Association of dietary nutrition with perimenopausal symptoms among middle-aged and elderly women:multiple mediating effects of anxiety and depression
10.13406/j.cnki.cyxb.003863
- VernacularTitle:中老年女性膳食营养与围绝经期症状的关系:焦虑和抑郁的多重中介作用
- Author:
Zhengjie WANG
1
;
Yingzhu HUANG
;
Huiting ZHANG
;
Lili YU
;
Ping YI
;
Xun LEI
Author Information
1. 重庆医科大学公共卫生学院,重庆 400016
- Keywords:
dietary nutrition;
anxiety;
depression;
perimenopausal symptom;
multiple mediation model
- From:
Journal of Chongqing Medical University
2025;50(9):1141-1148
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the multiple mediating effects of anxiety and depression on the relationship between dietary nutri-tion and perimenopausal symptoms in middle-aged and elderly women.Methods:A total of 1129 middle-aged and older women were surveyed using a dietary nutrition status questionnaire,the modified Kupperman Index,the Patient Health Questionnaire-9,and the Generalized Anxiety Disorder 7-item scale.The multiple mediating effect analysis was performed using the PROCESS macro in SPSS.Results:Dietary nutrition,anxiety,and depression were all significantly associated with perimenopausal symptoms(P<0.01).Dietary nutrition had a significant direct impact on perimenopausal symptoms(β=0.06,95%CI=0.002-0.119),and also exerted indirect nega-tive effects through three pathways:anxiety(β=0.059,95%CI=0.031-0.091),accounting for 29.65%of the total effect;depression(β=0.034,95%CI=0.017-0.054),accounting for 17.29%of the total effect;and anxiety-depression(β=0.045,95%CI=0.024-0.073),accounting for 22.76%of the total effect.Conclusion:Dietary nutrition not only directly affects perimenopausal symptoms,but also influences them through the mediating effects of anxiety and depression.
