Lower vitamin D levels are associated with depression in patients with gout

Qiang Zhou, Yi-chuan Shao, Zheng-qi Gan, Li-shu Fang Department of Endocrinology, First Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang Province, China Background: Depression is commonly observed among patients with gout. Low levels of vitamin D have been associated with depression in...

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Autores principales: Zhou Q, Shao Y, Gan Z, Fang L
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Lenguaje:EN
Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:10e1550352ff4a9fa99d4eef13a76b9f2021-12-02T09:14:55ZLower vitamin D levels are associated with depression in patients with gout1178-2021https://doaj.org/article/10e1550352ff4a9fa99d4eef13a76b9f2019-01-01T00:00:00Zhttps://www.dovepress.com/lower-vitamin-d-levels-are-associated-with-depression-in-patients-with-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Qiang Zhou, Yi-chuan Shao, Zheng-qi Gan, Li-shu Fang Department of Endocrinology, First Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang Province, China Background: Depression is commonly observed among patients with gout. Low levels of vitamin D have been associated with depression in non-gout subjects. We examined the association of vitamin D levels with depression in patients with gout. Methods: We conducted a cross-sectional study of 186 gout patients at the Endocrinology Department of First Affiliated Hospital of Jiaxing University. Levels of serum 25-hydroxyvitamin D (25(OH)D) were determined using a competitive protein-binding assay. The 17-item Hamilton Depression Scale was used for screening for depressive symptoms. Diagnosis of depression in gout patients was made in accordance with Diagnostic and Statistical Manual of Mental Disorders, fifth edition criteria for depression. Multivariate analysis was performed using logistic regression models. Results: Thirty-two gout patients (17.2%) were diagnosed as having depression. Patients with depression showed significantly lower 25(OH)D levels as compared to patients without depression (46.4±19.0 vs 57.0±17.3 nmol/L, P<0.001). Significant differences in 25(OH)D quartiles of gout patients were observed between the patients with depression and the patients without depression (P=0.003). In multivariate analyses, serum 25(OH)D levels (≤40.0 nmol/L) were independently associated with depression in patients with gout (OR 3.833, 95% CI 1.406–10.453, P=0.009). Conclusion: Our study demonstrates an important association between serum vitamin D levels and depression in patients with gout. Keywords: depression, vitamin, goutZhou QShao YGan ZFang LDove Medical PressarticledepressionvitamingoutNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 227-231 (2019)
institution DOAJ
collection DOAJ
language EN
topic depression
vitamin
gout
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle depression
vitamin
gout
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Zhou Q
Shao Y
Gan Z
Fang L
Lower vitamin D levels are associated with depression in patients with gout
description Qiang Zhou, Yi-chuan Shao, Zheng-qi Gan, Li-shu Fang Department of Endocrinology, First Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang Province, China Background: Depression is commonly observed among patients with gout. Low levels of vitamin D have been associated with depression in non-gout subjects. We examined the association of vitamin D levels with depression in patients with gout. Methods: We conducted a cross-sectional study of 186 gout patients at the Endocrinology Department of First Affiliated Hospital of Jiaxing University. Levels of serum 25-hydroxyvitamin D (25(OH)D) were determined using a competitive protein-binding assay. The 17-item Hamilton Depression Scale was used for screening for depressive symptoms. Diagnosis of depression in gout patients was made in accordance with Diagnostic and Statistical Manual of Mental Disorders, fifth edition criteria for depression. Multivariate analysis was performed using logistic regression models. Results: Thirty-two gout patients (17.2%) were diagnosed as having depression. Patients with depression showed significantly lower 25(OH)D levels as compared to patients without depression (46.4±19.0 vs 57.0±17.3 nmol/L, P<0.001). Significant differences in 25(OH)D quartiles of gout patients were observed between the patients with depression and the patients without depression (P=0.003). In multivariate analyses, serum 25(OH)D levels (≤40.0 nmol/L) were independently associated with depression in patients with gout (OR 3.833, 95% CI 1.406–10.453, P=0.009). Conclusion: Our study demonstrates an important association between serum vitamin D levels and depression in patients with gout. Keywords: depression, vitamin, gout
format article
author Zhou Q
Shao Y
Gan Z
Fang L
author_facet Zhou Q
Shao Y
Gan Z
Fang L
author_sort Zhou Q
title Lower vitamin D levels are associated with depression in patients with gout
title_short Lower vitamin D levels are associated with depression in patients with gout
title_full Lower vitamin D levels are associated with depression in patients with gout
title_fullStr Lower vitamin D levels are associated with depression in patients with gout
title_full_unstemmed Lower vitamin D levels are associated with depression in patients with gout
title_sort lower vitamin d levels are associated with depression in patients with gout
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/10e1550352ff4a9fa99d4eef13a76b9f
work_keys_str_mv AT zhouq lowervitamindlevelsareassociatedwithdepressioninpatientswithgout
AT shaoy lowervitamindlevelsareassociatedwithdepressioninpatientswithgout
AT ganz lowervitamindlevelsareassociatedwithdepressioninpatientswithgout
AT fangl lowervitamindlevelsareassociatedwithdepressioninpatientswithgout
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