Association between Depression, Lifestyles, Sleep Quality, and Sense of Coherence in a Population with Cardiovascular Risk
Open accessAbstract
People with cardiovascular risk have more depression than the general population. Depression and cardiovascular risk have been commonly linked to lower sense of coherence (SOC) values, unhealthy lifestyles, and poor sleep quality. The aim of this study was to analyze the association between depression, health-related lifestyles, sleep quality, and SOC in a population with cardiovascular risk. A cross-sectional study was conducted in 310 participants (aged 35–75 years) with cardiovascular risk. Sociodemographic and anthropometric characteristics, cardiovascular risk, SOC score, depression levels, sleep quality, and lifestyles (physical activity, diet quality (measured as the adherence to the Mediterranean diet), and tobacco and alcohol consumption) were determined. The regression analysis showed significant associations between depression levels and sex (odds ratio (OR): 2.29; 95% CI: 1.29, 4.07), diet (OR: 0.85; 95% CI: 0.73, 0.99), body mass index (BMI) (OR: 1.06; 95% CI: 1.01, 1.12), cardiovascular disease (CVD) (OR: 2.55; 95% CI: 1.18, 5.48), sleep quality (OR: 0.26; 95% CI: 0.15, 0.46), and SOC (OR: 0.96; 95% CI: 0.94, 0.98). Protective effects of male sex, a lower BMI, no CVD, a higher adherence to the Mediterranean diet, a high sleep quality, and a higher SOC were found. In conclusion, among lifestyles determined, only diet was associated with depression levels. SOC and sleep quality were also found as significant predictors for depression levels.
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Both adherence to the Mediterranean diet and a low BMI are beneficial against depression.
“As Riera-Sampol et al. have shown, both adherence to MD and a low BMI are beneficial against depression.”
From Mediterranean Diet as an Antioxidant: The Impact on Metabolic Health and Overall Wellbeing (2021) · cites this paper as [123]
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References 48 · Cited by 36
Research works printed but not linked: 2
- [17]López-Martínez C. Frías-Osuna A. Del-Pino-Casado R. Sense of coherence and subjective overload, anxiety and depression in caregivers of elderly relatives Gac. Sanit. 2019 33 185 190 10.1016/j.gaceta.2017.09.005 29174275 · DOI
- [34]Hosmer D.W. Lemeshow S. Applied Logistic Regression 2nd ed. John Wiley & Sons, Inc. New York, NY, USA 2000 159 188
- Authors
- Riera-Sampol, A., Bennasar-Veny, M., Tauler, P., Nafría, M., Colom, M., & Aguilo, A.
- Affiliations
- Research Group on Evidence, Lifestyles and Health, Department of Nursing and Physiotherapy, Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, 07122 Palma, Spain
- Health Research Institute of the Balearic Islands (ES)
- Research Institute of Health Sciences (ES)
- Corresponding author
- Tauler, Pedro
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2021-02-10
- Volume
- 13
- Issue
- 2
- Pages
- 585
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC7916624
- OpenAlex
- W3127427802
- Cited by
- 36
- References
- 48
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 7 · 2021: 4
- FWCI
- 7.58
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Docusalut (Conselleria de Salut i Consum del Govern de les Illes Balears) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Hispana (submittedVersion, cc-by)
- Funders
- Instituto de Salud Carlos III (PI13/01477)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- depression, cardiovascular risk, sense of coherence, sleep quality, lifestyle, Mediterranean diet, diet quality, physical activity, tobacco use, alcohol consumption, body mass index, sex differences, cardiovascular disease
- MeSH terms
- Healthy Lifestyle, Heart Disease Risk Factors, Adult, Aged, Alcohol Drinking, Cardiovascular Diseases, Cross-Sectional Studies, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Life Style, Male, Middle Aged, Surveys and Questionnaires, Sleep, Smoking, Exercise, Logistic Models, Diet, Mediterranean, Sense of Coherence
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