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The longitudinal and reversible causal link between depressive symptoms and cardiovascular disease among middle-aged and older adults: findings from three national cohorts - PubMed

7 hours ago
  • #cardiovascular disease
  • #depressive symptoms
  • #causal inference
  • Study explores the longitudinal and reversible causal link between depressive symptoms and cardiovascular disease (CVD) in middle-aged and older adults.
  • Analyzed data from 37,668 participants across three national cohorts: CHARLS (China), HRS (USA), and KLoSA (South Korea).
  • Used Longitudinal Targeted Maximum Likelihood Estimation (LTMLE) method to assess causal effects over five time points.
  • Found that persistent depressive symptoms significantly increase CVD risk over time, with risk increasing with longer follow-up durations.
  • Subgroup analyses by gender and age were conducted, along with multiple sensitivity analyses to validate findings.
  • Results show a temporal cumulative effect and a reversible association between depressive symptoms and CVD risk.
  • Highlights the importance of integrating mental health care into CVD prevention strategies.