美国大样本中抑郁、胰岛素抵抗风险因素与糖尿病发病率之间的差异。

IF 0.5 4区 医学 Q4 PSYCHIATRY
James E Gangwisch, Raz Gross, Dolores Malaspina
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引用次数: 0

摘要

背景:抑郁症经常与糖尿病并发。胰岛素抵抗的危险因素与抑郁症和糖尿病之间的关联有助于确定导致并发症的因素的相对重要性:方法:对 NHANES I(n = 10,025 人)进行分析,利用逻辑回归研究抑郁症与基线胰岛素抵抗危险因素之间的横向关系,并利用 Cox 比例危险模型探讨胰岛素抵抗危险因素与糖尿病发病率之间的纵向关系:结果:许多胰岛素抵抗的危险因素都与抑郁症和糖尿病发病率有关。抑郁症与糖尿病的横截面相关,但并不增加糖尿病的发病风险。这些反直觉的结果主要是由于胰岛素抵抗、抑郁症和糖尿病的风险因素之间存在不同的关系:局限性:缺乏对抑郁症的重复测量:缺乏体育锻炼、高血压和睡眠不足是胰岛素抵抗的风险因素,与抑郁症和糖尿病发病率的关联度最高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Differential Associations Between Depression, Risk Factors for Insulin Resistance and Diabetes Incidence in a Large U.S. Sample.

Differential Associations Between Depression, Risk Factors for Insulin Resistance and Diabetes Incidence in a Large U.S. Sample.

Background: Depression frequently co-occurs with diabetes. The associations between risk factors for insulin resistance and depression and diabetes can help determine the relative importance of factors that contribute toward the comorbidity.

Method: Analyses of the NHANES I (n = 10,025) to examine the cross-sectional relationships between depression and risk factors for insulin resistance at baseline using logistic regression and to explore the longitudinal relationships between risk factors for insulin resistance and diabetes incidence using Cox proportional hazards modeling.

Results: Many risk factors for insulin resistance were associated with depression and diabetes incidence. Depression was cross-sectionally associated with diabetes, but did not increase the risk for diabetes incidence.These counterintuitive results can be explained primarily by the differing relationships between risk factors for insulin resistance, depression, and diabetes.

Limitations: Lack of repeated measures of depression.

Conclusions: Lack of physical activity, hypertension, and inadequate sleep were the risk factors for insulin resistance with the highest associations with both depression and diabetes incidence.

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来源期刊
CiteScore
0.80
自引率
25.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: THE ISRAEL JOURNAL OF PSYCHIATRY publishes original articles dealing with the all bio-psycho-social aspects of psychiatry. While traditionally the journal has published manuscripts relating to mobility, relocation, acculturation, ethnicity, stress situations in war and peace, victimology and mental health in developing countries, papers addressing all aspects of the psychiatry including neuroscience, biological psychiatry, psychopharmacology, psychotherapy and ethics are welcome. The Editor also welcomes pertinent book reviews and correspondence. Preference is given to research reports of no more than 5,000 words not including abstract, text, references, tables and figures. There should be no more than 40 references and 4 tables or figures. Brief reports (1,500 words, 5 references) are considered if they have heuristic value. Books to be considered for review should be sent to the editorial office. Selected book reviews are invited by the editor.
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