Disorders of depressive nature in migrants of the Far North with metabolic syndrome and arterial hypertension

Abstract

The available data convincingly show the presence of multiple pathophysiological links that explain the high probability of developing metabolic syndrome (MetS) in patients with affective disorders, and MetS itself has been proposed as a premorbid condition in patients with depression in cardiovascular diseases and type 2 diabetes mellitus. The aim of the study was to investigate the association of depressive disorders with MetS and its components in migrants of the Far North with arterial hypertension after moving to new climatic and geographical living conditions.Material and methods. 267 patients of both sexes with arterial hypertension who arrived from the regions of the Far North for permanent residence in Central Siberia were examined. MetS verification was carried out in accordance with the clinical recommendations of the All-Russian Scientific Society of Cardiology (2009). To identify and assess the severity of depressive disorders, the hospital scale of anxiety and depression HADS was used.Results and discussion. Among migrants of the Far North with hypertension symptoms of depression and depressive disorders of a clinically pronounced nature occurred more frequently (36.3 and 14.1 %, respectively) compared to persons permanently residing in Krasnoyarsk (21.4 and 6.1 %, respectively, p = 0.001 and p = 0.011). Former residents of the Far North with signs of depression were much more likely to have three- and four-component combinations of MetS. Migrants of the Far North with MetS suffering from depressive disorders are characterized by the highest frequency of the five-component cluster of MetS.Conclusions. Among migrants of the Far North with hypertension, the incidence of depression in general, and especially of a clinically pronounced nature, is significantly higher compared to patients permanently residing in Krasnoyarsk; when their depression level rises, three- and four-component MC combinations become more common. The results of the correlation analysis suggest the existence of relationships between the level of depression and lipid metabolism in migrants of the Far North.