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-Salvadó, Jordi A1 Corella, Dolores A1 Lassale, Camille A1 Martínez, Jose Ángel A1 Alonso-Gómez, Ándres M A1 Warnberg, Julia A1 Vioque, Jesús A1 Romaguera, Dora A1 López-Miranda, José A1 Estruch, Ramon A1 Tinahones, Francisco A1 Lapreta, José A1 Fernández-Aranda, Fernando A1 Bueno-Cavanillas, Aurora A1 Tur, Josep A1 Martin, Vicente A1 Pintó, Xavier A1 Delgado-Rodríguez, Miguel A1 Matia, Pilar A1 Vidal, Josep A1 Vazquez, Clotilde A1 Daimiel, Lidia A1 Ros, Emili A1 Toledo, Estefanía A1 Nishi, Stephanie A1 Sorli, Jose A1 Malcampo, Mireia A1 Zulet, M. Ángeles A1 Moreno-Rodríguez, Anai A1 Cueto-Galán, Raquel A1 Vivancos-Aparicio, Diego A1 Colom, Antoni A1 García-Ríos, Antonio A1 Casas, Rosa A1 Bernal-López, M. Rosa A1 Santos-Lozano, Jose Manuel A1 Vázquez, Zenaida A1 Gómez-Martínez, Carlos A1 Ortega-Azorín, Carolina A1 Del Val, Jose Luis A1 Abete, Itziar A1 Goikoetxea-Bahon, Amaia A1 Pascual, Elena A1 Becerra-Tomás, Nerea A1 Chillarón, Juan A1 Sánchez-Villegas, Almudena K1 Depresión K1 Corazón - Enfermedades AB Background: 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. Methods and findings: 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). Conclusions: 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 SN 1932-6203 YR 2022 FD 2022-04-13 LK https://hdl.handle.net/10630/45354 UL https://hdl.handle.net/10630/45354 LA eng NO Martín-Peláez S, Serra-Majem L, Cano-Ibáñez N, Martínez-González MÁ, Salas-Salvadó J, Corella D, Lassale C, Martínez JA, Alonso-Gómez ÁM, Wärnberg J, Vioque J, Romaguera D, López-Miranda J, Estruch R, Tinahones FJ, Lapetra J, Fernández-Aranda F, Bueno-Cavanillas A, Tur JA, Martín V, Pintó X, Delgado-Rodríguez M, Matía P, Vidal J, Vázquez C, Daimiel L, Ros E, Toledo E, Nishi SK, Sorli JV, Malcampo M, Zulet MÁ, Moreno-Rodríguez A, Cueto-Galán R, Vivancos-Aparicio D, Colom A, García-Ríos A, Casas R, Bernal-López MR, Santos-Lozano JM, Vázquez Z, Gómez-Martínez C, Ortega-Azorín C, Del Val JL, Abete I, Goikoetxea-Bahon A, Pascual E, Becerra-Tomás N, Chillarón JJ, Sánchez-Villegas A. Contribution of cardio-vascular risk factors to depressive status in the PREDIMED-PLUS Trial. A cross-sectional and a 2-year longitudinal study. PLoS One. 2022 Apr 13;17(4):e0265079. doi: 10.1371/journal.pone.0265079. PMID: 35417452; PMCID: PMC9007355. NO International Standard Randomized Controlled Trial (ISRCTN89898870) DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 28 feb 2026