000 02488 am a22002293u 4500
042 _adc
100 1 0 _aMutz, Julian
_eauthor
_91318
700 1 0 _aHoppen, Thole H.
_eauthor
_91319
700 1 0 _aFabbri, Chiara
_eauthor
_91320
700 1 0 _aLewis, Cathryn M.
_eauthor
_91321
245 0 0 _aAnxiety disorders and age-related changes in physiology
260 _c2022-09.
500 _a/pmc/articles/PMC7613411/
500 _a/pubmed/35048844
520 _aBACKGROUND: Anxiety disorders are leading contributors to the global disease burden, highly prevalent across the lifespan, and associated with substantially increased morbidity and early mortality. AIMS: The aim of this study was to examine age-related changes across a wide range of physiological measures in middle-aged and older adults with a lifetime history of anxiety disorders compared to healthy controls. METHOD: The UK Biobank study recruited >500,000 adults, aged 37-73, between 2006-2010. We used generalised additive models to estimate non-linear associations between age and hand-grip strength, cardiovascular function, body composition, lung function and heel bone mineral density in cases and in controls. RESULTS: The main dataset included 332,078 adults (mean age = 56.37 years; 52.65% females). In both sexes, individuals with anxiety disorders had a lower hand-grip strength and blood pressure, while their pulse rate and body composition measures were higher than in healthy controls. Case-control differences were larger when considering individuals with chronic and/or severe anxiety disorders, and differences in body composition were modulated by depression comorbidity status. Differences in age-related physiological changes between female anxiety disorder cases and healthy controls were most evident for blood pressure, pulse rate and body composition, while in males for hand-grip strength, blood pressure and body composition. Most differences in physiological measures between cases and controls decreased with increasing age. CONCLUSIONS: Individuals with a lifetime history of anxiety disorders differed from healthy controls across multiple physiological measures, with some evidence of case-control differences by age. The differences observed varied by chronicity/severity and depression comorbidity.
540 _a
546 _aen
690 _aArticle
655 7 _aText
_2local
786 0 _nBr J Psychiatry
856 4 1 _uhttp://dx.doi.org/10.1192/bjp.2021.189
_zConnect to this object online.
999 _c1898
_d1898