Exploring the Association between Elevated Anxiety Symptoms and Low Skeletal Muscle Mass among Asymptomatic Adults: A Population-Based Study in Republic of Korea

被引:0
作者
Kim, Eunsoo [1 ]
Jung, Sra [2 ]
Lee, Mi Yeon [3 ]
Park, Chul-Hyun [4 ]
Cho, Sung Joon [1 ,5 ]
机构
[1] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Sch Med, Dept Psychiat, Seoul 03181, South Korea
[2] Cha Univ, Dept Psychiat, Ilsan Med Ctr, Goyang 10223, South Korea
[3] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Dept Acad Res, Div Biostat,Sch Med, Seoul 03181, South Korea
[4] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Dept Phys & Rehabil Med, Sch Med, Seoul 03181, South Korea
[5] Kangbuk Samsung Hosp, Workplace Mental Hlth Inst, Seoul 03181, South Korea
关键词
anxiety symptoms; low skeletal muscle mass; mental health; sarcopenia; aging; OLDER-ADULTS; MENTAL-HEALTH; HANDGRIP STRENGTH; CHRONIC DISEASES; DISORDERS; SARCOPENIA; DEPRESSION; EPIDEMIOLOGY; STRESS; METAANALYSIS;
D O I
10.3390/brainsci14050438
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Individuals with mental health problems are at higher risk of musculoskeletal diseases. However, the association between low muscle mass (LMM) and anxiety symptoms remains uninvestigated. This cross-sectional study enrolled 174,262 adults (73,833 women, 100,429 men), aged 18 to 89, who completed the anxiety scale and body composition analyses. Using bio-electrical impedance analysis, skeletal muscle mass index (SMI) was calculated based on appendicular skeletal muscle mass (ASM) (kg)/height (m(2)). LMM was defined as SMI < 7.0 kg/m(2) in men and <5.4 kg/m(2) in women. Anxiety symptoms were screened using the Clinical Useful Anxiety Outcome Scale (CUXOS) with cut-off scores of 20, 30, and 40. Multivariable logistic regression analyses were performed. LMM prevalence was 20.17% in women, 3.86% in men (p < 0.001). The prevalence of anxiety symptoms in LMM group decreased from mild (CUXOS > 20: women, 32.74%, men, 21.17%) to moderate (CUXOS > 30: 13.34%, 7.32%), to severe anxiety symptoms (CUXOS > 40: 4.00%, 1.73%). In multivariable-adjusted models, LMM was associated with mild (aOR (95% confidence interval)), women, 1.13 (1.08-1.17); men, 1.17 (1.08-1.27)), moderate (1.17 (1.11-1.24); 1.35 (1.19-1.53) and severe anxiety symptoms (1.18 (1.07-1.3), 1.36 (1.06-1.74)), demonstrating an increased risk of ORs with escalating anxiety severity. LMM was independently associated with a higher prevalence of anxiety symptoms.
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页数:15
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