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

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Authors
Crispín Trebejo, Brenda
Robles Cuadros, María Cristina
Bernabe-Ortiz, Antonio
Issue Date
2015-06-10
Keywords
Depression
Glycated hemoglobin
Prevalence
Type 2 diabetes
Peru

Metadata
Show full item record
Publisher
Wiley Publishing Asia Pty Ltd
Journal
Asia-Pacific Psychiatry
URI
http://hdl.handle.net/10757/556689
DOI
26037488
PubMed ID
26037488
Additional Links
http://www.ncbi.nlm.nih.gov/pubmed/26037488
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.
Type
info:eu-repo/semantics/article
Rights
info:eu-repo/semantics/openAccess
Language
eng
Description
maria.cristina.rc2690@gmail.com
Article
ISSN
1758-5864
ae974a485f413a2113503eed53cd6c53
26037488
Scopus Count
Collections
Medicina

entitlement

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