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For around 21 million Americans, depression is a chronic condition that persists, in part, because of their microbiome (food choices change brain neurotransmitters' messaging), a genetic predisposition, hormonal changes, a chronic medical condition, chronic pain, social isolation and even medications. And it's associated with more than the blues. It also impacts heart health and the risk for Type 2 diabetes.

But it turns out, according to a new study, the shape of your depression changes the shape that your heart and metabolism is in.

Researchers followed about 6,500 middle-aged folks for almost seven years and found that people with severe depression were at the highest risk for developing both Type 2 diabetes and heart disease. Those who were categorized as melancholy and were early risers -- with a worse mood in the mornings, decreased their appetite, weight loss and either restlessness or slowed speech and movements -- were at greatest risk for cardiovascular diseases. Those whose depression caused increased sleepiness and appetite, weight gain, low energy level and very sedentary behavior, were more likely to develop Type 2 diabetes. And there was little crossover -- each form of depression had its own cardio and/or metabolic risk.

If you have chronic depression, discuss your symptoms with a lifestyle coach (food and friend choices and exercise are key to recovery) and your doctor (you're getting treatment, right?) so you can reverse your cardiovascular and/or diabetes risk -- and your depression.

For info on defeating depression, staying heart healthy and dodging Type 2 diabetes, sign up for the free newsletter at 4YOUngevity.com.

Health pioneer Michael Roizen, M.D., is chief wellness officer emeritus at the Cleveland Clinic and author of four No. 1 New York Times bestsellers. Check out his latest, "The Great Age Reboot: Cracking the Longevity Code for a Younger Tomorrow," and find out more at www.4YOUngevity.com. Email your health and wellness questions to Dr. Mike at questions@4YOUngevity.com.

(c)2023 Michael Roizen, M.D.

Distributed by King Features Syndicate, Inc.

(c) 2025 Michael Roizen, M.D. Distributed by King Features Syndicate, Inc.