Psychosocial stress predicts abnormal glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study

Emily D Williams; Dianna J Magliano; Robyn J Tapp; Brian F Oldenburg; Jonathan E Shaw

doi:10.1007/s12160-013-9473-y

Psychosocial stress predicts abnormal glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study

Emily D Williams, Dianna J Magliano, Robyn J Tapp, Brian F Oldenburg, Jonathan E Shaw

Research output: Contribution to journal › Article › peer-review

33 Citations (Scopus)

Abstract

BACKGROUND: The evidence supporting a relationship between stress and diabetes has been inconsistent.

PURPOSE: This study examined the effects of stress on abnormal glucose metabolism, using a population-based sample of 3,759, with normoglycemia at baseline, from the Australian Diabetes, Obesity and Lifestyle study.

METHODS: Perceived stress and stressful life events were measured at baseline, with health behavior and anthropometric information also collected. Oral glucose tolerance tests were undertaken at baseline and 5-year follow-up. The primary outcome was the development of abnormal glucose metabolism (impaired fasting glucose, impaired glucose tolerance, and type 2 diabetes), according to WHO 1999 criteria.

RESULTS: Perceived stress predicted incident abnormal glucose metabolism in women but not men, after multivariate adjustment. Life events showed an inconsistent relationship with abnormal glucose metabolism.

CONCLUSIONS: Perceived stress predicted abnormal glucose metabolism in women. Healthcare professionals should consider psychosocial adversity when assessing risk factor profiles for the development of diabetes.

Original language	English
Pages (from-to)	62-72
Number of pages	11
Journal	Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
Volume	46
Issue number	1
Early online date	7 Feb 2013
DOIs	https://doi.org/10.1007/s12160-013-9473-y
Publication status	Published - Aug 2013
Externally published	Yes

Keywords

Adult
Australia
Blood Glucose/metabolism
Diabetes Mellitus, Type 2/metabolism
Female
Glucose Intolerance/metabolism
Glucose Tolerance Test
Health Behavior
Humans
Insulin Resistance/physiology
Life Change Events
Life Style
Male
Obesity/metabolism
Perception
Prediabetic State/metabolism
Risk Factors
Stress, Psychological/metabolism

Access to Document

10.1007/s12160-013-9473-y

Fingerprint Dive into the research topics of 'Psychosocial stress predicts abnormal glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study'. Together they form a unique fingerprint.

Cite this

Psychosocial stress predicts abnormal glucose metabolism : the Australian Diabetes, Obesity and Lifestyle (AusDiab) study. / Williams, Emily D; Magliano, Dianna J; Tapp, Robyn J; Oldenburg, Brian F; Shaw, Jonathan E.

In: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, Vol. 46, No. 1, 08.2013, p. 62-72.

Research output: Contribution to journal › Article › peer-review

@article{544bcb66964d4aa398016fb0e2c1f4ee,

title = "Psychosocial stress predicts abnormal glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study",

abstract = "BACKGROUND: The evidence supporting a relationship between stress and diabetes has been inconsistent.PURPOSE: This study examined the effects of stress on abnormal glucose metabolism, using a population-based sample of 3,759, with normoglycemia at baseline, from the Australian Diabetes, Obesity and Lifestyle study.METHODS: Perceived stress and stressful life events were measured at baseline, with health behavior and anthropometric information also collected. Oral glucose tolerance tests were undertaken at baseline and 5-year follow-up. The primary outcome was the development of abnormal glucose metabolism (impaired fasting glucose, impaired glucose tolerance, and type 2 diabetes), according to WHO 1999 criteria.RESULTS: Perceived stress predicted incident abnormal glucose metabolism in women but not men, after multivariate adjustment. Life events showed an inconsistent relationship with abnormal glucose metabolism.CONCLUSIONS: Perceived stress predicted abnormal glucose metabolism in women. Healthcare professionals should consider psychosocial adversity when assessing risk factor profiles for the development of diabetes.",

