| 528 | 4 | 95 |
| 下载次数 | 被引频次 | 阅读次数 |
目的 了解我国老年人焦虑现状，探讨我国老年人食物多样性与焦虑风险的关联。方法 数据来源于2018年中国老年人健康影响因素跟踪调查(CLHLS),抽取23个省(自治区、直辖市)的10 555名65岁及以上老年人。采用食物频率问卷收集11种食物类别的摄入频次，由此计算食物多样性评分，按照食物多样性评分的四分位数将老年人分为4组。采用广泛性焦虑障碍量表(GAD-7)评估≥65岁老年人近两周焦虑发生情况。使用多因素Logistic回归模型分析食物多样性与焦虑风险之间的关联。结果 共调查10 555名老年人，男性4682人(44.36%),女性5873人(55.64%);年龄(84.50±11.64)岁；居住在城镇的老年人有6106人(57.85%);过去两周发生焦虑1296人(12.28%)。调整年龄、性别、文化程度、婚姻状况、居住地、居住安排、职业、收入、吸烟、饮酒、锻炼、睡眠、中心型肥胖前期及中心型肥胖、日常活动能力受限、共病后，与食物多样性评分第一分位组的老年人相比，第四分位组老年人发生焦虑的风险降低26%(OR=0.74,95%CI 0.61～0.89);当食物多样性评分做为连续变量时，食物多样性评分每增加1分，老年人发生焦虑的风险降低7%(OR=0.93,95%CI 0.89～0.96)。新鲜蔬菜、新鲜水果、蛋类、豆制品这四种食物的高摄入量与较低的焦虑风险有关[OR值分别为0.62(95%CI 0.52～0.74)、0.61(95%CI 0.53～0.70)、0.83(95%CI 0.73～0.95)和0.82(95%CI 0.72～0.92)]。结论 中国≥65岁老年人食物多样性高得分与低焦虑风险有关。
Abstract：OBJECTIVE To estimate the prevalence of anxiety and examine the association between the dietary diversity and anxiety among older Chinese adults.METHODS The data from the 2018 Chinese Longitudinal Healthy Longevity Survey(CLHLS) was used, a nationwide survey with 10 555 adults aged ≥65 years in 23 provinces of China. Dietary diversity score(DDS) was constructed based on 11 items of a food frequency questionnaire. Participants were assigned into 4 groups according to the quartile of DDS. The outcome observed was the incidence of anxiety in the past two weeks, as self-reported by participants.Logistic regression was used to examine the association between DDS and the risk of anxiety in the elderly.RESULTS Among the 10 555 participants, 4682(44.36%) were male, and 5873(55.64%) were female, with a mean(SD) age of 84.50±11.64. And 6106(57.85%) of them came from urban. Anxiety was reported by 12.28% of the 10 555 participants. After adjustment for age, sex, educational background, marital status, residence, coresidence, occupation, sufficient income, smoking, drinking, regular exercise, sleep duration, precentral obesity and central obesity, disability and comorbidity, compared to elders who were the lowest quartile of DDS, OR was 0.74(95%CI 0.61-0.89) for quartile 4. Each 1-point increase in DDS corresponded to a 7% lower risk of anxiety(OR=0.93,95%CI 0.89-0.96). In addition, a significant association was observed between higher consumption of fresh vegetables, fruits, legumes and beans, and eggs with lower risk of anxiety, the ORs were 0.62(95%CI 0.52-0.74), 0.61(95%CI 0.53-0.70), 0.83(95%CI 0.73-0.95) and 0.82(95%CI 0.72-0.92).CONCLUSION A higher DDS was associated with a lower risk of anxiety in the Chinese aged 65 years and older.
[1] BAXTER A J,VOS T,SCOTT K M,et al.The global burden of anxiety disorders in 2010[J].Psychol Med,2014,44(11):2363-2374.
[2] HUANG Y,WANG Y,WANG H,et al.Prevalence of mental disorders in China:a cross-sectional epidemiological study[J].Lancet Psychiatry,2019,6(3):211-224.
