Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults: Findings from baseline data of the canadian longitudinal study on aging (CLSA)

Karen M. Davison; Shen (Lamson) Lin; Hongmei Tong; Karen M. Kobayashi; Jose G. Mora-Almanza; Esme Fuller-Thomson

doi:10.3390/ijerph17051493

Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults: Findings from baseline data of the canadian longitudinal study on aging (CLSA)

Karen M. Davison^*
, Shen (Lamson) Lin
, Hongmei Tong
, Karen M. Kobayashi
, Jose G. Mora-Almanza
, Esme Fuller-Thomson

^*Corresponding author for this work

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

12 Citations (Scopus)

44 Downloads (CityUHK Scholars)

Abstract

The main purpose of this study was to compare the lifetime prevalence of anxiety disorders among foreign-born and Canadian-born adults in middle and later life. Using baseline data of the Canadian Longitudinal Study on Aging (2010–2015), multivariable binary logistic regression was conducted to investigate anxiety diagnosis and immigrant status, while controlling for socio-economic, health-related, and nutrition covariates. Of 26,991 participants (49.3% men, 82.5% Canadian born, 58.5% aged 45–65 years), the overall prevalence of self-reported physician diagnosis of anxiety disorders was 8.5%, with immigrants being lower than Canadian-born respondents (6.4% vs. 9.3%, p < 0.001). After accounting for all covariates, the adjusted odds ratio (aOR) for anxiety disorders was lower among immigrants (aOR = 0.77, 95% CI: 0.67–0.88) compared to those who were Canadian born. Identified risk factors included: younger age (aORs = 1.79–3.52), being a woman (aOR = 1.25, 95% CI: 1.07–1.46), single status (aOR = 1.27, 95% CI: 1.09–1.48), lower income (aORs = 1.28–2.68), multi-morbidities (aORs = 2.73– 5.13), chronic pain (aOR = 1.31, 95% CI: 1.18–1.44), lifetime smoking ≥ 100 cigarettes (aOR = 1.35, 95% CI: 1.23–1.48), BMI < 18.5 (aOR = 1.87, 95% CI: 1.20–2.92), body fat ≥ 26% (aORs = 1.28–1.79), fruit and vegetable intake (< 3/day; aORs = 1.24–1.26), and pastry consumption (> 1/day; aOR = 1.55, 95% CI: 1.12–1.15) (p < 0.05). Targeting socio-economic and nutritional risk factors may reduce the burden of anxiety disorders in middle and late adulthood.

Original language	English
Article number	1493
Journal	International Journal of Environmental Research and Public Health
Volume	17
Issue number	5
Online published	26 Feb 2020
DOIs	https://doi.org/10.3390/ijerph17051493
Publication status	Published - Mar 2020
Externally published	Yes

Funding

Acknowledgments: The authors wish to thank the CLSA for providing the data for this analysis. This research was made possible using the data/biospecimens collected by the Canadian Longitudinal Study on Aging (CLSA). Funding for the CLSA is provided by the Government of Canada through the Canadian Institutes of Health Research (CIHR) under grant reference: LSA 9447 and the Canada Foundation for Innovation. This research has been conducted using the CLSA Baseline Comprehensive Dataset version 4.0, under Application Number 170605. The CLSA is led by Drs. Parminder Raina, Christina Wolfson and Susan Kirkland. The development, testing and validation of the Short Diet Questionnaire (SDQ) were carried out among NuAge study participants as part of the CLSA Phase II validation studies, CIHR 2006‐2008. The NuAge study was supported by the CIHR, Grant number MOP‐62842, and the Quebec Network for Research on Aging, a network funded by the Fonds de Recherche du Québec‐Santé. Funding: Part of this study was funded through E.F.T.’s Sandra Rotman endowed chair funds, K.M.D.’s Fulbright Canada Research Chair, and J.G.M.A.’s Mitacs Globalink Internship Award.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 2 Zero Hunger

Research Keywords

Anxiety disorders
CLSA
Determinants of mental health
Immigration
Nutrition

Publisher's Copyright Statement

This full text is made available under CC-BY 4.0. https://creativecommons.org/licenses/by/4.0/

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Davison, K. M., Lin, S., Tong, H., Kobayashi, K. M., Mora-Almanza, J. G., & Fuller-Thomson, E. (2020). Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults: Findings from baseline data of the canadian longitudinal study on aging (CLSA). International Journal of Environmental Research and Public Health, 17(5), Article 1493. https://doi.org/10.3390/ijerph17051493

Davison, Karen M. ; Lin, Shen (Lamson) ; Tong, Hongmei et al. / Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults : Findings from baseline data of the canadian longitudinal study on aging (CLSA). In: International Journal of Environmental Research and Public Health. 2020 ; Vol. 17, No. 5.

