Association between anxiety symptoms and atrial fibrillation in a community cohort of Chinese older adults: a case-control study
Abstract Background The association between anxiety and atrial fibrillation (AF) remains unclear. Moreover, this association has rarely been studied in Chinese individuals aged 60 years or older. This study investigated the association between anxiety and AF in a community-based case-control study o...
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doaj-5f5c2a6ae83e47e9928488d4e548211d2021-10-03T11:07:02ZengBMCBMC Cardiovascular Disorders1471-22612021-09-012111610.1186/s12872-021-02278-xAssociation between anxiety symptoms and atrial fibrillation in a community cohort of Chinese older adults: a case-control studyZhu-Xia Shen0Yu-Min Sun1Hui-Hui Gu2Yan Zhang3Zhi-Wen Shen4Xiao-Niu Liang5Ding Ding6Jun Wang7Department of Cardiology, Jing’an District Centre Hospital of Shanghai, Fudan UniversityDepartment of Cardiology, Jing’an District Centre Hospital of Shanghai, Fudan UniversityDepartment of Cardiology, Jing’an District Centre Hospital of Shanghai, Fudan UniversityDepartment of Cardiology, Jing’an District Centre Hospital of Shanghai, Fudan UniversityDepartment of Cardiology, Jing’an District Centre Hospital of Shanghai, Fudan UniversityDepartment of Neurology, Huashan Hospital, WHO Collaborating Center for Research and Training in Neurosciences, Fudan UniversityDepartment of Neurology, Huashan Hospital, WHO Collaborating Center for Research and Training in Neurosciences, Fudan UniversityDepartment of Cardiology, Jing’an District Centre Hospital of Shanghai, Fudan UniversityAbstract Background The association between anxiety and atrial fibrillation (AF) remains unclear. Moreover, this association has rarely been studied in Chinese individuals aged 60 years or older. This study investigated the association between anxiety and AF in a community-based case-control study of older adult residents in urban China. Methods The cases and controls were from a community-based study conducted in the Jingansi community in Shanghai, China, between January 2010 and December 2012. A total of 3622 residents aged 60 years or older without severe vision, hearing, or speaking impairments were eligible to participate in the physical examinations and questionnaire survey. AF was assessed based on a previous physician’s diagnosis, electrocardiogram, ambulatory electrocardiogram, or echocardiogram. Anxiety was evaluated using the Zung Self-Rating Anxiety Scale (ZSAS). Using the AF group as a reference, the control group consisted of randomly selected age- and sex-matched individuals in a 1:5 ratio (case:control = 1:5). The association between anxiety and AF in the AF group and the multifactor-matched control group was explored using logistic regression. Results In the AF and control groups, after adjusting for a history of coronary heart disease, valvular heart disease, hypertension, stroke, hyperlipidemia, and diabetes, as well as depression score, ZSAS scores (odds ratio 1.07; 95% confidence interval 1.02–1.12; p = 0.003), and anxiety symptoms (odds ratio 3.94; 95% confidence interval 1.06–14.70; p = 0.041) were associated with AF. Conclusions Anxiety symptoms were associated with AF in a Chinese older population. This suggests that older adults who have anxiety symptoms may need psychological intervention or treatment in daily life and care.https://doi.org/10.1186/s12872-021-02278-xAnxiety disordersAtrial fibrillationCardiac epidemiologyRisk managementGeriatric medicine |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zhu-Xia Shen Yu-Min Sun Hui-Hui Gu Yan Zhang Zhi-Wen Shen Xiao-Niu Liang Ding Ding Jun Wang |
spellingShingle |
Zhu-Xia Shen Yu-Min Sun Hui-Hui Gu Yan Zhang Zhi-Wen Shen Xiao-Niu Liang Ding Ding Jun Wang Association between anxiety symptoms and atrial fibrillation in a community cohort of Chinese older adults: a case-control study BMC Cardiovascular Disorders Anxiety disorders Atrial fibrillation Cardiac epidemiology Risk management Geriatric medicine |
author_facet |
Zhu-Xia Shen Yu-Min Sun Hui-Hui Gu Yan Zhang Zhi-Wen Shen Xiao-Niu Liang Ding Ding Jun Wang |
author_sort |
Zhu-Xia Shen |
title |
Association between anxiety symptoms and atrial fibrillation in a community cohort of Chinese older adults: a case-control study |
title_short |
Association between anxiety symptoms and atrial fibrillation in a community cohort of Chinese older adults: a case-control study |
title_full |
Association between anxiety symptoms and atrial fibrillation in a community cohort of Chinese older adults: a case-control study |
title_fullStr |
Association between anxiety symptoms and atrial fibrillation in a community cohort of Chinese older adults: a case-control study |
title_full_unstemmed |
Association between anxiety symptoms and atrial fibrillation in a community cohort of Chinese older adults: a case-control study |
title_sort |
association between anxiety symptoms and atrial fibrillation in a community cohort of chinese older adults: a case-control study |
publisher |
BMC |
series |
BMC Cardiovascular Disorders |
issn |
1471-2261 |
publishDate |
2021-09-01 |
description |
Abstract Background The association between anxiety and atrial fibrillation (AF) remains unclear. Moreover, this association has rarely been studied in Chinese individuals aged 60 years or older. This study investigated the association between anxiety and AF in a community-based case-control study of older adult residents in urban China. Methods The cases and controls were from a community-based study conducted in the Jingansi community in Shanghai, China, between January 2010 and December 2012. A total of 3622 residents aged 60 years or older without severe vision, hearing, or speaking impairments were eligible to participate in the physical examinations and questionnaire survey. AF was assessed based on a previous physician’s diagnosis, electrocardiogram, ambulatory electrocardiogram, or echocardiogram. Anxiety was evaluated using the Zung Self-Rating Anxiety Scale (ZSAS). Using the AF group as a reference, the control group consisted of randomly selected age- and sex-matched individuals in a 1:5 ratio (case:control = 1:5). The association between anxiety and AF in the AF group and the multifactor-matched control group was explored using logistic regression. Results In the AF and control groups, after adjusting for a history of coronary heart disease, valvular heart disease, hypertension, stroke, hyperlipidemia, and diabetes, as well as depression score, ZSAS scores (odds ratio 1.07; 95% confidence interval 1.02–1.12; p = 0.003), and anxiety symptoms (odds ratio 3.94; 95% confidence interval 1.06–14.70; p = 0.041) were associated with AF. Conclusions Anxiety symptoms were associated with AF in a Chinese older population. This suggests that older adults who have anxiety symptoms may need psychological intervention or treatment in daily life and care. |
topic |
Anxiety disorders Atrial fibrillation Cardiac epidemiology Risk management Geriatric medicine |
url |
https://doi.org/10.1186/s12872-021-02278-x |
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