Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Depressive symptoms and insulin resistance in young adult males: results from the Northern Finland 1966 birth cohort

Abstract

The association between insulin resistance (IR) and depression is a subject of growing research interest, especially as previous population-based studies have presented conflicting findings. The present study extends our understanding about the putative impact of the severity of depressive symptoms on this association and it provides further epidemiological evidence in support of earlier findings, suggesting that the association between IR and depression is present already in young adult males. To determine the impact of the severity of depressive symptoms on the putative association between IR and depression in young adult males, we were given access to the Northern Finland 1966 Birth Cohort database. During the 31-year follow-up survey of this genetically homogeneous birth cohort, IR was assessed by ‘Qualitative Insulin Sensitivity Check Index’ (QUICKI), and severity of depressive symptoms by ‘Hopkins’ Symptom Checklist-25’ (HSCL-25). This study involved 2609 male cohort members with complete variable information. In men, the means of the QUICKI-values decreased (i.e., IR increased) in line with the increased severity of depressive symptoms as assessed by HSCL-25 subgroups (analysis of covariance P-value for trend, P=0.003). In multivariate generalized logistic regression analyses, after adjusting for confounders, IR was positively associated with current severe depressive symptoms, the odds ratio (OR) being over threefold (adjusted OR 3.15, 95% confidence interval 1.48–6.68) and the value of OR increased in parallel with a tighter definition of IR (P-value for trend=0.007). The results indicate that in young males, a positive association exists specifically with severe depressive symptoms.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Anderson RJ, Freedland KE, Clouse RE, Lustman PJ . The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care 2001; 24: 1069–1078.

    Article  CAS  Google Scholar 

  2. Musselman DL, Betan E, Larsen H, Phillips LS . Relationship of depression to diabetes types 1 and 2: epidemiology, biology, and treatment. Biol Psychiatry 2003; 54: 317–329.

    Article  Google Scholar 

  3. Ramasubbu R . Insulin resistance: a metabolic link between depressive disorder and atherosclerotic vascular diseases. Med Hypotheses 2002; 59: 537–551.

    Article  CAS  Google Scholar 

  4. Timonen M, Laakso M, Jokelainen J, Rajala U, Meyer-Rochow VB, Keinänen-Kiukaanniemi S . Insulin resistance and depression: cross sectional study. BMJ 2005; 330: 17–18.

    Article  Google Scholar 

  5. Lawlor DA, Smith GD, Ebrahim S . British Women's Heart and Health Study. Association of insulin resistance with depression: cross sectional findings from the British Women's Heart and Health Study. BMJ 2003; 327: 1383–1384.

    Article  Google Scholar 

  6. Lawlor DA, Ben-Shlomo Y, Ebrahim S, Smith GD, Stansfeld SA, Yarnell JWG et al. Insulin resistance and depressive symptoms in middle aged men: findings from the Caerphilly prospective cohort study. BMJ 2005; 330: 705–706.

    Article  Google Scholar 

  7. Rantakallio P . The longitudinal study of the Northern Finland birth cohort of 1966. Pediatr Perinat Epidemiol 1988; 2: 59–88.

    Article  CAS  Google Scholar 

  8. Freeman MP . Depression and hormonal contraception. JAMA 2001; 286: 671–672.

    Article  CAS  Google Scholar 

  9. Joffe H, Cohen LS . Estrogen, serotonin, and mood disturbance: where is the therapeutic bridge? Biol Psychiatry 1998; 44: 798–811.

    Article  CAS  Google Scholar 

  10. Rajala U, Laakso M, Päivänsalo M, Pelkonen O, Suramo I, Keinänen-Kiukaanniemi S . Low insulin sensitivity measured by both quantitative insulin sensitivity check index and homeostasis model assessment method as a risk factor of increased intima–media thickness of the carotid artery. J Clin Endocrinol Metab 2002; 87: 5092–5097.

    Article  CAS  Google Scholar 

  11. Tenerz A, Norhammar A, Silveira A, Hamsten A, Nilsson G, Ryden L et al. Diabetes, insulin resistance, and the metabolic syndrome in patients with acute myocardial infarction without previously known diabetes. Diabetes Care 2003; 26: 2770–2776.

    Article  Google Scholar 

  12. Degoratis LR, Lipman RS, Covi C . SCL-90: an outpatients psychiatric rating scale- preliminary report. Psychopharmacol Bull 1973; 9: 13–27.

    Google Scholar 

  13. Winokur A, Winokur DF, Rickels K, Cox DS . Symptoms of emotional distress in a family planning service: stability over a four-week period. Br J Psychiatry 1984; 144: 395–399.

    Article  CAS  Google Scholar 

  14. Nettelbladt P, Hansson L, Stefansson CG, Borgquist L, Nordstrom G . Test characteristics of the Hopkins Symptom Checklist-25 (HSCL-25) in Sweden, using the Present State Examination (PSE-9) as a caseness criterion. Soc Psychiatry Psychiatr Epidemiol 1993; 28: 130–133.

    Article  CAS  Google Scholar 

  15. Sandanger I, Moum T, Ingebrigtsen G, Dalgard OS, Sörensen T, Bruusgaard D . Concordance between symptom screening and diagnostic procedure: the Hopkins Symptom Checklist-25 and the composite international diagnostic interview I. Soc Psychiatry Psychiatr Epidemiol 1998; 33: 345–354.

    Article  CAS  Google Scholar 

  16. Timonen M, Jokelainen J, Hakko H, Silvennoinen-Kassinen S, Meyer-Rochow VB, Herva A et al. The association between atopy and depression: the Northern Finland 1966 Birth Cohort Study. Mol Psychiatry 2003; 8: 738–744.

    Article  CAS  Google Scholar 

  17. Nichols G, Brown J . Unadjusted and adjusted prevalence of diagnosed depression in type 2 diabetes. Diabetes Care 2003; 26: 744–749.

    Article  Google Scholar 

  18. Sjoholm A, Nystrom T . Endothelial inflammation in insulin resistance. Lancet 2005; 365: 610–612.

    Article  Google Scholar 

  19. Rasgon NL, Rao RC, Hwang S, Altshuler LL, Elman S, Zuckerbrow-Miller J et al. Depression in women with polycystic ovary syndrome: clinical and biochemical correlates. J Affect Disord 2003; 74: 299–304.

    Article  Google Scholar 

Download references

Acknowledgements

The work was carried out in the Department of Public Health Science and General Practice, PO Box 5000, FIN-90014 University of Oulu, Finland.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M Timonen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Timonen, M., Rajala, U., Jokelainen, J. et al. Depressive symptoms and insulin resistance in young adult males: results from the Northern Finland 1966 birth cohort. Mol Psychiatry 11, 929–933 (2006). https://doi.org/10.1038/sj.mp.4001838

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.mp.4001838

Keywords

This article is cited by

Search

Quick links