted shorter cardiac event-free survival. Depressive symptoms did not predict cardiac events in HF patients with vitamin D adequacy. Somatic depressive symptoms predicted vitamin D deficiency, but cognitive depressive symptoms did not. Additional research is necessary to determine the protective role of vitamin D in the link between somatic depressive symptoms and cardiac events. |
| المشرفين على المادة: | 0 (Vitamins) 1406-16-2 (Vitamin D) |
| تواريخ الأحداث: | Date Created: 20160916 Date Completed: 20180606 Latest Revision: 20180606 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1097/JCN.0000000000000369 |
| PMID: | 27631120 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1550-5049 |
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| DOI: | 10.1097/JCN.0000000000000369 |