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A systematic review and meta\u2010analysis were used to investigate the association between depression or depressive symptoms and risk of stroke in elders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Embase, MEDLINE, PsychINFO, and Web of Science were searched for studies published from inception to January 6, 2023. Prospective cohort studies reporting quantitative estimates of the association between depression or depressive symptoms and stroke morbidity in participants aged over 60\u2009years were included. Reviews, meta\u2010analyses, case reports, retrospective, cross\u2010sectional, and theoretical studies were excluded. Study screening and data extraction were conducted by two researchers independently. Random\u2010effects meta\u2010analysis was used to estimate pooled adjusted hazard ratios (HRs). Publication bias was evaluated via the symmetry of funnel plots and Egger tests. The Newcastle Ottawa Scale was used to assess the risk of bias. The quality of evidence of synthesis was assessed by the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The primary outcome was any stroke, including non\u2010fatal, fatal, ischemic and hemorrhagic sub\u2010types.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventeen studies of 57,761 patients in total were included in the meta\u2010analysis. A positive association was found between depressive disorder or symptoms and stroke risk (HR: 1.39; 95% CI: 1.22\u20131.58; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Late\u2010life depression or depressive symptoms are a significant risk factor for stroke in older people. Regular assessment and more effective management of associated comorbidities are recommended to reduce stroke risk.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acps.13613","type":"journal-article","created":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T08:54:30Z","timestamp":1695200070000},"page":"405-415","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Association between late\u2010life depression or depressive symptoms and stroke morbidity in elders: A systematic review and meta\u2010analysis of cohort studies"],"prefix":"10.1111","volume":"148","author":[{"given":"Wa","family":"Cai","sequence":"first","affiliation":[{"name":"Department of Acupuncture Shanghai Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of 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