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Table 2 Overview of meta-analyses examining the cross-sectional association between biological dysregulations and depression status

From: Understanding the somatic consequences of depression: biological mechanisms and the role of depression symptom profile

 

Reference

Nr studies included

Nr subjects included

Pooled effect size (95% CI)

Metabolic dysregulation

Metabolic syndrome

Pan et al. 20121[22]

29

155,333

OR = 1.42 (1.28 to 1.57)

Abdominal obesity

Xu et al. 20111[57]

15

34,832

OR = 1.38 (1.22 to 1.57)

Immuno-inflammatory dysregulation

C-Reactive Protein

Howren et al. 20091[58]

49

51,234

d = 0.15 (0.10 to 0.21)

Interleukin-6

 

61

24,837

d = 0.25 (0.18 to 0.31)

Interleukin-1β

 

14

756

d = 0.35 (0.03 to 0.67)

Interleukin-1RA

 

9

1,214

d = 0.25 (0.04 to 0.46)

Interleukin-6

Dowlati et al. 20102[59]

16

892

MD = 1.8 pg/mL (1.2 to 2.3)

TNF-α

 

13

788

MD = 4.0 pg/mL (2.2 to 5.7)

Interleukin-1β

 

9

533

MD = -1.6 pg/mL (-3.6 to 0.4)

Soluble Interleukin-2R

Liu et al. 20122[60]

8

596

MD = 0.56 pg/mL (0.28 to 0.84)

Interleukin-6

 

18

923

MD = 0.68 pg/mL (0.44 to 0.92)

TNF-α

 

15

995

MD = 0.55 pg/mL (0.13 to 0.99)

Interleukin-1β

 

10

580

MD = -0.53 pg/mL (-1.36 to 0.31)

Autonomic dysregulation

Heart rate variability

Rottenberg, 20072[61]

13

686

d = 0.33 (0.18 to 0.49)

Heart rate variability

Kemp et al. 20102[62]

14

726

Hedges’ g = -0.21 (-0.40 to -0.02)4

HPA-axis dysregulation

Higher cortisol 3

Stetler and Miller 20111[63]

354

18,374

d = 0.60 (0.54 to 0.66)

Higher ACTH

 

96

3,812

d = 0.28 (0.16 to 0.41)

Higher CRH

 

16

888

d = -0.53 (-1.71 to 0.65)

Saliva morning cortisol

Knorr et al. 20101[64]

20

2,318

MD = 2.6 nmol/l (1.0 to 4.2)

Saliva evening cortisol

 

10

1,617

MD = 0.3 nmol/l (0.03 to 0.5)

  1. ACTH, Adrenocorticotropin hormone; CI, Confidence interval; CRH, Corticotropin-releasing hormone; d, Cohen’s d; HPA, hypothalamic-pituitary-adrenal; MD, Mean difference between depressed and non-depressed; OR, Odds ratio; TNF, Tumor necrosis factor.
  2. 1 Included depressed cases based on self-report checklists or psychiatric diagnostic criteria.
  3. 2 Only included depressed cases conform to psychiatric diagnostic criteria.
  4. 3 Cumulative assessment of cortisol across body fluids and across various time points.
  5. 4 Did not include data from one study including 1,018 depression patients and 515 controls that found a much smaller effect size (d = 0.12).