La depresión atípica se asocia con el síndrome metabólico: una revisión sistemática / Atypical depression is associated with metabolic syndrome: a systematic review

Introducción: La depresión y el síndrome metabólico (SM)son problemas importantes de salud pública, esta revisiónsistemática evaluó si el subtipo atípico de depresión está asociadocon el SM, en comparación con otros subtipos depresivos.Metodología. Dos revisores independientes realizaronbúsquedas en las bases de datos de Medline, Lilacs, PsycInfo,Scopus y Web of Science, hasta mayo de 2021, sin restricciónde idioma, incluidos estudios transversales, de casos ycontroles y de cohortes, que evaluaban a adultos. La calidadmetodológica de los estudios se evaluó mediante la escalade Newcastle-Ottawa. Se adoptaron las directrices PRISMA yesta revisión tiene registró en PROSPERO (CRD42018109762).Resultados. La búsqueda en las bases de datos identificó96 artículos y 6 se incluyeron en esta revisión. Los puntajesde calidad metodológica variaron de 7 a 10 puntos. Laasociación entre depresión atípica y SM se demostró entodas las publicaciones, así como la falta de asociacióncon melancólico y otros subtipos. La prevalencia de SM fuesignificativamente mayor entre las personas con depresiónatípica. Vale la pena señalar que hasta el momento solo sehan realizado pocos estudios que evalúen esta comorbilidad.Conclusiones. SM se asocia con depresión atípica, perono con melancólico u otros subtipos. La identificación decaracterísticas clínicas depresivas distintas parece crucialpara comprender mejor su comorbilidad con SM y dilucidarsus vías fisiopatológicas, ambas necesarias para orientarmejor las estrategias de prevención y tratamiento. (AU)

Introduction: Depression and metabolic syndrome (MetS)are important public health problems. This systematic reviewevaluated whether the atypical subtype of depression isassociated with MetS, when compared to other depressivesubtypes.Methods. Two independent reviewers searched inMedline, Lilacs, PsycInfo, Scopus and Web of Sciencedatabases, up to May 2021, without language restriction,including cross-sectional, case-control, and cohort studies,assessing adults. The methodological quality of the studieswas assessed using the Newcastle-Ottawa Scale. The PRISMAguidelines were adopted and this review was registered inPROSPERO (CRD42018109762).Results. The databases search identified 96 articles and 6was included in this review. The methodological quality scoresranged from 7 to 10 points. The association between atypicaldepression and MetS was demonstrated in all publications,as well as the lack of association with melancholic and othersubtypes. The prevalence of MetS was significantly higheramong individuals with atypical depression. It is worthnoting that only few studies assessing this comorbidity wereconducted so far.Conclusions. MetS is associated with atypical depression,but not with melancholic or other subtypes. The identificationof distinct depressive clinical features seems crucial to betterunderstand its comorbidity with MetS and elucidate itspathophysiological pathways, both necessary to better guideprevention and treatment strategies. (AU)

Atypical depression is associated with metabolic syndrome: a systematic review.

Depression and metabolic syndrome (MetS) are important public health problems. This systematic review evaluated whether the atypical subtype of depression is associated with MetS.

COVID-19: depressão e consequências alimentares no distanciamento social / COVID-19: depression and eating consequences in the social distancing

O novo coronavírus (Sars-Cov-2) impôs novos desafios para a adoção e a manutenção de uma alimentação saudável que, na presença de transtornos mentais, como a depressão, poderão desempenhar um papel deletério na interação entre as necessidades impostas pela pandemia e a capacidade de adotar estratégias de enfrentamento adequadas, e na incorporação de medidas protetivas, como hábitos de vida saudáveis. Dentre a sintomatologia para diagnóstico de depressão incluem-se sintomas específicos que podem impactar diretamente hábitos de vida, como alteração de peso, apetite, mudanças no padrão habitual de sono, além de fadiga e redução da energia. Assim, o presente estudo tem como objetivo discursar sobre a relação entre depressão e consequências alimentares. No contexto atual a vigência de depressão impacta negativamente a saúde geral, a capacidade de autocuidado e a manutenção de estilos de vida saudáveis, e pode, ainda, amplificar as dificuldades de adaptação às demandas impostas pelo distanciamento social e pela necessidade de prevenção da disseminação e da infecção pelo Sars-Cov-2..(Au)

The new coronavirus (Sars-Cov-2) imposed new challenges for the adoption and maintenance of a healthy diet that in the presence of mental disorders, such as depression, may play a deleterious role in the interaction between the needs imposed by the pandemic and the ability to adopt appropriate coping strategies, and the incorporation of protective measures, such as healthy lifestyle habits. The diagnosis of depression includes specific symptoms that can directly impact lifestyle habits, such as changes in weight, apetite and in the usual sleep pattern, besides that fatigue and decresead energy. Thus, this study aimed to present the relationship between depression and eating consequences. In the current context, the presence of depression impacts negatively the general health, the ability to self-care and the maintenance of healthy lifestyles, and can also amplify the difficulties of adapting to the demands imposed due to social distancing and the need to prevent spread and infection by Sars-Cov-2..(Au)