The associations of depressive symptoms and perceived stress with arterial health in adolescents

Emmi Toivonen, Earric Lee, Marja H. Leppänen, Tomi Laitinen, Mika Kähönen, Timo A. Lakka, Eero A. Haapala

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Abstract

Cardiovascular and mental diseases are among the most important global health problems, but little is known on the associations between mental and arterial health in adolescents. Therefore, we investigated the associations of arterial health with depressive symptoms and perceived stress in adolescents. A total of 277 adolescents, 151 boys, 126 girls, aged 15–17 years participated in the study. Depressive symptoms were assessed using the Beck Depression Inventory and perceived stress by the Cohen Perceived Stress Scale. Arterial health was assessed by measures from carotid ultrasonography (carotid intima-media thickness, Young's Elastic Modulus, carotid artery distensibility, stiffness index), impedance cardiography (pulse wave velocity, cardio-ankle vascular index), and pulse contour analysis (reflection index, stiffness index). The data were analyzed using linear regression models adjusted for age and sex. Depressive symptoms or perceived stress were not associated with indices of arterial health in the whole study group (β = −0.08 to 0.09, p > 0.05), in boys (β = −0.13 to 0.10, p > 0.05) or in girls (standardized regression coefficient β = −0.16 to 0.08, p > 0.05). We found no associations of depressive symptoms and perceived stress with arterial health in adolescents. These observations suggest that the association between mental and arterial health problems develop in later life.

Original languageEnglish
Article numbere15986
JournalPhysiological reports
Volume12
Issue number6
DOIs
Publication statusPublished - Mar 2024
Publication typeA1 Journal article-refereed

Keywords

  • adolescent
  • arterial stiffness
  • cardiovascular risk factors
  • depression
  • perceived stress

Publication forum classification

  • Publication forum level 1

ASJC Scopus subject areas

  • Physiology
  • Physiology (medical)
  • Psychology (miscellaneous)
  • Cardiology and Cardiovascular Medicine
  • Epidemiology
  • Psychiatry and Mental health

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