Effect of depression on health behavior among myocardial infarction survivors in the United States

Abstract

<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Introduction</jats:title> <jats:p>The purpose of this study was to evaluate the effect of depression on health behavior among myocardial infarction (MI) survivors.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>This retrospective, cross-sectional study used publicly available 2015 Behavioral Risk Factor Surveillance System (BRFSS) data. Our study sample includes adults aged 50 years or older who completed the 2015 BRFSS survey and reported having MI. The BRFSS participants with a yes response to the question, Has a doctor, nurse, or other health care professional ever told you that you had a heart attack, also called a myocardial infarction? were identified as MI survivors. The presence or absence of depression among MI survivors was identified using a similar question. Health behaviors, the dependent variable of this study, included physical activity, smoking status, alcohol use, body mass index, last flu immunization, last physical checkup, last blood cholesterol check, heavy drinking, and vegetable and fruit consumption. Univariate (χ2 tests) and multivariable (binomial logistic regression) analyses were used to assess the differences in health behaviors between MI survivors with or without depression.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Our final study sample consists of 20 483 older adults with MI among whom 5343 (26.19%) reported having depression. Multivariable analyses reveal MI survivors with depression are more overweight, have less physical activity, and have higher likelihood of smoking but less odds of consuming alcohol compared to MI survivors without depression.</jats:p> </jats:sec> <jats:sec> <jats:title>Discussion</jats:title> <jats:p>In this nationally representative sample of adults aged over 50 years in the United States, MI survivors with depression exhibited poorer health behaviors compared to those without depression.</jats:p> </jats:sec>

Improving depression and perceived social support enhances overall quality of life among myocardial infarction survivors: necessity for integrating mental health care into cardiac rehabilitation programs

“…This finding can be explained by the fact that MI survivors' physical and social activities are limited because of the illness itself and because of lack of motivation and poor confidence in performing physical activity while exercising or engaging in social activity, which can be explained by depression. Our finding is supported by the finding of Nicholson and colleagues who found that MI survivors who have depression have higher odds of having increased body mass index, less physical activity and smoking than those without depression [40]. Furthermore, if the survivors perceive a poor social support and lack of someone who can be around while doing the activities, they may harbor fear of experiencing further injuries, which can lead to avoidance of getting involved in physical activities and social interactions.…”

The combined impact of Type D personality and depression on cardiovascular events after acute myocardial infarction

“…Cheng, F. et al (2018) reported that lifestyle factors such as exercise, adherence to medication, and eating habits, were significant mediators of the relationship between Type D personality and plaque vulnerability (Cheng et al, 2018). Moreover, a recent study found that AMI patients suffering from depression had a higher body mass index (BMI), less physical activity, and a higher likelihood of smoking when compared with patients who were not depressed (Nicholson, Morse, Lundgren, Vadiei, & Bhattacharjee, 2020). Most importantly, a previous study reported that the prevalence of non-adherence to medication was higher in PCI patients with a combination of Type D personality and depression when compared with other groups (Son, Lee, Morisky, & Kim, 2018).…”

Network Structure of Comorbidity Patterns in U.S. Adults with Depression: A National Study Based on Data from the Behavioral Risk Factor Surveillance System

“…Response items were dichotomized as follows: yes or no. Prior research that has utilized BRFSS data has employed a comparable definition to detect the existence of depression [26][27][28].…”