Diabetic Med:生活满意度是预防男性2型糖尿病发病的保护因素?

2018-07-04 MedSci MedSci原创

近日,国际杂志 《Diabetic Med》上在线发表一项关于生活满意度是预防男性2型糖尿病发病的保护因素,而对于女性却不是:MONICA / KORA队列研究的结果。研究目的是调查2型糖尿病男女患者对高生活满意度与2型糖尿病的相关性。 研究对象包括在1989-1995随访至2009年的两次基于人群的MONICA / KORA调查的7107名参与者(3664名男性,51.5%; 3443名女

近日,国际杂志 《Diabetic Med》上在线发表一项关于生活满意度是预防男性2糖尿病发病的保护因素,而对于女性却不是:MONICA / KORA队列研究的结果。研究目的是调查2糖尿病男女患者对高生活满意度与2糖尿病的相关性。

研究对象包括在1989-1995随访至2009年的两次基于人群的MONICA / KORA调查的7107名参与者(3664名男性,51.5; 3443名女性,48.5%),年龄在25-74岁(平均值±标准差,年龄47.8±13.7岁),并对他们进行纵向回归分析。使用具有六阶响应水平的一项仪器评估生活满意度,该水平被分为高与中或低。使用Cox比例风险模型估计性别特异性风险比率。

研究结果显示,生活满意度高的2型糖尿病患者的1 000人年的的粗发病率低于中等或低生活满意度的患者(男性:57 vs 73;女性:37 vs 48)。校正社会人口学,行为和临床危险因素后,生活满意度高的男性中,发生2型糖尿病的风险降低了27%(风险比0.73,95CI 0.56-0.94; P = 0.02)。在进一步校正抑郁情绪后,该关联失去统计学意义(危险比0.79,95CI 0.61-1.03)。生活满意度与女性2型糖尿病事件无显著相关性。

生活满意度可能是评估2型糖尿病风险的一项宝贵资源,特别是在男性中,以及制定更有效的预防策略来阻止糖尿病的发生。需要更多的研究来调查可能将生活满意度与2型糖尿病发展联系起来的潜在因果途径。

原始出处:

A. M. PiciuH. JoharK. Lukascheket al. Life satisfaction is a protective factor against the onset of Type 2 diabetes in men but not in women: findings from the MONICA/KORA cohort study

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