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The Association between Depressive Mood and Cholesterol Levels in Korean Adolescents

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Objective Previous studies have shown that there is a correlation between lipid levels and depressive mood, and that lipids could be useful biomarkers for depression. We conducted this study to clarify the association between lipid levels and depressive mood in adolescents, especially in community samples. Methods We analyzed data from the Korea National Health and Nutrition Examination Survey (KNHANES) that was conducted from 2013 to 2016. A total of 2,454 adolescents aged 12–18 years (1,273 boys, 1,181 girls) participated in the Survey. We conducted a cross-sectional study using multiple logistic regression, adjusting for age, household income, daily energy intake, daily fat intake, and daily cholesterol intake, to assess the association between depressive mood and serum lipid levels. Results Depressive mood was found in 8.7% of those included in the study. Borderline (110–129 mg/dL) and high (≥130 mg/dL) levels of low-density lipoprotein cholesterol (LDL-C) were significantly associated with depressive mood [Borderline level: odds ratio (OR)=5.55, 95% confidence interval (CI) 1.56–19.81, p=0.01; High level: OR=5.73, 95% CI 1.06–31.08, p=0.04]. However, this association was not found in girls. Conclusion Our findings indicate that depressive mood in boys is associated with higher LDL-C levels. Further investigation regarding this relationship and the underlying biological mechanisms is needed.

Abstract

Objective Previous studies have shown that there is a correlation between lipid levels and depressive mood, and that lipids could be useful biomarkers for depression. We conducted this study to clarify the association between lipid levels and depressive mood in adolescents, especially in community samples. Methods We analyzed data from the Korea National Health and Nutrition Examination Survey (KNHANES) that was conducted from 2013 to 2016. A total of 2,454 adolescents aged 12–18 years (1,273 boys, 1,181 girls) participated in the Survey. We conducted a cross-sectional study using multiple logistic regression, adjusting for age, household income, daily energy intake, daily fat intake, and daily cholesterol intake, to assess the association between depressive mood and serum lipid levels. Results Depressive mood was found in 8.7% of those included in the study. Borderline (110–129 mg/dL) and high (≥130 mg/dL) levels of low-density lipoprotein cholesterol (LDL-C) were significantly associated with depressive mood [Borderline level: odds ratio (OR)=5.55, 95% confidence interval (CI) 1.56–19.81, p=0.01; High level: OR=5.73, 95% CI 1.06–31.08, p=0.04]. However, this association was not found in girls. Conclusion Our findings indicate that depressive mood in boys is associated with higher LDL-C levels. Further investigation regarding this relationship and the underlying biological mechanisms is needed.

참고문헌 (28)

  1. Lewinsohn PM, "Major depressive disorder in older adolescents : prevalence, risk factors, and clinical implications", Clin Psychol Rev, 18, pp.765~794 (1998)
  2. Emslie GJ, "Recurrence of major depressive disorder in hospitalized children and adolescents", J Am Acad Child Adolesc Psychiatry, 36, pp.785~792 (1997)
  3. Engelberg H, "Low serum cholesterol and suicide", Lancet, 339, pp.727~729 (1992)
  4. Papakostas GI, "Cholesterol in mood and anxiety disorders : review of the literature and new hypotheses", Eur Neuropsychopharmacol, 14, pp.135~142 (2004)
  5. Comings DE, "Association of the serotonin transporter gene with serum cholesterol levels and heart disease", Mol Genet Metab, 67, pp.248~253 (1999)
  6. Myint AM, "Cytokine-serotonin interaction through IDO : a neurodegeneration of depression", Med Hypotheses, 61, pp.519~525 (2003)
  7. Francis KT, "Psychologic correlates of serum indicators of stress in men : a longitudinal study", Psychosom Med, 41, pp.617~628 (1979)
  8. Terao T, "Low serum cholesterol levels and depressive state in human dock visitors", Acta Psychiatr Scand, 101, pp.231~234 (2000)
  9. Sullivan PF, "Total cholesterol and suicidality in depression", Biol Psychiatry, 36, pp.472~477 (1994)
  10. Persons JE, "Depression and serum low-density lipoprotein : a systematic review and meta-analysis", J Affect Disord, 206, pp.55~67 (2016)
  11. Glueck CJ, "Hypocholesterolemia, hypertriglyceridemia, suicide, and suicide ideation in children hospitalized for psychiatric diseases", Pediatr Res, 35, pp.602~610 (1994)
  12. Apter A, "Serum cholesterol, suicidal tendencies, impulsivity, aggression, and depression in adolescent psychiatric inpatients", Biol Psychiatry, 46, pp.532~541 (1999)
  13. Louise S, "Associations between anxious-depressed symptoms and cardiovascular risk factors in a longitudinal childhood study", Prev Med, 54, pp.345~350 (2012)
  14. Jeffery AN, "Mood and its association with metabolic health in adolescents : a longitudinal study, EarlyBird 65", Pediatr Diabetes, 15, pp.599~605 (2014)
  15. Kweon S, "Data resource profile: The Korea National Health and Nutrition Examination Survey (KNHANES)", Int J Epidemiol, 43, pp.69~77 (2014)
  16. Lewinsohn PM, "Major depressive disorder in older adolescents : prevalence, risk, and clinical implications", Clin Psychol Rev, 18, pp.765~794 (1998)
  17. Knuiman JT, "Total cholesterol and high density lipoprotein cholesterol levels in populations differing in fat and carbohydrate intake", Arteriosclerosis, 7, pp.612~619 (1987)
  18. 김재현, "The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects", Clinical and Experimental Pediatrics, 61(5), pp.135~149 (2018), 대한소아청소년과학회
  19. Janet M, "Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report", Pediatrics, 128(Suppl 5), pp.S213~S256 (2011)
  20. Ministry of Health and Welfare, "Guideline for KNHANES Data Analysis Using SPSS", Korea Center for Disease Control and Prevention, ~ (2013)
  21. Kim Y, "The Korea National Health and Nutrition Examination Survey(KNHANES) : current status and challenges", Epidemiol Health, 36, pp.e2014002~ (2014)
  22. Lindberg G, "Serum lipids and mood in working men and women in Sweden", J Epidemiol Community Health, 48, pp.360~363 (1994)
  23. Tedders SH, "Low cholesterol is associated with depression among US household population", J Affect Disord, 135, pp.115~121 (2011)
  24. Ancelin ML, "Gender and genotype modulation of the association between lipid levels and depressive symptomatology in community-dwelling eldery", (The ESPRIT Study)Biol Psychiatry, 68, pp.125~132 (2010)
  25. Papakostas GI, "Serum cholesterol and serotonergic function in major depressive disorder", Psychiatry Res, 118, pp.137~145 (2003)
  26. Scanlon SM, "Membrane cholesterol modulates serotonin transporter activity", Biochemistry, 40, pp.10507~10513 (2001)
  27. Sonawalla SB, "Elevated cholesterol levels associated with nonresponse to fluoxetine treatment in major depressive disorder", Psychosomatics, 43, pp.310~316 (2002)
  28. McCann BS, "Acute psychological stress and epinephrine infusion in normolipidemic and hyperlipidemic men : effects on plasma lipid and apoprotein concentrations", Psychosom Med, 57, pp.165~176 (1995)

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