@article{c3bd546ac253413e87b554397daacb78,

title = "Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults: Findings from baseline data of the canadian longitudinal study on aging (CLSA)",

abstract = "The main purpose of this study was to compare the lifetime prevalence of anxiety disorders among foreign-born and Canadian-born adults in middle and later life. Using baseline data of the Canadian Longitudinal Study on Aging (2010–2015), multivariable binary logistic regression was conducted to investigate anxiety diagnosis and immigrant status, while controlling for socio-economic, health-related, and nutrition covariates. Of 26,991 participants (49.3\% men, 82.5\% Canadian born, 58.5\% aged 45–65 years), the overall prevalence of self-reported physician diagnosis of anxiety disorders was 8.5\%, with immigrants being lower than Canadian-born respondents (6.4\% vs. 9.3\%, p < 0.001). After accounting for all covariates, the adjusted odds ratio (aOR) for anxiety disorders was lower among immigrants (aOR = 0.77, 95\% CI: 0.67–0.88) compared to those who were Canadian born. Identified risk factors included: younger age (aORs = 1.79–3.52), being a woman (aOR = 1.25, 95\% CI: 1.07–1.46), single status (aOR = 1.27, 95\% CI: 1.09–1.48), lower income (aORs = 1.28–2.68), multi-morbidities (aORs = 2.73– 5.13), chronic pain (aOR = 1.31, 95\% CI: 1.18–1.44), lifetime smoking ≥ 100 cigarettes (aOR = 1.35, 95\% CI: 1.23–1.48), BMI < 18.5 (aOR = 1.87, 95\% CI: 1.20–2.92), body fat ≥ 26\% (aORs = 1.28–1.79), fruit and vegetable intake (< 3/day; aORs = 1.24–1.26), and pastry consumption (> 1/day; aOR = 1.55, 95\% CI: 1.12–1.15) (p < 0.05). Targeting socio-economic and nutritional risk factors may reduce the burden of anxiety disorders in middle and late adulthood.",

keywords = "Anxiety disorders, CLSA, Determinants of mental health, Immigration, Nutrition",

author = "Davison, \{Karen M.\} and Lin, \{Shen (Lamson)\} and Hongmei Tong and Kobayashi, \{Karen M.\} and Mora-Almanza, \{Jose G.\} and Esme Fuller-Thomson",

year = "2020",

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doi = "10.3390/ijerph17051493",

language = "English",

volume = "17",

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Davison, KM, Lin, S, Tong, H, Kobayashi, KM, Mora-Almanza, JG & Fuller-Thomson, E 2020, 'Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults: Findings from baseline data of the canadian longitudinal study on aging (CLSA)', International Journal of Environmental Research and Public Health, vol. 17, no. 5, 1493. https://doi.org/10.3390/ijerph17051493

Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults: Findings from baseline data of the canadian longitudinal study on aging (CLSA). / Davison, Karen M.; Lin, Shen (Lamson); Tong, Hongmei et al.
In: International Journal of Environmental Research and Public Health, Vol. 17, No. 5, 1493, 03.2020.

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

TY - JOUR

T1 - Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults

T2 - Findings from baseline data of the canadian longitudinal study on aging (CLSA)

AU - Davison, Karen M.

AU - Lin, Shen (Lamson)

AU - Tong, Hongmei

AU - Kobayashi, Karen M.

AU - Mora-Almanza, Jose G.

