Stress increases the risk of type 2 diabetes onset in women: A 12-year longitudinal study using causal modelling
Publication Date
February 21, 2017
Authors
Melissa L. Harris, Christopher Oldmeadow, Alexis Hure, Judy Luu, et al
Volume
12
Issue
2
Pages
e0172126
DOI
https://dx.plos.org/10.1371/journal.pone.0172126
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0172126
Scopus
85013427942
Mendeley
http://www.mendeley.com/research/stress-increases-risk-type-2-diabetes-onset-women-12year-longitudinal-study-using-causal-modelling
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Mendeley | Further Information

{"title"=>"Stress increases the risk of type 2 diabetes onset in women: A 12-year longitudinal study using causal modelling", "type"=>"journal", "authors"=>[{"first_name"=>"Melissa L.", "last_name"=>"Harris", "scopus_author_id"=>"55319169600"}, {"first_name"=>"Christopher", "last_name"=>"Oldmeadow", "scopus_author_id"=>"24471011800"}, {"first_name"=>"Alexis", "last_name"=>"Hure", "scopus_author_id"=>"24070975100"}, {"first_name"=>"Judy", "last_name"=>"Luu", "scopus_author_id"=>"57193389707"}, {"first_name"=>"Deborah", "last_name"=>"Loxton", "scopus_author_id"=>"55886208200"}, {"first_name"=>"John", "last_name"=>"Attia", "scopus_author_id"=>"7003299759"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"85013427942", "pmid"=>"28222165", "pui"=>"614493365", "isbn"=>"1111111111", "scopus"=>"2-s2.0-85013427942", "doi"=>"10.1371/journal.pone.0172126", "issn"=>"19326203"}, "id"=>"47e43fb9-2524-3adc-ab8c-31b73f5b9b5a", "abstract"=>"BACKGROUND Type 2 diabetes is associated with significant morbidity and mortality. Modifiable risk factors have been found to contribute up to 60% of type 2 diabetes risk. However, type 2 diabetes continues to rise despite implementation of interventions based on traditional risk factors. There is a clear need to identify additional risk factors for chronic disease prevention. The aim of this study was to examine the relationship between perceived stress and type 2 diabetes onset, and partition the estimates into direct and indirect effects. METHODS AND FINDINGS Women born in 1946-1951 (n = 12,844) completed surveys for the Australian Longitudinal Study on Women's Health in 1998, 2001, 2004, 2007 and 2010. The total causal effect was estimated using logistic regression and marginal structural modelling. Controlled direct effects were estimated through conditioning in the regression model. A graded association was found between perceived stress and all mediators in the multivariate time lag analyses. A significant association was found between hypertension, as well as physical activity and body mass index, and diabetes, but not smoking or diet quality. Moderate/high stress levels were associated with a 2.3-fold increase in the odds of diabetes three years later, for the total estimated effect. Results were only slightly attenuated when the direct and indirect effects of perceived stress on diabetes were partitioned, with the mediators only explaining 10-20% of the excess variation in diabetes. CONCLUSIONS Perceived stress is a strong risk factor for type 2 diabetes. The majority of the effect estimate of stress on diabetes risk is not mediated by the traditional risk factors of hypertension, physical activity, smoking, diet quality, and body mass index. This gives a new pathway for diabetes prevention trials and clinical practice.", "link"=>"http://www.mendeley.com/research/stress-increases-risk-type-2-diabetes-onset-women-12year-longitudinal-study-using-causal-modelling", "reader_count"=>32, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Researcher"=>2, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>7, "Student > Master"=>6, "Other"=>1, "Student > Bachelor"=>7, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Researcher"=>2, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>7, "Student > Master"=>6, "Other"=>1, "Student > Bachelor"=>7, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>8, "Mathematics"=>1, "Medicine and Dentistry"=>11, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>1, "Sports and Recreations"=>2, "Business, Management and Accounting"=>1, "Psychology"=>2, "Social Sciences"=>1, "Decision Sciences"=>1, "Biochemistry, Genetics and Molecular Biology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>11}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>1}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>2}, "Psychology"=>{"Psychology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>8}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>2}}, "group_count"=>1}

Scopus | Further Information

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