Depressive symptoms and occurrence of type 2 diabetes among Japanese men

被引:171
作者
Kawakami, N
Takatsuka, N
Shimizu, H
Ishibashi, H
机构
[1] Gifu Univ, Sch Med, Dept Publ Hlth, Gifu 5008705, Japan
[2] Hitachi Gen Hosp, Dept Internal Med, Hitachi, Ibaraki, Japan
关键词
D O I
10.2337/diacare.22.7.1071
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE To examine the relationship between depressive symptoms and the incidence of type 2 diabetes. RESEARCH DESIGN AND METHODS - In 1984, 2,764 male employees of an electrical company in Japan completed a self-administered questionnaire including the Zung Self-Rating Depression Scale (SDS). They were followed for the next 8 years, and 2,380 (86%) responded to the follow-up survey in 1992. During the follow-up survey occurrence of ripe 2 diabetes was diagnosed according to World Health Organisation criteria. RESULTS - A total of 41 cases of type 2 diabetes were identified during the 8-year followup survey. After controlling for other known risk factors for type 2 diabetes, a proportional hazard analysis indicated chat subjects who had moderate or severe levels of depressive symptoms (greater than or equal to 48 on the SDS) at baseline had a 2.3 times higher risk of having type 2 diabetes at the follow-up survey than those who were not depressed (less than or equal to 39 on the SDS) (P < 0.05). CONCLUSIONS - Depressive symptoms may be associated with the onset of ripe 2 diabetes.
引用
收藏
页码:1071 / 1076
页数:6
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