Asociación bidireccional entre uso de tabaco y riesgo de depresión en el estudio de cohorte SUN

  1. Almudena Sánchez-Villegas 1
  2. Alfredo Gea 2
  3. Francisca Lahortiga-Ramos 3
  4. Julio Martínez-González 4
  5. Patricio Molero 3
  6. Miguel Ángel Martínez-González 5
  1. 1 Instituto Universitario de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España
  2. 2 Universidad de Navarra, Departamento de Medicina Preventiva y Salud Pública, Pamplona, España.
  3. 3 Departamento de Psiquiatría y Psicología Médica, Clínica Universidad de Navarra, Pamplona, España
  4. 4 Hospital Carlos Haya, Departamento de Medicina Interna, Málaga, España.
  5. 5 Ciber de Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid, España
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Revista:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Any de publicació: 2024

Volum: 36

Número: 1

Pàgines: 41-52

Tipus: Article

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Altres publicacions en: Adicciones: Revista de socidrogalcohol

Resum

We assessed the association of tobacco use or smoking cessation with depression risk and determined if the presence of a depressive disorder was associated with smoking onset. We conducted a prospective cohort study (SUN Project) based on 16,519 Spanish university graduates without depression at baseline. Tobacco use was determined at baseline and after four years of follow-up. Incident cases of depression were ascertained according to a previously validated report of a clinical diagnosis of depression during follow-up. Multivariable Cox regression models were used to estimate hazard ratios (HR) of depression according to previous smoking status. We used logistic regression models as a secondary analysis to estimate Odds Ratios (OR) of smoking onset during the first four years of follow-up according to lifetime depression prevalence at baseline. The multivariable HR (95% CI) for current smokers was 1.24 (1.05-1.46) as compared to participants who had never smoked. Participants with the highest exposure to tobacco (≥ 20 packs- years) had a significant 38% relative increment in depression risk. Smoking cessation during the first four years of follow-up was inversely associated with depression (HR = 0.63; 95% CI = 0.40-0.99). Finally, a significant increment in the risk of smoking onset for participants with lifetime depression prevalence was observed (multivariable OR = 1.44; 95% CI = 1.13-1.83). A bidirectional association between tobacco use and depression in the SUN cohort was found. Therefore, tobacco control and health promotion campaigns for smoking cessation could be considered as effective strategies of public health for the prevention and management of depressive disorders

