Abstract ; In humans everyone experiences times when they feel a little bit blue or sad.  This is a normal part of being human.  Depression, however, is a medical condition which is quite different from everyday moodiness. This study’s aim was to examine the relationship  between different symptoms of depression and their life style to prevent cardiovascular disease in humans.The factors which are highlighted for study of the depression are EAT26,PHQ-9,CHOLESTROL AND PLATELETS.for this purpose we have reviewed ten papers to conclude how depression   is influenced by above stated factors and what   impact it has on the cardiovascular  diseaseKEY WORDS;—EAT26,PHQ-9,CHOLESTROL AND PLATELETS                  

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 I. INTRODUCTION;The Eating Attitudes Test (EAT, EAT-26),; created by David Garner, is a widely used self-report questionnaire 26-item standardized self-report measure of symptoms and concerns characteristic of eating disorders. The EAT has been a particularly useful screening tool to assess “eating disorder risk” in high school, college and other special risk samples such as athletes. Screening for eating disorders is based on the assumption that early identification can lead to earlier treatment, thereby reducing serious physical and psychological complications or even death. Furthermore, EAT has been extremely effective in screening for anorexia nervosa in many populations.This is a measure to help you determine whether you might have an eating disorder that needs professional attention. This screening measure is not designed to make a diagnosis of an eating disorder or take the place of a professional consultation. The PHQ-9 is easy to use patient questionnaire which is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders the PHQ-9 is the depression module, which scores each of the nine DSM-IV criteria as “0” (not at all) to “3” (nearly every day). It has been validated for use in primary care.It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment. However, it can be used to make a tentative diagnosis of depression in at-risk populations – e.g, those with coronary heart disease or after strokeCholesterol is a waxy, fat-like substance that occurs naturally in all parts of the body. Your body needs some cholesterol to work properly. But if it exceeds  in your blood, it can combine with other substances in the blood and stick to the walls of your arteries. This is called plaque. Plaque can narrow your arteries or even block them.There are two main types of cholesterol:HDL stands for high-density lipo proteins. It is called the “good” cholesterol because it carries cholesterol from other parts of your body back to your liver. Your liver then removes the cholesterol from your body.LDL stands for low-density lipo proteins. It is called the “bad” cholesterol because a high LDL level leads to a buildup of cholesterol in your arteries.High levels of cholesterol in the blood can increase your risk of heart disease. Your cholesterol levels tend to rise as you get older. There are usually no signs or symptoms that you have high blood cholesterol, but it can be detected with a blood test.the chances for cholesterol are likely to have high cholesterol if members of your family have it, if you are overweight or if you eat a lot of fatty foods.”Platelets are the cells that circulate within our blood and bind together when they recognize damaged blood vessels,. When we get a cut, for example, the platelets bind to the site of the damaged vessel, thereby causing a blood clot. Platelets, the smallest of our blood cells, can only be seen under a microscope. They’re literally shaped like small plates in their non-active form. A blood vessel will send out a signal when it becomes damaged. When platelets receive that signal, they’ll respond by traveling to the area and transforming into their “active” formation. To make contact with the broken blood vessel, platelets grow long tentacles and then resemble a spider or an octopus. A normal platelet count ranges from 150,000 to 450,000 platelets per micro liter of blood. Having more than 450,000 platelets is a condition called thrombocytosis; having less than 150,000 is known as thrombocytopenia. You get your platelet number from a routine blood test called a complete blood count (CBC).The medical term for having too many platelets is thrombocytosis, and there are two types:· Primary or essential thrombocytosis – Abnormal cells in the bone marrow cause an increase in platelets, but the reason is unknown· Secondary thrombocytosis – The same condition as primary thrombocytosis, but may be caused by an ongoing condition or disease such