BACKGROUND: Diabetes is rapidly rising globally, and the relation of psychosocial stress in workplace to diabetes and prediabetes is not well investigated. PURPOSE: The aim of the study was to examine the association of work stress with diabetes and prediabetes in a sample of German industrial workers. METHOD: In this cross-sectional survey of an occupational cohort (n = 2,674, 77 % male), work stress was measured by the Effort-Reward Imbalance (ERI) Questionnaire. Diabetic status, i.e., diabetes and prediabetes, were diagnosed by glycated hemoglobin A1c criterion or fasting plasma glucose criterion supplemented by self-reports. RESULTS: The overall prevalence rates of diabetes and prediabetes were 3.5 and 42.2 %, respectively. Using ordinal logistic regression with adjustment for potential confounding factors, high ERI at work was associated with diabetes-related ordinal variable (odds ratio [OR], 1.27; 95 % confidence interval [95 % CI], 1.02-1.58) and prediabetes-related ordinal variable (OR, 1.26; 95 % CI, 1.01-1.58) in men, whereas the associations in women were somewhat less pronounced and did not reach statistical significance. CONCLUSION: The findings indicate that work stress in terms of ERI is associated with diabetes and prediabetes in German industrial male workers. If supported by prospective evidence, results point to a new approach towards primary prevention of diabetes.
BACKGROUND:Diabetes is rapidly rising globally, and the relation of psychosocial stress in workplace to diabetes and prediabetes is not well investigated. PURPOSE: The aim of the study was to examine the association of work stress with diabetes and prediabetes in a sample of German industrial workers. METHOD: In this cross-sectional survey of an occupational cohort (n = 2,674, 77 % male), work stress was measured by the Effort-Reward Imbalance (ERI) Questionnaire. Diabetic status, i.e., diabetes and prediabetes, were diagnosed by glycated hemoglobin A1c criterion or fasting plasma glucose criterion supplemented by self-reports. RESULTS: The overall prevalence rates of diabetes and prediabetes were 3.5 and 42.2 %, respectively. Using ordinal logistic regression with adjustment for potential confounding factors, high ERI at work was associated with diabetes-related ordinal variable (odds ratio [OR], 1.27; 95 % confidence interval [95 % CI], 1.02-1.58) and prediabetes-related ordinal variable (OR, 1.26; 95 % CI, 1.01-1.58) in men, whereas the associations in women were somewhat less pronounced and did not reach statistical significance. CONCLUSION: The findings indicate that work stress in terms of ERI is associated with diabetes and prediabetes in German industrial male workers. If supported by prospective evidence, results point to a new approach towards primary prevention of diabetes.
Authors: Candyce H Kroenke; Donna Spiegelman; JoAnn Manson; Eva S Schernhammer; Graham A Colditz; Ichiro Kawachi Journal: Am J Epidemiol Date: 2006-10-27 Impact factor: 4.897
Authors: David B Sacks; Mark Arnold; George L Bakris; David E Bruns; Andrea Rita Horvath; M Sue Kirkman; Ake Lernmark; Boyd E Metzger; David M Nathan Journal: Clin Chem Date: 2011-05-26 Impact factor: 8.327
Authors: H-X Wang; C Leineweber; R Kirkeeide; B Svane; K Schenck-Gustafsson; T Theorell; K Orth-Gomér Journal: J Intern Med Date: 2007-03 Impact factor: 8.989
Authors: J Koenig; B G Windham; L Ferrucci; D Sonntag; J E Fischer; J F Thayer; M N Jarczok Journal: J Nutr Health Aging Date: 2015-11 Impact factor: 4.075
Authors: Marc N Jarczok; Marcus E Kleber; Julian Koenig; Adrian Loerbroks; Raphael M Herr; Kristina Hoffmann; Joachim E Fischer; Yael Benyamini; Julian F Thayer Journal: PLoS One Date: 2015-02-18 Impact factor: 3.240
Authors: Daniel Mauss; Marc N Jarczok; Kristina Hoffmann; G Neil Thomas; Joachim E Fischer Journal: Int J Med Sci Date: 2015-05-01 Impact factor: 3.738
Authors: Marc N Jarczok; Julian Koenig; Jian Li; Daniel Mauss; Kristina Hoffmann; Burkhard Schmidt; Joachim E Fischer; Julian F Thayer Journal: PLoS One Date: 2016-08-17 Impact factor: 3.240