Association between anxiety and frailty in postmenopausal women

AbstractObjective To explore the association between anxiety and frailty in community-dwelling postmenopausal women.Methods This was a cross-sectional study in which 390 postmenopausal women (aged 60–83 years) who were attending a comprehensive care program were surveyed between January 2018 and Feb...

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Main Authors: Alicia García-Vigara, Julio Fernandez-Garrido, Peter Chedraui, Aitana Monllor-Tormos, Miguel Ángel García-Pérez, Juan José Tarín, Arturo Artero, Antonio Cano
Format: Article
Language:English
Published: Taylor & Francis Group 2024-03-01
Series:Gynecological Endocrinology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/09513590.2024.2329714
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author Alicia García-Vigara
Julio Fernandez-Garrido
Peter Chedraui
Aitana Monllor-Tormos
Miguel Ángel García-Pérez
Juan José Tarín
Arturo Artero
Antonio Cano
author_facet Alicia García-Vigara
Julio Fernandez-Garrido
Peter Chedraui
Aitana Monllor-Tormos
Miguel Ángel García-Pérez
Juan José Tarín
Arturo Artero
Antonio Cano
author_sort Alicia García-Vigara
collection DOAJ
description AbstractObjective To explore the association between anxiety and frailty in community-dwelling postmenopausal women.Methods This was a cross-sectional study in which 390 postmenopausal women (aged 60–83 years) who were attending a comprehensive care program were surveyed between January 2018 and February 2020. Each participant was administered a validated Spanish version of the Hospital Anxiety and Depression Scale (HADS) to assess their anxiety status. Those scoring 8 or higher on the anxiety subscale of the HADS were indicative of anxiety. The assessment of frailty utilized the Fried’s phenotype, with a diagnosis of frailty established if the participant met at least three out of the five criteria. Factors associated with frailty were analyzed using multivariate logistic regression.Results The mean age of participants was 70.08 years, with an average of 12.58 ± 3.19 years since menopause. Frailty was diagnosed in 43.85% of the total series, while anxiety was present in 41.08%, rising to 69.59% in participants with frailty. Neither body mass index, years since menopause, educational level, economic status, nor smoking habit demonstrated significant associations with frailty. Upon multivariate analysis, anxiety (OR 8.56), multimorbidity (OR 2.18), and age (OR 2.73) emerged as independently associated with frailty (p < .001, p = .005, and p < .001, respectively).Conclusions Among postmenopausal women with frailty, anxiety was detected in over two thirds of cases and was independently associated with frailty. This underscores the relevance of implementing anxiety screening in comprehensive care programs for postmenopausal women, with the goal of improving frailty through anxiety diagnosis and treatment.
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spelling doaj.art-7bb1260577a049f4adc5afd43fbf128c2024-03-19T00:00:13ZengTaylor & Francis GroupGynecological Endocrinology0951-35901473-07662024-03-0140110.1080/09513590.2024.2329714Association between anxiety and frailty in postmenopausal womenAlicia García-Vigara0Julio Fernandez-Garrido1Peter Chedraui2Aitana Monllor-Tormos3Miguel Ángel García-Pérez4Juan José Tarín5Arturo Artero6Antonio Cano7INCLIVA, Fundacion Investigacion Clinico de Valencia, Valencia, SpainDepartment of Nursing, University of Valencia, Valencia, SpainEscuela de Posgrado en Salud, Universidad Espíritu Santo, Samborondón, EcuadorService of Obstetrics and Gynecology, Hospital Clínico Universitario-INCLIVA, Valencia, SpainDepartment of Genetics, Faculty of Biological Sciences, University of Valencia, Burjassot, and INCLIVA, Valencia, SpainDepartment of Cellular Biology, Functional Biology and Physical Anthropology, Faculty of Biological Sciences, University of Valencia, Valencia, SpainDepartment of Medicine, University of Valencia-INCLIVA, Valencia, SpainDepartment of Pediatrics, Obstetrics and Gynecology, University of Valencia- INCLIVA, Valencia, SpainAbstractObjective To explore the association between anxiety and frailty in community-dwelling postmenopausal women.Methods This was a cross-sectional study in which 390 postmenopausal women (aged 60–83 years) who were attending a comprehensive care program were surveyed between January 2018 and February 2020. Each participant was administered a validated Spanish version of the Hospital Anxiety and Depression Scale (HADS) to assess their anxiety status. Those scoring 8 or higher on the anxiety subscale of the HADS were indicative of anxiety. The assessment of frailty utilized the Fried’s phenotype, with a diagnosis of frailty established if the participant met at least three out of the five criteria. Factors associated with frailty were analyzed using multivariate logistic regression.Results The mean age of participants was 70.08 years, with an average of 12.58 ± 3.19 years since menopause. Frailty was diagnosed in 43.85% of the total series, while anxiety was present in 41.08%, rising to 69.59% in participants with frailty. Neither body mass index, years since menopause, educational level, economic status, nor smoking habit demonstrated significant associations with frailty. Upon multivariate analysis, anxiety (OR 8.56), multimorbidity (OR 2.18), and age (OR 2.73) emerged as independently associated with frailty (p < .001, p = .005, and p < .001, respectively).Conclusions Among postmenopausal women with frailty, anxiety was detected in over two thirds of cases and was independently associated with frailty. This underscores the relevance of implementing anxiety screening in comprehensive care programs for postmenopausal women, with the goal of improving frailty through anxiety diagnosis and treatment.https://www.tandfonline.com/doi/10.1080/09513590.2024.2329714Frailtyanxietymenopausemultimorbidityage
spellingShingle Alicia García-Vigara
Julio Fernandez-Garrido
Peter Chedraui
Aitana Monllor-Tormos
Miguel Ángel García-Pérez
Juan José Tarín
Arturo Artero
Antonio Cano
Association between anxiety and frailty in postmenopausal women
Gynecological Endocrinology
Frailty
anxiety
menopause
multimorbidity
age
title Association between anxiety and frailty in postmenopausal women
title_full Association between anxiety and frailty in postmenopausal women
title_fullStr Association between anxiety and frailty in postmenopausal women
title_full_unstemmed Association between anxiety and frailty in postmenopausal women
title_short Association between anxiety and frailty in postmenopausal women
title_sort association between anxiety and frailty in postmenopausal women
topic Frailty
anxiety
menopause
multimorbidity
age
url https://www.tandfonline.com/doi/10.1080/09513590.2024.2329714
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