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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 1/2013

01-08-2013 | Original Article

Psychosocial Stress Predicts Abnormal Glucose Metabolism: The Australian Diabetes, Obesity and Lifestyle (AusDiab) Study

Authors: Emily D. Williams, Ph.D., Dianna J. Magliano, Ph.D., Robyn J. Tapp, Ph.D., Brian F. Oldenburg, Ph.D., Jonathan E. Shaw, MD, FRACP, FRCP

Published in: Annals of Behavioral Medicine | Issue 1/2013

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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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Metadata
Title
Psychosocial Stress Predicts Abnormal Glucose Metabolism: The Australian Diabetes, Obesity and Lifestyle (AusDiab) Study
Authors
Emily D. Williams, Ph.D.
Dianna J. Magliano, Ph.D.
Robyn J. Tapp, Ph.D.
Brian F. Oldenburg, Ph.D.
Jonathan E. Shaw, MD, FRACP, FRCP
Publication date
01-08-2013
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 1/2013
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-013-9473-y

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