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18.10.2021 | original article

Body mass index categories and anxiety symptoms among adults aged ≥ 50 years from low and middle income countries

verfasst von: Prof. Lee Smith, Damiano Pizzol, Guillermo F. López-Sánchez, Hans Oh, Louis Jacob, Lin Yang, Nicola Veronese, Pinar Soysal, Daragh McDermott, Yvonne Barnett, Laurie Butler, Ai Koyanagi

Erschienen in: Wiener klinische Wochenschrift

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Summary

Background

Body weight may be a risk factor for anxiety; however, there is a scarcity of studies on this association in older adults especially from low and middle income countries (LMICs). Therefore, we investigated the association between body mass index (BMI) and anxiety symptoms among adults aged ≥ 50 years from 6 LMICs.

Methods

Cross-sectional, community-based, nationally representative data from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) were analyzed. The BMI was based on measured weight and height and was categorized as: < 18.5 kg/m2 (underweight), 18.5–24.9 kg/m2 (normal weight), 25.0–29.9 kg/m2 (overweight), 30.0–34.9 kg/m2 (obesity class I), 35.0–39.9 kg/m2 (obesity class II), and ≥ 40 kg/m2 (obesity class III). Anxiety symptoms referred to severe/extreme problems with worry or anxiety in the past 30 days. Multivariable logistic regression analysis was conducted.

Results

Data on 34,129 individuals aged ≥ 50 years (mean age 62.4 years, SD 16.0 years; 52.1% female) were analyzed. Overall, compared to normal weight, only underweight was significantly associated with anxiety symptoms (odds ratio, OR = 1.56; 95% confidence interval, CI = 1.26–1.95). Obesity class III (vs. normal weight) was associated with significantly increased odds for anxiety symptoms (OR = 4.15; 95%CI = 1.49–11.59) only among males.

Conclusion

In this large representative sample of older adults from LMICs, underweight was associated with anxiety symptoms in males and females. Class III obesity was associated with anxiety symptoms only in males. Future studies to shed light on the reason why severe obesity was associated with anxiety symptoms only among males in LMICs are needed.
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Metadaten
Titel
Body mass index categories and anxiety symptoms among adults aged ≥ 50 years from low and middle income countries
verfasst von
Prof. Lee Smith
Damiano Pizzol
Guillermo F. López-Sánchez
Hans Oh
Louis Jacob
Lin Yang
Nicola Veronese
Pinar Soysal
Daragh McDermott
Yvonne Barnett
Laurie Butler
Ai Koyanagi
Publikationsdatum
18.10.2021
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-021-01954-4