Duke Appiah1, Pamela J Schreiner2, Elizabeth Selvin3, Ellen W Demerath2, James S Pankow2. 1. Department of Public Health, Texas Tech University Health Sciences Center, 3601 4th Street, STOP 9430, Lubbock, TX, 79430, USA. duke.appiah@ttuhsc.edu. 2. Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA. 3. Department of Epidemiology, Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Abstract
AIMS: It is unclear if the presence of type-2 diabetes in one spouse is associated with the development of diabetes in the other spouse. We studied the concordance of diabetes among black and white participants in the Atherosclerosis Risk in Communities (ARIC) study and summarized existing studies in a meta-analysis. METHODS: We conducted a prospective cohort analysis of ARIC data from 8077 married men and women (mean age 54 years) without diabetes at baseline (1987-1989). Complementary log-log models that accounted for interval censoring was used to model the hazard ratio (HR) for the association of spousal diabetes status with the incidence of diabetes. For the meta-analysis, we searched MEDLINE and EMBASE for observational studies published through December 2018 that evaluated spousal concordance for diabetes. RESULTS: During a median follow-up of 22 years, 2512 incident cases of diabetes were recorded. In models with adjustment for general adiposity, spousal cardiometabolic factors and other diabetes risk factors, adults who had a spouse with diabetes had elevated risk for incident diabetes compared to those without a spouse diagnosed with diabetes (HR 1.20, 95% confidence interval 1.02-1.41). This association did not differ by sex or race. Summarized estimates from the 17 studies (489,798 participants from 9 countries) included in the meta-analysis showed a positive association between spousal diabetes status and the development of diabetes (Pooled odds ratio 1.88, 95% CI 1.52-2.33). CONCLUSIONS: Results from this large prospective biracial cohort and meta-analysis provides evidence that spouses of persons with diabetes are a high-risk group for diabetes.
AIMS: It is unclear if the presence of type-2 diabetes in one spouse is associated with the development of diabetes in the other spouse. We studied the concordance of diabetes among black and white participants in the Atherosclerosis Risk in Communities (ARIC) study and summarized existing studies in a meta-analysis. METHODS: We conducted a prospective cohort analysis of ARIC data from 8077 married men and women (mean age 54 years) without diabetes at baseline (1987-1989). Complementary log-log models that accounted for interval censoring was used to model the hazard ratio (HR) for the association of spousal diabetes status with the incidence of diabetes. For the meta-analysis, we searched MEDLINE and EMBASE for observational studies published through December 2018 that evaluated spousal concordance for diabetes. RESULTS: During a median follow-up of 22 years, 2512 incident cases of diabetes were recorded. In models with adjustment for general adiposity, spousal cardiometabolic factors and other diabetes risk factors, adults who had a spouse with diabetes had elevated risk for incident diabetes compared to those without a spouse diagnosed with diabetes (HR 1.20, 95% confidence interval 1.02-1.41). This association did not differ by sex or race. Summarized estimates from the 17 studies (489,798 participants from 9 countries) included in the meta-analysis showed a positive association between spousal diabetes status and the development of diabetes (Pooled odds ratio 1.88, 95% CI 1.52-2.33). CONCLUSIONS: Results from this large prospective biracial cohort and meta-analysis provides evidence that spouses of persons with diabetes are a high-risk group for diabetes.
Entities:
Keywords:
Concordance; Epidemiology; Longitudinal; Obesity; Spouse; Type 2 diabetes
Authors: K M V Narayan; James P Boyle; Theodore J Thompson; Edward W Gregg; David F Williamson Journal: Diabetes Care Date: 2007-03-19 Impact factor: 19.112
Authors: Doreen M Rabi; Alun L Edwards; Danielle A Southern; Lawrence W Svenson; Peter M Sargious; Peter Norton; Eric T Larsen; William A Ghali Journal: BMC Health Serv Res Date: 2006-10-03 Impact factor: 2.655
Authors: Omar Silverman-Retana; Stephanie Brinkhues; Adam Hulman; Coen D A Stehouwer; Nicole H T M Dukers-Muijrers; Rebecca K Simmons; Hans Bosma; Simone Eussen; Annemarie Koster; Pieter Dagnelie; Hans H C M Savelberg; Nicolaas C Schaper; Martien C J M van Dongen; Daniel R Witte; Miranda T Schram Journal: BMJ Open Diabetes Res Care Date: 2021-02