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Author Iversen, M.M.; Tell, G.S.; Espehaug, B.; Midthjell, K.; Graue, M.; Rokne, B.; Berge, L.I.; Ostbye, T.   
  Title Is depression a risk factor for diabetic foot ulcers?: 11-years follow-up of the Nord-Trondelag Health Study (HUNT) Type Journal Article
  Year 2015 Publication J Diabetes Complications Abbreviated Journal Journal of diabetes and its complications  
  Volume 29 Issue 1 Pages 20-25  
  Keywords HUNT2; HUNT3; Age Distribution; Cohort Studies; Confidence Intervals; Depression/diagnosis/*epidemiology; Diabetic Foot/*epidemiology/physiopathology/*psychology/therapy; Female; Follow-Up Studies; Humans; Incidence; Logistic Models; Longitudinal Studies; Male; Neuropsychological Tests; Norway; Odds Ratio; *Quality of Life; Retrospective Studies; Risk Assessment; Severity of Illness Index; Sex Distribution; Time Factors; Wound Healing/physiology  
  Abstract AIM: To prospectively examine whether depressive symptoms increase the risk of diabetes and a diabetic foot ulcer. METHODS: The Nord-Trondelag Health Study (HUNT) is a community-based longitudinal study. The Hospital Anxiety and Depression Scale (HADS-D subscale) assessed depressive symptoms. We followed individuals with complete HADS-D data from HUNT2 (1995-97) and assessed whether they reported diabetes with or without a history of diabetic foot ulcer (DFU) in HUNT3 (2006-08) (n=36,031). Logistic regression was used to investigate the effect of depressive symptoms on subsequent development of diabetes and of DFU. RESULTS: Unadjusted odds for reporting diabetes at follow-up was higher among individuals who reported a HADS-D score>/=8 at baseline (OR 1.30 95% CI, 1.07-1.57) than among those reporting a lower score. After adjusting for age, gender and BMI, this association was no longer significant. The odds of developing a DFU was almost two-fold (OR=1.95 95% CI, 1.02-3.74) for those reporting a HADS-D score of 8-10, and 3-fold (OR=3.06 95% CI, 1.24-7.54) for HADS-D scores>/=11, compared to HADS-D scores  
  Corporate Author Thesis  
  Publisher Place of Publication Faculty of Health and Social Sciences, Bergen University College, PO Box 7030, N-5020 Bergen, Norway Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number HUNT @ maria.stuifbergen @ Iversen2015c Serial (down) 1826  
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