Referències bibliogràfiques

  • Alonso, A., Beunza, J. J., Delgado-Rodríguez, M. y Martínez-González, M. A. (2005). Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain. BMC Public Health, 5, 94. doi:10.1186/1471-2458-5-94.
  • Belujon, P. y Grace, A. A. (2017). Dopamine system dysregulation in major depressive disorders. International Journal of Neuropsychopharmacology, 20, 1036-1046. doi:10.1093/ijnp/pyx056.
  • Bes-Rastrollo, M., Pérez-Valdivieso, J. R., Sánchez-Villegas, A., Alonso, Á. y Martínez-González, M. Á. (2005). Validation of the self-reported weight and body mass index of the participants in a cohort of university graduates. Revista Española de Obesidad, 3, 352–358.
  • Bruin, M. C., Comijs, H. C., Kok, R. M., Van der Mast, R. C. y Van den Berg, J. F. (2018). Lifestyle factors and the course of depression in older adults: A NESDO study. International Journal of Geriatric Psychiatry, 33, 1000-1008. doi:10.1002/gps.4889.
  • Carlos, S., De la Fuente-Arrillaga, C., Bes-Rastrollo, M., Razquin, C., Rico-Campà, A., Martínez-González, M. A. y Ruiz-Canela, M. (2018). Mediterranean diet and health outcomes in the SUN cohort. Nutrients, 10, 439. doi:10.3390/nu10040439.
  • Clyde, M., Smith, K. J., Gariépy, G. y Schmitz, N. (2015). Assessing the longitudinal associations and stability of smoking and depression syndrome over a 4-year period in a community sample with type 2 diabetes. Journal of Diabetes, 95-101. doi:10.1111/1753-0407.12141.
  • Cohn, A. M. (2018). Never, non-daily, and daily smoking status and progression to daily cigarette smoking as correlates of major depressive episode in a national sample of youth: Results from the national survey of drug use and health 2013 to 2015. Addictive Behaviors, 84, 118-125. doi:10.1016/j.addbeh.2018.03.001.
  • De la Fuente-Arrillaga, C., Vázquez Ruiz, Z., Bes-Rastrollo, M., Sampson, L. y Martínez-González, M. A. (2010). Reproducibility of an FFQ validated in Spain. Public Health Nutrition, 13, 1364-1372. doi:10.1017/S1368980009993065.
  • Fernández-Ballart, J. D., Piñol, J. L., Zazpe, I., Corella, D., Carrasco, P., Toledo, E.,... Martín-Moreno, J. M. (2010). Relative validity of a semi-quantitative food-frequency questionnaire in an elderly Mediterranean population of Spain. British Journal of Nutrition, 103, 1808-1816. doi:10.1017/S0007114509993837.
  • Fernández-Montero, A., Moreno-Galarraga, L., Sánchez-Villegas, A., Lahortiga-Ramos, F., Ruiz-Canela, M., Martínez-González, M. Á. y Molero, P. (2020). Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohort. BMC Psychiatry, 20, 1-9. doi:10.1186/s12888-020-02502-6.
  • Flensborg-Madsen, T., von Scholten, M. B., Flachs, E. M., Mortensen, E. L., Prescott, E. y Tolstrup, J. S. (2011). Tobacco smoking as a risk factor for depression. A 26-year population-based follow-up study. Journal of Psychiatric Research, 45, 143-149. doi:10.1016/j.jpsychires.2010.06.006.
  • Fluharty, M. E., Taylor, A. E., Grabski, M. y Munafò, M. R. (2017). The association of cigarette smoking with depression and anxiety: A systematic review. Nicotine & Tobacco Research, 19, 3-13. doi:10.1093/ntr/ntw140.
  • Fluharty, M. E., Sallis, H. y Munafò, M. R. (2018). Investigating possible causal effects of externalizing behaviors on tobacco initiation: A Mendelian randomization analysis. Drug and Alcohol Dependence, 191, 338-342.
  • Fowler, J. S., Volkow, N. D., Wang, G. J., Pappas, N., Logan, J., MacGregor, R.,... Cilento, R. (1996). Inhibition of monoamine oxidase B in the brains of smokers. Nature, 379, 733-736. doi:10.1038/379733a0.
  • Furihata, R., Konno, C., Suzuki, M., Takahashi, S., Kaneita, Y., Ohida, T. y Uchiyama, M. (2018). Unhealthy lifestyle factors and depressive symptoms: A Japanese general adult population survey. Journal of Affective Disorders, 234, 156-161. doi:10.1016/j.jad.2018.02.093.
  • Huffman, A. L., Bromberg, J. E. y Augustson, E. M. (2018). Lifetime depression, other mental illness, and smoking cessation. American Journal of Health Behavior, 42, 90-101. doi:10.5993/AJHB.42.4.9.
  • Instituto Nacional del Cáncer [National Cancer Institute] (2019). Dictionary of cancer terms. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/pack-year.
  • James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N.,… Murray, C. J. L. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: A systematic analysis for the global burden of disease study 2017. Lancet, 392, 1789-1858. doi:10.1016/S0140-6736(18)32279-7.
  • Jiménez-Treviño, L., Velasco, A., Rodríguez-Revuelta, J., Abad, I., De la Fuente-Tomás, L., González-Blanco, L.,... Sáiz, P. A. (2019). Factores asociados con consumo de tabaco en pacientes con depresión. Adicciones, 31, 298-308. doi:10.20882/adicciones.1191.