[3] RIBEIRO O,TEIXEIRA L,ARAúJO L,et al.Anxiety,depression and quality of life in older adults:trajectories of influence across age[J].Int J Environ Res Public Health,2020,17(23):9039.
[4] ZHOU L,WANG G,JIA C,et al.Being left-behind,mental disorder,and elderly suicide in rural China:a case-control psychological autopsy study[J].Psychol Med,2019,49(3):458-464.
[5] SANTABáRBARA J,VILLAGRASA B,LOPEZ-ANTON R,et al.Anxiety and risk of vascular dementia in an elderly community sample:the role of sex[J].Brain Sci,2020,10(5):265.
[6] DE BEURS E,BEEKMAN A T F,DEEG D J H,et al.Predictors of change in anxiety symptoms of older persons:results from the Longitudinal Aging Study Amsterdam[J].Psychol Med,2000,30(3):515-527.
[7] VANCAMPFORT D,KOYANAGI A,HALLGREN M,et al.The relationship between chronic physical conditions,multimorbidity and anxiety in the general population:a global perspective across 42 countries[J].Gen Hosp Psychiatry,2017,45:1-6.
[8] WENG T T,HAO J H,QIAN Q W,et al.Is there any relationship between dietary patterns and depression and anxiety in Chinese adolescents[J].Public Health Nutr,2012,15(4):673-682.
[9] MONTAGNESE C,SANTARPIA L,BUONIFACIO M,et al.European food-based dietary guidelines:a comparison and update[J].Nutrition,2015,31(7-8):908-915.
[10] US Department of Agriculture,US Department of Health and Human Services.Dietary guidelines for Americans,2020-2025[M].Washington DC:US Department of Agriculture,2022.
[11] World Health Organization.Preparation and use of food-based dietary guidelines:report of a joint FAO/WHO consultation[R].Geneva:World Health Organization,1998.
[12] RUEL M T.Operationalizing dietary diversity:a review of measurement issues and research priorities[J].J Nutr,2003,133(11):3911s-3926s.
[13] POORREZAEIAN M,SIASSI F,QORBANI M,et al.Association of dietary diversity score with anxiety in women[J].Psychiatry Res,2015,230(2):622-627.
[14] ZHOU J,WANG H,ZOU Z.Inverse association between dietary diversity score calculated from the diet quality questionnaire and psychological stress in Chinese adults:a prospective study from China Health and Nutrition Survey[J].Nutrients,2022,14(16):3297.
[15] WANG X M,ZHONG W F,LI Z H,et al.Dietary diversity and frailty among older Chinese people:evidence from the Chinese Longitudinal Healthy Longevity Study[J].Am J Clin Nutr,2023,117(2):383-391.
[16] ZHENG J,ZHOU R,LI F,et al.Association between dietary diversity and cognitive impairment among the oldest-old:findings from a nationwide cohort study[J].Clin Nutr,2021,40(4):1452-1462.
[17] ZENG Y.Toward deeper research and better policy for healthy aging-using the unique data of Chinese longitudinal healthy longevity survey[J].China Econ J,2012,5(2/3):131-149.
[18] DUAN Y,QI Q,CUI Y,et al.Effects of dietary diversity on frailty in Chinese older adults:a 3-year cohort study[J].BMC Geriatrics,2023,23(1):141.
[19] LIU D,ZHANG X R,LI Z H,et al.Association of dietary diversity changes and mortality among older people:a prospective cohort study[J].Clin Nutr,2021,40(5):2620-2629.
[20] SPITZER R L,KROENKE K,WILLIAMS J B W,et al.A brief measure for assessing generalized anxiety disorder:the GAD-7[J].Arch Intern Med,2006,166(10):1092.
[21] DENG Y,ZHAO H,LIU Y,et al.Association of using biomass fuel for cooking with depression and anxiety symptoms in older Chinese adults[J].Sci Total Environ,2022,811:152256.
