Universidad Peruana Cayetano Heredia

Association between depression and glycemic control among type 2 diabetes patients in Lima, Peru

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dc.contributor.author Crispin-Trebejo, Brenda
dc.contributor.author Robles-Cuadros, Maria Cristina
dc.contributor.author Bernabé Ortiz, Antonio
dc.date.accessioned 2019-02-06T14:52:13Z
dc.date.available 2019-02-06T14:52:13Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5273
dc.description.abstract INTRODUCTION: There is limited and controversial information regarding the potential impact of depression on glycemic control. This study aims to evaluate the association between depression and poor glycemic control. In addition, the prevalence of depression and rates of poor glycemic control were determined. METHODS: Cross-sectional study performed in the endocrinology unit of two hospitals of ESSALUD in Peru. The outcome of interest was poor glycemic control, evaluated by glycated hemoglobin (HbA1c: <7% versus >/=7%), whereas the exposure of interest was depression defined as 15 or more points in the Patient Health Questionnaire-9 tool. The association of interest was evaluated using Poisson regression models with robust standard errors reporting prevalence ratios (PR) and 95% confidence intervals (95% CI) adjusting for potential confounders. RESULTS: A total of 277 participants, 184 (66.4%) males, mean age 59.0 (SD: 4.8), and 7.1 (SD: 6.8) years of disease were analyzed. Only 31 participants (11.2%; 95% CI: 7.5%-14.9%) had moderately severe or severe depression, whereas 70 (25.3%; 95% CI 20.3%-30.8%) had good glycemic control. Depression increased the probability of having poor glycemic control (PR=1.32; 95% CI 1.15-1.51) after adjusting for several potential confounders. CONCLUSIONS: There is an association between depression and poor glycemic control among type 2 diabetes patients. Our results suggest that early detection of depression might be important to facilitate appropriate glycemic control and avoid further metabolic complications. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartofseries Asia-Pacific Psychiatry
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Middle Aged en_US
dc.subject Peru/epidemiology en_US
dc.subject Prevalence en_US
dc.subject depression en_US
dc.subject prevalence en_US
dc.subject Depression/blood/epidemiology en_US
dc.subject Depressive Disorder/blood/epidemiology en_US
dc.subject Diabetes Mellitus, Type 2/blood/epidemiology en_US
dc.subject glycated hemoglobin en_US
dc.subject Glycated Hemoglobin A/metabolism en_US
dc.subject type 2 diabetes en_US
dc.title Association between depression and glycemic control among type 2 diabetes patients in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1111/appy.12190
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24
dc.relation.issn 1758-5872


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