期刊论文详细信息
Endocrine Journal
Psychological Factors, Coffee and Risk of Diabetes Mellitus among Middle-Aged Japanese: a Population-Based Prospective Study in the JPHC Study Cohort
Manami INOUE1  Mitsuhiko NODA2  Takashi KADOWAKI3  Masayuki KATO4  Shoichiro TSUGANE1 
[1] Epidemiology and Prevention Division, Research Center for Cancer Prevention and Screening, National Cancer Center;Department of Diabetes and Metabolic Medicine, International Medical Center of Japan;Department of Metabolic Diseases, Graduate School of Medicine, University of Tokyo;Japan Foundation for the Promotion of International Medical Research Cooperation
关键词: diabetes mellitus;    perceived mental stress;    type A behavior;    coffee;   
DOI  :  10.1507/endocrj.K09E-003
学科分类:内分泌与代谢学
来源: Japan Endocrine Society
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【 摘 要 】

References(35)Cited-By(34)An association between psychological factors and diabetes has been suspected for a long time. However, epidemiological data on this association is limited. We investigated the association between psychological factors (perceived mental stress and type A behavior) and the onset of diabetes in a community-based, prospective cohort study in a large number of middle-aged Japanese adults. A total of 55,826 subjects (24,826 men and 31,000 women) aged 40-69 years were followed for 10 years. A self-administered questionnaire on medical conditions including diabetes and other lifestyle factors was performed at baseline and 5 and 10 years later. Psychological factors and diabetes were assessed based on the questionnaire results. During the 10-year follow-up period, we documented 1,601 incident cases (6.4%) of diabetes among men and 1,093 cases (3.5%) among women. The risk of diabetes increased with an increasing stress level, especially among men. Multivariate adjusted odds ratios for high stress compared with low stress were 1.36 (1.13 to 1.63) among men and 1.22 (0.98 to 1.51) among women. The risk of diabetes increased with an increasing level of type A behavior only among women. Multivariate adjusted odds ratios for high levels of type A behavior compared with low levels of type A behavior were 1.09 (0.94 to 1.27) among men and 1.22 (1.01 to 1.47) among women. We found an association between perceived mental stress and the incidence of diabetes, especially among men. We also found an association between type A behavior and the incidence of diabetes among women. In addition, inverse association between coffee consumption and the incidence of diabetes which was consistent with other studies was observed.

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