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Incident major depressive disorder predicted by three measures of insulin resistance: A Dutch cohort study

American Journal of Psychiatry Sep 29, 2021

Watson KT, Simard JF, Henderson VW, et al. - Researchers identified positive predictive value of three surrogate measures of insulin resistance (high triglyceride-HDL [high-density lipoprotein] ratio; prediabetes, as indicated by fasting plasma glucose level; and high central adiposity, as measured by waist circumference) for incident major depressive disorder in a 9-year follow-up period among adults with no history of depression or anxiety disorder.

  • A multisite longitudinal study, the Netherlands Study of Depression and Anxiety (NESDA), was conducted to assess the course and consequences of depressive and anxiety disorders in adults.

  • There were a total of 601 NESDA participants (18–65 years old) without a lifetime history of depression or anxiety disorders.

  • Major depressive disorder developed during follow-up in 14% of the sample.

  • Higher triglyceride-HDL ratio, as well as higher fasting plasma glucose levels and higher waist circumference, was positively linked with an increased risk for incident major depression.

  • A positive correlation was observed between the development of prediabetes in the 2-year period after study enrollment and incident major depressive disorder.

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