RT Journal Article T1 Contribution of cardio-vascular risk factors to depressive status in the PREDIMED-PLUS Trial. A cross-sectional and a 2-year longitudinal study A1 Martín-Peláez, Sandra A1 Serra-Majem, Lluis A1 Cano-Ibáñez, Naomi A1 Martínez-González, Miguel Ángel A1 Salas-Salvado, Jordi A1 Corella, Dolores A1 Lassale, Camille A1 Martínez, Jose Alfredo A1 Alonso-Gomez, Angel M. A1 Wärnberg, Julia A1 Vioque, Jesus A1 Romaguera, Dora A1 López-Miranda, José A1 Estruch, Ramon A1 Tinahones, Francisco J A1 Lapetra, José A1 Fernández-Aranda, Fernando A1 Bueno-Cavanillas, Aurora A1 Tur, Josep A. A1 Martín, Vicente A1 Pintó, Xavier A1 Delgado-Rodriguez, Miguel A1 Matía, Pilar A1 Vidal, Josep A1 Vazquez, Clotilde A1 Daimiel, Lidia A1 Ros, Emilio A1 Toledo, Estefanía A1 Nishi, Stephanie K A1 Sorli, Jose V. A1 Malcampo, Mireia A1 Zulet, M. Angeles A1 Moreno-Rodríguez, Anaí A1 Cueto-Galán, Raquel A1 Vivancos-Aparicio, Diego A1 Colom Fernández, Antoni A1 García-Ríos, Antonio A1 Casas, Rosa A1 Rosa Bernal-Lopez, Maria A1 Santos-Lozano, José Manuel A1 Vázquez, Zenaida A1 Gómez-Martínez, Carlos A1 Ortega-Azorín, Carolina A1 Del Val García, Jose Luís A1 Abete, Itziar A1 Goikoetxea-Bahon, Amaia A1 Pascual, Elena A1 Becerra-Tomas, Nerea A1 Chillarón, Juan J A1 Sanchez-Villegas, Almudena AB Cardio-vascular disease and depression are thought to be closely related, due to shared risk factors. The aim of the study was to determine the association between cardio-vascular risk (CVR) factors and depressive status in a population (55-75 years) with metabolic syndrome (MetS) from the PREDIMED-Plus trial.Participants were classified into three groups of CVR according to the Framingham-based REGICOR function: (1) low (LR), (2) medium (MR) or (3) high/very high (HR). The Beck Depression Inventory-II (BDI-II) was used to assess depressive symptoms at baseline and after 2 years. The association between CVR and depressive status at baseline (n = 6545), and their changes after 2 years (n = 4566) were evaluated through multivariable regression models (logistic and linear models). HR women showed higher odds of depressive status than LR [OR (95% CI) = 1.78 (1.26, 2.50)]. MR and HR participants with total cholesterol <160 mg/mL showed higher odds of depression than LR [OR (95% CI) = 1.77 (1.13, 2.77) and 2.83 (1.25, 6.42) respectively)] but those with total cholesterol ≥280 mg/mL showed lower odds of depression than LR [OR (95% CI) = 0.26 (0.07, 0.98) and 0.23 (0.05, 0.95), respectively]. All participants decreased their BDI-II score after 2 years, being the decrease smaller in MR and HR diabetic compared to LR [adjusted mean±SE = -0.52±0.20, -0.41±0.27 and -1.25±0.31 respectively). MR and HR participants with total cholesterol between 240-279 mg/mL showed greater decreases in the BDI-II score compared to LR (adjusted mean±SE = -0.83±0.37, -0.77±0.64 and 0.97±0.52 respectively).Improving cardiovascular health could prevent the onset of depression in the elderly. Diabetes and total cholesterol in individuals at high CVR, may play a specific role in the precise response. International Standard Randomized Controlled Trial (ISRCTN89898870). PB Plos One YR 2022 FD 2022-04-13 LK https://hdl.handle.net/20.500.13003/18032 UL https://hdl.handle.net/20.500.13003/18032 LA eng NO Martín-Peláez S, Serra-Majem L, Cano-Ibáñez N, Martínez-González MÁ, Salas-Salvadó J, Corella D, et al. Contribution of cardio-vascular risk factors to depressive status in the PREDIMED-PLUS Trial. A cross-sectional and a 2-year longitudinal study. Lim L-L, editor. PLoS One. 2022 Apr 13;17(4):e0265079. DS Docusalut RD 22 ago. 2026