keywords = "Adult, Australia, Blood Glucose/metabolism, Diabetes Mellitus, Type 2/metabolism, Female, Glucose Intolerance/metabolism, Glucose Tolerance Test, Health Behavior, Humans, Insulin Resistance/physiology, Life Change Events, Life Style, Male, Obesity/metabolism, Perception, Prediabetic State/metabolism, Risk Factors, Stress, Psychological/metabolism",

author = "Williams, {Emily D} and Magliano, {Dianna J} and Tapp, {Robyn J} and Oldenburg, {Brian F} and Shaw, {Jonathan E}",

year = "2013",

month = aug,

doi = "10.1007/s12160-013-9473-y",

language = "English",

volume = "46",

pages = "62--72",

journal = "Annals of Behavioral Medicine",

issn = "0883-6612",

publisher = "Springer Verlag",

number = "1",

}

TY - JOUR

T1 - Psychosocial stress predicts abnormal glucose metabolism

T2 - the Australian Diabetes, Obesity and Lifestyle (AusDiab) study

AU - Williams, Emily D

AU - Magliano, Dianna J

AU - Tapp, Robyn J

AU - Oldenburg, Brian F

AU - Shaw, Jonathan E

PY - 2013/8

Y1 - 2013/8

N2 - BACKGROUND: The evidence supporting a relationship between stress and diabetes has been inconsistent.PURPOSE: This study examined the effects of stress on abnormal glucose metabolism, using a population-based sample of 3,759, with normoglycemia at baseline, from the Australian Diabetes, Obesity and Lifestyle study.METHODS: Perceived stress and stressful life events were measured at baseline, with health behavior and anthropometric information also collected. Oral glucose tolerance tests were undertaken at baseline and 5-year follow-up. The primary outcome was the development of abnormal glucose metabolism (impaired fasting glucose, impaired glucose tolerance, and type 2 diabetes), according to WHO 1999 criteria.RESULTS: Perceived stress predicted incident abnormal glucose metabolism in women but not men, after multivariate adjustment. Life events showed an inconsistent relationship with abnormal glucose metabolism.CONCLUSIONS: Perceived stress predicted abnormal glucose metabolism in women. Healthcare professionals should consider psychosocial adversity when assessing risk factor profiles for the development of diabetes.

AB - BACKGROUND: The evidence supporting a relationship between stress and diabetes has been inconsistent.PURPOSE: This study examined the effects of stress on abnormal glucose metabolism, using a population-based sample of 3,759, with normoglycemia at baseline, from the Australian Diabetes, Obesity and Lifestyle study.METHODS: Perceived stress and stressful life events were measured at baseline, with health behavior and anthropometric information also collected. Oral glucose tolerance tests were undertaken at baseline and 5-year follow-up. The primary outcome was the development of abnormal glucose metabolism (impaired fasting glucose, impaired glucose tolerance, and type 2 diabetes), according to WHO 1999 criteria.RESULTS: Perceived stress predicted incident abnormal glucose metabolism in women but not men, after multivariate adjustment. Life events showed an inconsistent relationship with abnormal glucose metabolism.CONCLUSIONS: Perceived stress predicted abnormal glucose metabolism in women. Healthcare professionals should consider psychosocial adversity when assessing risk factor profiles for the development of diabetes.

KW - Adult

KW - Australia

KW - Blood Glucose/metabolism

KW - Diabetes Mellitus, Type 2/metabolism

KW - Female

KW - Glucose Intolerance/metabolism

KW - Glucose Tolerance Test

KW - Health Behavior

KW - Humans

KW - Insulin Resistance/physiology

KW - Life Change Events

KW - Life Style

KW - Male

KW - Obesity/metabolism

KW - Perception

KW - Prediabetic State/metabolism

KW - Risk Factors

KW - Stress, Psychological/metabolism

U2 - 10.1007/s12160-013-9473-y

DO - 10.1007/s12160-013-9473-y

M3 - Article

C2 - 23389687

VL - 46

SP - 62

EP - 72

JO - Annals of Behavioral Medicine

JF - Annals of Behavioral Medicine

SN - 0883-6612

IS - 1

ER -