TY  - JOUR
AU  - Huang, Yan
AU  - Han, Lin
AU  - Xiao, Yefei
AU  - Wang, Ruiqi
AU  - Liu, Dan
AU  - Cao, Bing
TI  - Mediating role of depression in the relationship between allostatic load and mortality.
JO  - Psychoneuroendocrinology
VL  - 180
SN  - 0306-4530
CY  - Amsterdam [u.a.]
PB  - Elsevier Science
M1  - DZNE-2025-01052
SP  - 107550
PY  - 2025
AB  - Allostatic load (AL), an indicator of chronic stress that reflects the cumulative cost of repeated environmental stressors on neural and neuroendocrine responses, has been considered as a potential factor in the development of depression and may increase mortality risk. This study aimed to investigate the association between AL, depression, and mortality in the general population and to evaluate the mediating role of depression in the relationship between AL and mortality. Cross-sectional data from 15,571 participants of the US National Health and Nutrition Examination Survey (NHANES) 2009-2016 were analyzed. AL was calculated by summing numerical values for each biomarker based on predefined risk zones, yielding a score from 0 to 11. Depressive symptoms were assessed by the Patient Health Questionnaire-9 (PHQ-9). The results showed a significant association between AL and mortality (HR = 1.16, 95 
KW  - Allostatic load (Other)
KW  - Depression (Other)
KW  - Mortality (Other)
KW  - NHANES (Other)
KW  - Stress (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:40680486
DO  - DOI:10.1016/j.psyneuen.2025.107550
UR  - https://pub.dzne.de/record/280970
ER  -