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

31 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

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Williams, E. D., Magliano, D. J., Tapp, R. J., Oldenburg, B. F., & Shaw, J. E. (2013). Psychosocial stress predicts abnormal glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 46(1), 62-72. https://doi.org/10.1007/s12160-013-9473-y

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

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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.",

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