[22] LIU Y,XU Y,YANG X,et al.The prevalence of anxiety and its key influencing factors among the elderly in China[J].Front Psychiatry,2023,14:1038049.
[23] 中华人民共和国国家卫生和计划生育委员会.成人体重判定：WS/T 428—2013 [S].北京：中国标准出版社，2013.
[24] KATZ S.Studies of illness in the aged:the index of ADL:a standardized measure of biological and psychosocial function[J].JAMA,1963,185(12):914.
[25] MASANA M F,TYROVOLAS S,KOLLIA N,et al.Dietary patterns and their association with anxiety symptoms among older adults:the ATTICA study[J].Nutrients,2019,11(6):1250.
[26] XU F,CHONG B Q,CAI T,et al.Associations between major dietary patterns and anxiety in middle-aged adults in eastern China[J].Public Health Nutr,2021,24(7):1716-1724.
[27] JACKA F N,PASCO J A,MYKLETUN A,et al.Association of western and traditional diets with depression and anxiety in women[J].Am J Psychiatry,2010,167(3):305-311.
[28] HATLùY A,TORHEIM L,OSHAUG A.Food variety Da good indicator of nutritional adequacy of the diet?A case study from an urban area in Mali,West Africa[J].Eur J Clin Nutr,1988,52 (12):891-898.
[29] AZADBAKHT L,ESMAILLZADEH A.Dietary diversity score is related to obesity and abdominal adiposity among Iranian female youth[J].Public Health Nutr,2011,14(1):62-69.
[30] ZHANG J,ZHAO A.Dietary diversity and healthy aging:a prospective study[J].Nutrients,2021,13:1787.
[31] YIN Z,BRASHER M,KRAUS V,et al.Dietary diversity was positively associated with psychological resilience among elders:a population-based study[J].Nutrients,2019,11(3):650.
[32] SMITH J L,HOLLINGER-SMITH L.Savoring,resilience,and psychological well-being in older adults[J].Aging Mental Health,2015,19(3):192-200.
[33] KAPLAN B J,CRAWFORD S G,FIELD C J,et al.Vitamins,minerals,and mood[J].Psychol Bull,2007,133(5):747-760.
[34] LAMPE J W.Health effects of vegetables and fruit:assessing mechanisms of action in human experimental studies[J].Am J Clin Nutr,1999,70(3):475s-490s.
[35] MESSINA M J.Legumes and soybeans:overview of their nutritional profiles and health effects[J].Am J Clin Nutr,1999,70(3):439s-450s.
[36] FERNANDEZ M.Eggs and health special issue[J].Nutrients,2016,8(12):784.
[37] KIECOLT-GLASER J K.Stress,food,and inflammation:psychoneuroimmunology and nutrition at the cutting edge[J].Psychosom Med,2010,72(4):365-369.
[38] KAMPHUIS M H,GEERLINGS M I,GROBBEE D E,et al.Dietary intake of B6-9-12 vitamins,serum homocysteine levels and their association with depressive symptoms:the Zutphen Elderly Study[J].Eur J Clin Nutr,2008,62(8):939-945.
[39] BJELLAND I,TELL G S,VOLLSET S E,et al.Folate,vitamin B12,homocysteine,and the MTHFR 677C→T polymorphism in anxiety and depression:the Hordaland Homocysteine Study[J].Arch Gen Psychiatry,2003,60(6):618.
[40] M?YNIEC K,DAVIES C L,DE AGüERO SáNCHEZ I G,et al.Essential elements in depression and anxiety:Part I[J].Pharmacol Rep,2014,66(4):534-544.
基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2024.06.025
中图分类号:R153.3
引用信息:
[1]黄莉,王玮铭,孙盼盼,等.2018年中国65岁及以上老年人食物多样性与焦虑风险的关联[J].卫生研究,2024,53(06):1007-1015.DOI:10.19813/j.cnki.weishengyanjiu.2024.06.025.
基金信息:
深圳市宝安区科技计划项目(No.2023JD151); 宝安区医学重点学科(慢性非传染性疾病防控)
2024-11-30
2024-11-30