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Diabetes Res. Clin. Pract. · Aug 2014
Observational StudyUse of antidepressants and statins and short-term risk of new-onset diabetes among high risk adults.
- Rituparna Bhattacharya, Mayank Ajmera, Sandipan Bhattacharjee, and Usha Sambamoorthi.
- Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, WV, USA. Electronic address: rbhattacharya@hsc.wvu.edu.
- Diabetes Res. Clin. Pract. 2014 Aug 1; 105 (2): 251-60.
AimsWe evaluated the association of combined use of antidepressants and statins and the risk of new-onset diabetes among high-risk adults.MethodsWe used a retrospective, observational, longitudinal design among adults (age ≥ 22 years) who were diabetes free at baseline and had reported hypertension or hyperlipidemia or heart disease. We used data were from 2004 to 2009 Medical Expenditure Panel Survey and identified from self-reported diabetes or insulin use. We categorized antidepressants and statins use into four groups: antidepressants only, statins only, combined use of antidepressants and statins (antidepressants-statins), and neither antidepressant nor statins. We conducted chi-square and multivariable logistic regressions to examine the association between use of antidepressants-statins and new-onset diabetes after controlling for demographic and economic characteristics, health-status, access to care, presence of depression, and lifestyle risk factors.ResultsIn our study sample, 9.3% used antidepressants only, 10.7% used statins only and 2.4% adults reported use of antidepressants-statins. Nearly 2% of the study sample reported new-onset diabetes. In unadjusted analyses, significantly higher proportion of adults using antidepressants-statins (3.2%) reported new-onset diabetes compared to those using neither antidepressants nor statins (1.1%). However, after controlling for all other variables in multivariable regression we did not observe a statistically significant association between use of antidepressants-statins and new-onset diabetes.ConclusionsOur study results do not suggest that use of antidepressants-statins may increase the risk of new-onset diabetes. Future research needs to examine this relationship with specific combinations of these drug classes and using longer follow up periods.Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
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