韩国中老年人肌肉减少症与广泛性焦虑症的关联:2022年韩国国家健康与营养检查调查结果

Association of sarcopenia with generalized anxiety disorder in Korean middle-aged and older adults: Results from the Korea National Health and Nutrition Examination Survey in 2022.

作者信息

An Hye-Eun, Park Hye-Su, Yin Chang Shik

机构信息

Department of East-West Medicine, Kyung Hee University, Yongin, Republic of Korea.

Department of Medical Education, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.

出版信息

PLoS One. 2025 May 15;20(5):e0323772. doi: 10.1371/journal.pone.0323772. eCollection 2025.

Abstract

We highlighted sarcopenia's association with psychiatric disorders, including generalized anxiety disorder (GAD), and aimed to explore correlations between the detection and prevention of GAD using population-based data of middle-aged and older Korean adults. This cross-sectional study data was collected through standardized surveys and physical examinations including GAD assessment survey and sarcopenia examination through muscle strength and mass assessments. We used logistic regression analysis to examine the association between sarcopenia and GAD, adjusting for relevant confounders. Data from the 2022 Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed for sarcopenia and GAD in individuals aged ≥40 years, employing the 2019 Asian Working Group for Sarcopenia criteria and GAD-7 scale, respectively. Overall, 2960 individuals were selected, focusing on sarcopenia and GAD-7 scores, and regression analyses explored sarcopenia and GAD associations. Notably, 3.7% and 14% of participants had sarcopenia and GAD, respectively. The relationships between sarcopenia, possible sarcopenia, and GAD were found for females, suggesting sex-specific risks. In females, after adjusting for marital status and smoking, sarcopenia and possible sarcopenia showed correlation coefficients (β) of 0.145 (95% confidence interval [CI]: 0.025-0.266) and 0.096 (95% CI: 0.004-0.189), respectively, with GAD. After further adjustment for physical activity variables, only sarcopenia remained significantly associated with GAD in females (β=0.132, P = 0.033). Sarcopenia was significantly associated with GAD severity. Individuals with sarcopenia were 1.051 times more likely to experience mild GAD (95% CI: 0.554-1.992) and 2.480 times more likely to experience moderate to severe GAD (95% CI: 1.232-4.990) compared to those without sarcopenia. This study found a significant correlation between sarcopenia and GAD in the examined demographics, emphasizing the importance of integrative physical and mental health interventions. Early detection and management of sarcopenia may contribute to GAD management, advocating a holistic approach to healthcare in aging populations.

摘要

我们强调了肌肉减少症与包括广泛性焦虑症(GAD)在内的精神障碍之间的关联,并旨在利用韩国中老年成年人的基于人群的数据,探讨GAD检测与预防之间的相关性。这项横断面研究数据是通过标准化调查和体格检查收集的,包括GAD评估调查以及通过肌肉力量和质量评估进行的肌肉减少症检查。我们使用逻辑回归分析来检验肌肉减少症与GAD之间的关联,并对相关混杂因素进行了调整。分别采用2019年亚洲肌肉减少症工作组标准和GAD-7量表,对2022年韩国国家健康与营养检查调查(KNHANES)中年龄≥40岁个体的肌肉减少症和GAD数据进行了分析。总体而言,以肌肉减少症和GAD-7评分作为重点,共选取了2960名个体,并通过回归分析探讨了肌肉减少症与GAD的关联。值得注意的是,分别有3.7%和14%的参与者患有肌肉减少症和GAD。在女性中发现了肌肉减少症、可能的肌肉减少症与GAD之间的关系,表明存在性别特异性风险。在女性中,在调整婚姻状况和吸烟因素后,肌肉减少症和可能的肌肉减少症与GAD的相关系数(β)分别为0.145(95%置信区间[CI]:0.025-0.266)和0.096(95%CI:0.004-0.189)。在进一步调整身体活动变量后,女性中只有肌肉减少症仍与GAD显著相关(β=0.132,P = 0.033)。肌肉减少症与GAD严重程度显著相关。与没有肌肉减少症的个体相比,患有肌肉减少症的个体出现轻度GAD的可能性高1.051倍(95%CI:0.554-1.992),出现中度至重度GAD的可能性高2.480倍(95%CI:1.232-4.990)。本研究在所检查的人群中发现肌肉减少症与GAD之间存在显著相关性,强调了综合身心健康干预的重要性。早期发现和管理肌肉减少症可能有助于GAD的管理,提倡在老年人群中采取整体医疗保健方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc8a/12080804/61aebd2fe25e/pone.0323772.g001.jpg

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