Poor structural social support is associated with an increased risk of Type 2 diabetes mellitus: findings from the MONICA/KORA Augsburg cohort study

Diabetic Medicine : a Journal of the British Diabetic Association
J AlteversKarl-Heinz Ladwig

Abstract

Several psychosocial factors have been shown to increase the risk of Type 2 diabetes mellitus. This study investigated the association between structural social support and incidence of Type 2 diabetes mellitus in men and women. Data were derived from three population-based MONICA/KORA surveys conducted in 1984-1995 in the Augsburg region (southern Germany) and followed up by 2009. The study population comprised 8952 participants (4669 men/4283 women) aged 30-74 years without diabetes at baseline. Structural social support was assessed using the Social Network Index. Sex-specific hazard ratios were estimated from Cox proportional hazard models. Within follow-up, 904 incident Type 2 diabetes mellitus cases (558 men, 346 women) were observed. Crude incidence rates for Type 2 diabetes mellitus per 10 000 person-years were substantially higher in poor compared with good structural social support (men: 94 vs. 69, women: 58 vs. 43). After adjustment for age, survey, parental history of diabetes, smoking status, alcohol intake, physical activity, hypertension, dyslipidaemia, BMI, education, sleep complaints and depressed mood, risk of Type 2 diabetes mellitus for participants with poor compared with good structural social support was ...Continue Reading

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Citations

Jul 15, 2015·Clinics and Research in Hepatology and Gastroenterology·Su LuoQi-Kui Chen
May 22, 2019·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Michael HendryxJuhua Luo
Jun 19, 2017·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·Michael P BancksJames S Pankow
Dec 27, 2017·Diabetic Medicine : a Journal of the British Diabetic Association·A M PiciuK H Ladwig
May 15, 2020·Prevention Science : the Official Journal of the Society for Prevention Research·Michael HendryxJuhua Luo
Jan 22, 2020·American Journal of Preventive Medicine·Berhe W SahleAndre M N Renzaho
Mar 26, 2021·Nature and Science of Sleep·Rocio Leon-GonzalezEsther Garcia-Esquinas
Jul 1, 2021·Diabetologia·Miranda T SchramNicole H T M Dukers-Muijrers

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