as anemia, cancer, inflammation, or infection    II. BACKGROUND;This review report was conducted due to compare eating disorder risk ,phq-9 ,cholesterol and platelets  III. PROBLEM CONSIDEREDResearch has proved that being biased towards diet leads towards the disorders of depression and cardio vascular disease however along with the eating factor several essential and valuable factors which play a key role are EAT-26,PHQ-9 CHOLESTROL,and PLATELETS. The major problem being addressed is  how the factors mentioned earlier effect human body individually  and collectively. IV. LITERATURE  REVIEW James R. Hall,James R. Hall,Leigh A.Johnson ,Rebecca Cunningham,Sid E. O’Bryant,Robert C. Barber ,Melissa Edwards,Meharvan Singh in 2014 has narrated a relationship between the cholesterol and depression.the contribution of the paper can be summarized as the higher the cholesterol the higher the chances of depression and cardio vascular disease. Rebecca C Rossom, Karen J Coleman, Brian K Ahmedani, Arne Beck, Eric Johnson, Malia Oliver, Greg E Simon (2017) proposed that  Suicidal ideation reported on the PHQ9 was a robust predictor of suicide attempts and deaths regardless of age, and this increased risk persisted for two years. Healthcare systems should address both the immediate and sustained risk for suicide for patients of all ages Bernd Lo¨we, Kurt Kroenke Wolfgang Herzog, Kerstin Gra¨fe in 2003claims that PHQ 9 is a measure for the detection Of depression that reflects over time .PHQ9 is a measure for the detection of depression that reflects over Time.This study analyze the change in PHQ 9 and divide the sensitivity into three groups of patients whose depression status either improved,constant or deteriorated timely.but this all has been done via telephonic communication. This paper signifies the  contribution of authors Subramani Poongothai,Rajendra Pradeepa,KarunakaranIndulekha,Jayagopi Surendar ,Viswanathan Mohan which finds a relationship between the depression and the common carotid intima media thickness (IMT)and augmentation index (AI).the results of  experimentation said that the IMT and  AI were found in both genders but in the case of AI it is not possible to get the significant value for depression According to Jessica Berntson, Kendra Ray  Steward,Elizabeth Vrany,Tasneem Khandaty,Jesse C.Steward ,PHQ9 was used to diagnose the depression’s symptoms whereas blood pressure and cholesterol was used to get the cause to analyze the relationship  between depressive symptoms and cardio vascular disease CVD.this study will lead to risk of CVD in case of poor causes examined among the depressed patients,  The purpose of the study was to know the relationship between social-demographic  clinical variable and health -related quality  of life HRQoL .this study was used to measure HRQoL ,diabetes related distress DRD and dispressive symptoms DS .this study has the limitation of effects such as DRD had negative effects   basic care is essential for diabetic -2 patients. TheauthorsLauraManeaM.Sc.SimonGilbodyPh.D.DeanMcMillanPh.D.LauraManeaM.Sc.SimonGilbodyPh.D.DeanMcMillanPh.D. proposed scoring method to screen the depression module of PHQ 9.They used meta analytic method to detect major depressive disorder.MDD of PHQ9  but these algorithms contains low sensitivity which results in difficult to analyze whereas specificity was good  and it should be handled with care while interpreting the results .These authors  AndrewStephenMoriarty M.Res.SimonGilbodyPh.D.DeanMcMillanPh.D.LauraManeaM.Sc compared  and established the diagnostic performance at cut off point 10.they studied whether there is better cut off point ten .this study performed data extractions and synthesis and then calculated different features for cut off point 7 to15 and drawn a conclusion that 10 is a suitable and standard cut off point. The objective oft his research work studied by Rüya-DanielaKocaleventPh.D.,M.P.H.aAndreasHinzPh.D.bElmarBrählerPh.D.b to generate normative data and to investigate validity and factor structure of PHQ9 this data was generated for both has been found that women have higher mean scores compared with men.this study supports reliability and  validity of PHQ 9Search was examined under the supervision  of Jon D.Elhaiab1Ateka A.ContractoraMarijoTamburrinobThomas H.FinebMarta R.PrescottcEdwinShirleydePhillip K.ChandeReneeSlembarskideIsraelLiberzonfgSandroGaleacJoseph R.Calabresed with them to analyze the depressive symptoms  using was divided into two groups and then were  evaluated.results for two factor model of depression greater support than the one factor model    V. REFERENCES        


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