Living alone is associated with visit-to-visit HbA1c variability in men but not in women in people with type 2 diabetes: KAMOGAWA-DM cohort study

Sakai, Ryosuke; Hashimoto, Yoshitaka; Ushigome, Emi; Okamura, Tomio; Majima, Susumu; Asano, Mai; Yamazaki, Masahiro; Fukui, Michiaki

doi:10.1507/endocrj.ej19-0436

Cited by 7 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Spencer et al suggested that education and support from peers allow T2DM patients to achieve better self-management in the long term, leading to good efficacy of HbA1c control (36). A link between living alone and worse HbA1c management has also been observed in a recent study (37). Our results are consistent with those previous findings, as the mean HbA1c level in T2DM patients living alone in our study was higher than that in patients living with one or more adults.…”

Section: Discussionsupporting

confidence: 92%

Significantly Increased Risk of All-Cause Mortality Among Type 2 Diabetes Patients Living Alone

Zhou

Sun

et al. 2022

Front. Med.

View full text Add to dashboard Cite

BackgroundThere is a lack of studies evaluating the association between living status and subsequent outcomes in patients with type 2 diabetes (T2DM).ObjectivesThis study aimed to assess the association between living alone and the risk of all-cause mortality in T2DM patients.MethodsWe performed a secondary analysis in patients with long-lasting T2DM from the Action to Control Cardiovascular Risk in Diabetes (ACCORD) study. The primary outcome was all-cause mortality. Multivariable Cox proportional hazard models was used to analyze and compare the hazard ratios (HRs) in patients living alone and with one or more adults.ResultsThis study included 10,249 patients with T2DM. Of these, 2,078 (20.28%) were living alone and 8,171 (79.72%) lived with one or more adults. Over a median total follow-up of 8.8 years, 1,958 patients developed the primary endpoint. The all-cause mortality rates in patients living alone or living with one or more adults were 23.24 and 18.05%, respectively. Cox proportional hazard analysis showed that T2DM patients living alone had significantly higher rate of all-cause mortality than those living with others (HR, 1.34; 95% confidence interval [CI], 1.20–1.48; p < 0.001). After multivariable adjustment, living alone was an independent risk factor for all-cause mortality in patients with T2DM (adjusted HR, 1.27; 95% CI, 1.14–1.41; p < 0.001). Furthermore, the risks of both congestive heart failure (CHF) and fatal coronary heart disease (CHD) among 4,050 propensity score-matched patients were higher for patients living alone (respectively HR, 1.37; 95% CI, 1.08–1.74; p = 0.010; and HR, 1.16; 95% CI, 1.00–1.34; p = 0.047).ConclusionsThe risk of all-cause mortality was significantly higher in T2DM patients living alone than in those living with one or more adults.

show abstract

Section: Discussionsupporting

confidence: 92%

Significantly Increased Risk of All-Cause Mortality Among Type 2 Diabetes Patients Living Alone

Zhou

Sun

et al. 2022

Front. Med.

View full text Add to dashboard Cite

show abstract

“…We analyzed the variable “living with a partner” ( Table S1 ) instead of “marital status” because the objective of selecting this variable was to assess whether living alone, given the social and emotional support provided by a partner, is associated with mental health variables, as suggested by other authors [ 26 , 27 , 28 ].…”

Section: Methodsmentioning

confidence: 99%

Mental Health among Spanish Adults with Diabetes: Findings from a Population-Based Case–Controlled Study

López-Herránz

Jiménez‐García

et al. 2021

IJERPH

View full text Add to dashboard Cite

Background: The purpose of this study was to assess and compare the prevalence of self-reported mental disorders, psychological distress, and psychotropic drug consumption among people with diabetes mellitus (DM) and matched non-DM controls. Methods: A case–controlled study using data from the Spanish National Health Interview Survey was conducted in 2017. We identified 2116 DM adults (aged ≥35 years). Non-DM controls were matched 1:1 by age, sex, and province of residence. Results: Prevalence of mental disorders (25.0% vs. 19.2%; p < 0.001), psychological distress (29% vs. 19.5%; p < 0.001), and consumption of psychiatric medications (29.7% vs. 23.5%; p < 0.001) among DM cases were higher than those among matched non-DM controls. The DM patient variables associated with experiencing a mental disorder, psychological distress, and consumption of psychiatric medications were: being a woman, worse self-rated health, and a visit to a psychologist within the last year. Older age (≥80 years) was associated with a lower probability of reporting mental disorders and psychological distress among DM cases. Not practicing physical exercise was significantly associated with experiencing psychological distress. Conclusions: Adults with DM included in our investigation have a significantly higher prevalence of mental disorders, psychological distress, and consumption of psychiatric medications than non-DM controls. It is necessary to implement screening strategies and psychological interventions to improve the mental health of DM patients in Spain, focusing especially on women and those aged 35 to 59 years.

show abstract

“…In addition, the sole diabetes sample contained a high number of patients living alone. Several studies showed that living alone is associated with visit-to-visit HbA1c variability and an independent predictor of type two diabetes in men but not women [30,31]. Our study showed that in female patients, obesity and any combinations with obesity registered the poorest HRQL on most of the scales in female clusters.…”

Section: Discussionmentioning

confidence: 40%

The Effect of Obesity, Hypertension and Diabetes on Health-related Quality of Life among the Elderly in Saudi Arabia's Eastern Province

Mulhim

Alhumud

2021

JPRI

View full text Add to dashboard Cite

Aims: This study explores the cumulative effects of cardiovascular risk factors on the health-related quality of life (HRQL) among the elderly. Study Design: Our study comprises a cross-sectional design. Place and Duration of Study: The Nov 2021 population-based research represents the Saudi Eastern Province population aged 60 years and above. Methodology: Information was collected through home-based personal interviews using a structured questionnaire on the participants' health. The participants provided informed verbal consent. On each scale of the SF-36 questionnaire, multiple linear regression examined the relationships between obesity, hypertension, diabetes and HRQL after adjusting for sociodemographic data and lifestyle factors. Results: Diabetes and hypertension registered the worst HRQL among males on all the scales (‒53.8 to ‒22.0 points according to the scale) in the two-factor cluster and male clusters except social functioning and role-emotional. Obesity and diabetes registered the worst HRQL on all the scales (–24.4 to –40.4 points according to the scale) in the two-factor female cluster except physical functioning, bodily pain and general health, and on all scales in female clusters except physical functioning, bodily pain, general health, social functioning and role-emotional. Conclusion: Our study shows that obesity, hypertension and diabetes (as separate factors and in combination) negatively affect HRQL.

show abstract

Living alone is associated with visit-to-visit HbA1c variability in men but not in women in people with type 2 diabetes: KAMOGAWA-DM cohort study

Cited by 7 publications

References 28 publications

Significantly Increased Risk of All-Cause Mortality Among Type 2 Diabetes Patients Living Alone

Significantly Increased Risk of All-Cause Mortality Among Type 2 Diabetes Patients Living Alone

Mental Health among Spanish Adults with Diabetes: Findings from a Population-Based Case–Controlled Study

The Effect of Obesity, Hypertension and Diabetes on Health-related Quality of Life among the Elderly in Saudi Arabia's Eastern Province

Contact Info

Product

Resources

About