Abstract:
OBJECTIVE:Our study examined associations between serious psychological distress and blood glucose level (HbA1c) and body mass index (BMI) among American Indian and Alaska Native (AI/AN) participants in a cardiovascular disease prevention program. DESIGN:Using linear regression, we assessed the relationships between serious psychological distress and HbA1c and BMI at baseline and one year later. SETTING, PARTICIPANTS, AND INTERVENTION: AI/AN participants were aged 18 years, diagnosed with type 2 diabetes, and enrolled in the Special Diabetes Project for Indians Healthy Heart Project. MAIN OUTCOME MEASURES:Outcomes were percentage of HbA1c and BMI, measured at enrollment and first annual exam. Both outcomes were continuous measures in all analyses. RESULTS:Serious psychological distress was associated at baseline with increased HbA1c in the unadjusted and adjusted models (adjusted b = .17%, P < 0.01). Serious psychological distress also was associated at baseline with increased BMI (.635 kg/m2, P = .01) and at one year with increased BMI (0.174 kg/m2, P = .01) in the unadjusted model. After adjustment for demographic and health characteristics, these relationships were no longer significant. CONCLUSIONS:Cross-sectional baseline findings are consistent with existing literature. One-year findings suggest need for further inquiry into mediators of psychological distress and examination of additional diabetes-specific health outcomes. Additional years of observation may be needed to disentangle relationships between serious psychological distress and BMI.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Huyser KR,Manson SM,Nelson LA,Noonan C,Roubideaux Y,Special Diabetes Program.,Indians Healthy Heart Demonstration Project.subject
Has Abstractpub_date
2015-04-01 00:00:00pages
145-51issue
2eissn
1049-510Xissn
1945-0826journal_volume
25pub_type
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journal_title:Ethnicity & disease
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journal_title:Ethnicity & disease
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更新日期:2004-07-01 00:00:00
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更新日期:2003-07-01 00:00:00
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