AU - Fuller-Thomson, Esme

PY - 2020/3

Y1 - 2020/3

N2 - The main purpose of this study was to compare the lifetime prevalence of anxiety disorders among foreign-born and Canadian-born adults in middle and later life. Using baseline data of the Canadian Longitudinal Study on Aging (2010–2015), multivariable binary logistic regression was conducted to investigate anxiety diagnosis and immigrant status, while controlling for socio-economic, health-related, and nutrition covariates. Of 26,991 participants (49.3% men, 82.5% Canadian born, 58.5% aged 45–65 years), the overall prevalence of self-reported physician diagnosis of anxiety disorders was 8.5%, with immigrants being lower than Canadian-born respondents (6.4% vs. 9.3%, p < 0.001). After accounting for all covariates, the adjusted odds ratio (aOR) for anxiety disorders was lower among immigrants (aOR = 0.77, 95% CI: 0.67–0.88) compared to those who were Canadian born. Identified risk factors included: younger age (aORs = 1.79–3.52), being a woman (aOR = 1.25, 95% CI: 1.07–1.46), single status (aOR = 1.27, 95% CI: 1.09–1.48), lower income (aORs = 1.28–2.68), multi-morbidities (aORs = 2.73– 5.13), chronic pain (aOR = 1.31, 95% CI: 1.18–1.44), lifetime smoking ≥ 100 cigarettes (aOR = 1.35, 95% CI: 1.23–1.48), BMI < 18.5 (aOR = 1.87, 95% CI: 1.20–2.92), body fat ≥ 26% (aORs = 1.28–1.79), fruit and vegetable intake (< 3/day; aORs = 1.24–1.26), and pastry consumption (> 1/day; aOR = 1.55, 95% CI: 1.12–1.15) (p < 0.05). Targeting socio-economic and nutritional risk factors may reduce the burden of anxiety disorders in middle and late adulthood.

AB - The main purpose of this study was to compare the lifetime prevalence of anxiety disorders among foreign-born and Canadian-born adults in middle and later life. Using baseline data of the Canadian Longitudinal Study on Aging (2010–2015), multivariable binary logistic regression was conducted to investigate anxiety diagnosis and immigrant status, while controlling for socio-economic, health-related, and nutrition covariates. Of 26,991 participants (49.3% men, 82.5% Canadian born, 58.5% aged 45–65 years), the overall prevalence of self-reported physician diagnosis of anxiety disorders was 8.5%, with immigrants being lower than Canadian-born respondents (6.4% vs. 9.3%, p < 0.001). After accounting for all covariates, the adjusted odds ratio (aOR) for anxiety disorders was lower among immigrants (aOR = 0.77, 95% CI: 0.67–0.88) compared to those who were Canadian born. Identified risk factors included: younger age (aORs = 1.79–3.52), being a woman (aOR = 1.25, 95% CI: 1.07–1.46), single status (aOR = 1.27, 95% CI: 1.09–1.48), lower income (aORs = 1.28–2.68), multi-morbidities (aORs = 2.73– 5.13), chronic pain (aOR = 1.31, 95% CI: 1.18–1.44), lifetime smoking ≥ 100 cigarettes (aOR = 1.35, 95% CI: 1.23–1.48), BMI < 18.5 (aOR = 1.87, 95% CI: 1.20–2.92), body fat ≥ 26% (aORs = 1.28–1.79), fruit and vegetable intake (< 3/day; aORs = 1.24–1.26), and pastry consumption (> 1/day; aOR = 1.55, 95% CI: 1.12–1.15) (p < 0.05). Targeting socio-economic and nutritional risk factors may reduce the burden of anxiety disorders in middle and late adulthood.

KW - Anxiety disorders

KW - CLSA

KW - Determinants of mental health

KW - Immigration

KW - Nutrition

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U2 - 10.3390/ijerph17051493

DO - 10.3390/ijerph17051493

M3 - RGC 21 - Publication in refereed journal

C2 - 32110904

AN - SCOPUS:85080970755

SN - 1661-7827

VL - 17

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

IS - 5

M1 - 1493

ER -

Davison KM, Lin S, Tong H, Kobayashi KM, Mora-Almanza JG, Fuller-Thomson E. Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults: Findings from baseline data of the canadian longitudinal study on aging (CLSA). International Journal of Environmental Research and Public Health. 2020 Mar;17(5):1493. Epub 2020 Feb 26. doi: 10.3390/ijerph17051493

Nutritional factors, physical health and immigrant status are associated with anxiety disorders among middle-aged and older adults: Findings from baseline data of the canadian longitudinal study on aging (CLSA)

Abstract

Funding

UN SDGs

Research Keywords

Publisher's Copyright Statement

Access Output

Other Access Options

Permanent Link

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Cite this