Young women with a history of depression are twice as likely to have the metabolic syndrome, a cluster of symptoms that raise the risk of heart disease, according to a new study.

Men with a similar history do not suffer as frequently from the same symptoms, writes Leslie S. Kinder, Ph.D., of the Veterans’ Affairs Puget Sound Health Care System, in the journal Psychosomatic Medicine.

“Perhaps the health risks linked to depression are more critical to women,” Kinder says.