  • Kedzior, K. K. y Laeber, L. T. (2014). A positive association between anxiety disorders and cannabis use or cannabis use disorders in the general population-a meta-analysis of 31 studies. BMC Psychiatry, 14, 1-22. doi:10.1186/1471-244X-14-136.
  • Khaled, S. M., Bulloch, A. G., Williams, J. V., Hill, J. C., Lavorato, D. H. y Patten, S. B. (2012). Persistent heavy smoking as risk factor for major depression (MD) incidence–evidence from a longitudinal Canadian cohort of the national population health survey. Journal of Psychiatric Research, 46, 436-443. doi:10.1016/j.jpsychires.2011.11.011.
  • Kyu, H. H., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N.,... Murray, C. J. L. (2018). Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2017: A systematic analysis for the global burden of disease study 2017. Lancet, 392, 1859-1922. doi:10.1016/S0140-6736(18)32335-3.
  • Lassale, C., Batty, G. D., Baghdadli, A., Jacka, F., Sánchez-Villegas, A., Kivimäki, M. y Akbaraly, T. (2019). Healthy dietary indices and risk of depressive outcomes: A systematic review and meta-analysis of observational studies. Molecular Psychiatry, 24, 965-986. doi:10.1038/s41380-018-0237-8.
  • Martínez-González, M. A., Sánchez-Villegas, A., De Irala, J., Marti, A. y Martínez, J. A. (2002). Mediterranean diet and stroke: Objectives and design of the SUN project. Nutritional Neuroscience, 5, 65-73. doi:10.1080/10284150290007047.
  • Martínez-González, M. A., López-Fontana, C., Varo, J. J., Sánchez-Villegas, A. y Martínez, J. A. (2005). Validation of the Spanish version of the physical activity questionnaire used in the nurses’ health study and the health professionals’ follow-up study. Public Health Nutrition, 8, 920-927. doi:10.1079/phn2005745.
  • Mataix, J. (2003). Tabla de composición de alimentos (Food Composition Tables). Granada: University of Granada.
  • Molero, P., Martínez-González, M. Á., Ruiz-Canela, M., Lahortiga, F., Sánchez-Villegas, A., Pérez-Cornago, A. y Gea, A. (2017). Cardiovascular risk and incidence of depression in young and older adults: Evidence from the SUN cohort study. World Psychiatry, 16, 111. doi:10.1002/wps.20390.
  • Moreiras, O., Carbajal, A., Cabrera, L. y Cuadrado, C. (2005). Tablas de composición de alimentos (Food Composition Tables). Madrid: Ediciones Pirámide.
  • Opie, R. S., Itsiopoulos, C., Parletta, N., Sánchez-Villegas, A., Akbaraly, T. N., Ruusunen, A. y Jacka, F. N. (2017). Dietary recommendations for the prevention of depression. Nutritional Neuroscience, 20, 161-171. doi:10.1179/1476830515Y.0000000043.
  • Raffetti, E., Donato, F., Forsell, Y. y Galanti, M. R. (2019). Longitudinal association between tobacco use and the onset of depressive symptoms among Swedish adolescents: The Kupol cohort study. European Child & Adolescent Psychiatry, 28, 695-704. doi:10.1007/s00787-018-1237-6.
  • Rothman, K. J., Greenland, S. y Lash, T. L. (Eds.) (2008). Modern epidemiology (3rd ed). Philadelphia: Lippincott Williams & Wilkins.
  • Sánchez-Villegas, A., Schlatter, J., Ortuno, F., Lahortiga, F., Pla, J., Benito, S. y Martínez-González, M. A. (2008a). Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I). BMC Psychiatry, 8, 1-8. doi:10.1186/1471-244X-8-43.
  • Sánchez-Villegas, A., Serrano-Martínez, M., Alonso, A., Tortosa, A. y Martínez-González, M. Á. (2008b). Role of tobacco use on the depression incidence in the SUN cohort study. Medicina Clínica, 130, 405-409. doi:10.1157/13117850.
  • Schröder, H., Fitó, M., Estruch, R., Martínez-González, M. A., Corella, D., Salas-Salvadó, J.,... Covas, M. I. (2011). A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. The Journal of Nutrition, 141, 1140-1145. doi:10.3945/jn.110.135566.
  • Secades-Villa, R., Weidberg, S., González-Roz, A., Reed, D. D. y Fernández-Hermida, J. R. (2018). Cigarette demand among smokers with elevated depressive symptoms: An experimental comparison with low depressive symptoms. Psychopharmacology, 235, 719-728. doi:10.1007/s00213-017-4788-1.
  • Taylor, G., McNeill, A., Girling, A., Farley, A., Lindson-Hawley, N. y Aveyard, P. (2014). Change in mental health after smoking cessation: Systematic review and meta-analysis. BMJ, 348. doi:10.1136/bmj.g1151.
  • Zarghami, M., Taghizadeh, F., Sharifpour, A. y Alipour, A. (2018). Efficacy of smoking cessation on stress, anxiety, and depression in smokers with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Addiction & health, 10, 137. doi:10.22122/ahj.v10i3.600.
  • Zhang, X. C., Woud, M. L., Becker, E. S. y Margraf, J. (2018). Do health-related factors predict major depression? A longitudinal epidemiologic study. Clinical Psychology & Psychotherapy, 25, 378-387. doi:10.1002/cpp.2171.
Fuente de los datos: Dialnet