Association Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke

Post-stroke anxiety (PSA) is serious psychosomatic comorbidity among patients with stroke, but whether obesity could be positively associated with PSA is currently unknown. The purpose of this study was to investigate the potential association between obesity and subsequent anxiety risk in patients...

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Autores principales:	Bei-Lei Zhu, Ai-Yi Hu, Gui-Qian Huang, Hui-Hua Qiu, Xian-Chai Hong, Ping-Lang Hu, Cheng-Xiang Yuan, Yi-Ting Ruan, Bo Yang, Jin-Cai He
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	post-stroke anxiety obesity abdominal obesity stroke anxiety Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/c818d418709a4899982ffa6468a25903
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spelling	oai:doaj.org-article:c818d418709a4899982ffa6468a259032021-11-30T22:27:12ZAssociation Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke2296-861X10.3389/fnut.2021.749958https://doaj.org/article/c818d418709a4899982ffa6468a259032021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnut.2021.749958/fullhttps://doaj.org/toc/2296-861XPost-stroke anxiety (PSA) is serious psychosomatic comorbidity among patients with stroke, but whether obesity could be positively associated with PSA is currently unknown. The purpose of this study was to investigate the potential association between obesity and subsequent anxiety risk in patients with stroke. A total of 441 patients with acute ischemic stroke (AIS) onset were consecutively recruited within 7 days, and PSA and post-stroke depression (PSD) were evaluated by using a 14-item Hamilton anxiety scale (HAMA) and 17-item Hamilton depression scale (HAMD) at the end of 1-month follow-up. The odds ratio (OR) with 95% CI was estimated for the incidental PSA by using logistic regression analysis. The incidence of PSA was 25.85% at the end of 1-month follow-up, with a significant difference between patients with and without abdominal obesity. Relative fat mass (RFM) and abdominal obesity were significantly associated with an elevated risk of PSA, and the crude ORs were 1.04 (95% CI: 1.01–1.08) and 1.93 (95% CI: 1.11–3.34), respectively. Even after adjustment for obesity-related risk factors and PSA-related clinical measurements, the association remained to be pronounced with abdominal obesity. However, RFM (OR = 1.03, 95% CI: 0.99–1.06, P = 0.053) and abdominal obesity (OR = 1.31, 95% CI: 0.80–2.15, P = 0.280) were not significantly associated with an elevated risk of PSD. Abdominal obesity was independently associated with the PSA instead of PSD, which may help predict PSA risk in clinical practice. Further prospective clinical studies with a long follow-up duration are warranted to verify this finding.Bei-Lei ZhuAi-Yi HuGui-Qian HuangHui-Hua QiuXian-Chai HongPing-Lang HuCheng-Xiang YuanYi-Ting RuanBo YangJin-Cai HeFrontiers Media S.A.articlepost-stroke anxietyobesityabdominal obesitystrokeanxietyNutrition. Foods and food supplyTX341-641ENFrontiers in Nutrition, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	post-stroke anxiety obesity abdominal obesity stroke anxiety Nutrition. Foods and food supply TX341-641
spellingShingle	post-stroke anxiety obesity abdominal obesity stroke anxiety Nutrition. Foods and food supply TX341-641 Bei-Lei Zhu Ai-Yi Hu Gui-Qian Huang Hui-Hua Qiu Xian-Chai Hong Ping-Lang Hu Cheng-Xiang Yuan Yi-Ting Ruan Bo Yang Jin-Cai He Association Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke
description	Post-stroke anxiety (PSA) is serious psychosomatic comorbidity among patients with stroke, but whether obesity could be positively associated with PSA is currently unknown. The purpose of this study was to investigate the potential association between obesity and subsequent anxiety risk in patients with stroke. A total of 441 patients with acute ischemic stroke (AIS) onset were consecutively recruited within 7 days, and PSA and post-stroke depression (PSD) were evaluated by using a 14-item Hamilton anxiety scale (HAMA) and 17-item Hamilton depression scale (HAMD) at the end of 1-month follow-up. The odds ratio (OR) with 95% CI was estimated for the incidental PSA by using logistic regression analysis. The incidence of PSA was 25.85% at the end of 1-month follow-up, with a significant difference between patients with and without abdominal obesity. Relative fat mass (RFM) and abdominal obesity were significantly associated with an elevated risk of PSA, and the crude ORs were 1.04 (95% CI: 1.01–1.08) and 1.93 (95% CI: 1.11–3.34), respectively. Even after adjustment for obesity-related risk factors and PSA-related clinical measurements, the association remained to be pronounced with abdominal obesity. However, RFM (OR = 1.03, 95% CI: 0.99–1.06, P = 0.053) and abdominal obesity (OR = 1.31, 95% CI: 0.80–2.15, P = 0.280) were not significantly associated with an elevated risk of PSD. Abdominal obesity was independently associated with the PSA instead of PSD, which may help predict PSA risk in clinical practice. Further prospective clinical studies with a long follow-up duration are warranted to verify this finding.
format	article
author	Bei-Lei Zhu Ai-Yi Hu Gui-Qian Huang Hui-Hua Qiu Xian-Chai Hong Ping-Lang Hu Cheng-Xiang Yuan Yi-Ting Ruan Bo Yang Jin-Cai He
author_facet	Bei-Lei Zhu Ai-Yi Hu Gui-Qian Huang Hui-Hua Qiu Xian-Chai Hong Ping-Lang Hu Cheng-Xiang Yuan Yi-Ting Ruan Bo Yang Jin-Cai He
author_sort	Bei-Lei Zhu
title	Association Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke
title_short	Association Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke
title_full	Association Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke
title_fullStr	Association Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke
title_full_unstemmed	Association Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke
title_sort	association between obesity and post-stroke anxiety in patients with acute ischemic stroke
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/c818d418709a4899982ffa6468a25903
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Association Between Obesity and Post-stroke Anxiety in Patients With Acute Ischemic Stroke

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