Long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male Japanese patients with type 2 diabetes

Abstract Aims/Introduction To assess the associations of working conditions, eating habits and glycemic control among young Japanese workers with type 2 diabetes. Materials and Methods This hospital‐ and clinic‐based prospective study included 352 male and 126 female working patients with diabetes a...

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Main Authors: Yasushi Azami, Mitsuhiko Funakoshi, Hisashi Matsumoto, Akemi Ikota, Koichi Ito, Hisashi Okimoto, Nobuaki Shimizu, Fumihiro Tsujimura, Hiroshi Fukuda, Chozi Miyagi, Sayaka Osawa, Ryo Osawa, Jiro Miura
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Diabetes Investigation
Subjects:
Online Access:https://doi.org/10.1111/jdi.12852
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author Yasushi Azami
Mitsuhiko Funakoshi
Hisashi Matsumoto
Akemi Ikota
Koichi Ito
Hisashi Okimoto
Nobuaki Shimizu
Fumihiro Tsujimura
Hiroshi Fukuda
Chozi Miyagi
Sayaka Osawa
Ryo Osawa
Jiro Miura
author_facet Yasushi Azami
Mitsuhiko Funakoshi
Hisashi Matsumoto
Akemi Ikota
Koichi Ito
Hisashi Okimoto
Nobuaki Shimizu
Fumihiro Tsujimura
Hiroshi Fukuda
Chozi Miyagi
Sayaka Osawa
Ryo Osawa
Jiro Miura
author_sort Yasushi Azami
collection DOAJ
description Abstract Aims/Introduction To assess the associations of working conditions, eating habits and glycemic control among young Japanese workers with type 2 diabetes. Materials and Methods This hospital‐ and clinic‐based prospective study included 352 male and 126 female working patients with diabetes aged 20–40 years. Data were obtained from June to July 2012 and June to July 2013. Logistic regression analysis was used to estimate multivariable‐adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for suboptimal glycemic control (glycosylated hemoglobin level of ≥7%) obtained from June to July 2013. Results Multivariable logistic regression analysis showed that disease duration of ≥10 years (OR 2.43, 95% CI 1.02–5.80), glycosylated hemoglobin level of ≥7% in 2012 (OR 8.50, 95% CI 4.90–14.80), skipping breakfast and late evening meals (OR 2.50, 95% CI 1.25–5.00) and working ≥60 h/week (OR 2.92, 95% CI 1.16–7.40) were predictive of suboptimal glycemic control in male workers, whereas a glycosylated hemoglobin level of ≥7% in 2012 (OR 17.96, 95% CI 5.93–54.4), oral hyperglycemic agent therapy (OR 12.49, 95% CI 2.75–56.86) and insulin therapy (OR 11.60, 95% CI 2.35–57.63) were predictive of suboptimal glycemic control in female workers. Conclusions Working ≥60 h/week and habitual skipping breakfast concomitant with late evening meals might affect the ability of young male workers with type 2 diabetes to achieve and maintain glycemic control.
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spelling doaj.art-79989e55a5bd4278b67ca735978c84402022-12-21T20:24:54ZengWileyJournal of Diabetes Investigation2040-11162040-11242019-01-01101738310.1111/jdi.12852Long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male Japanese patients with type 2 diabetesYasushi Azami0Mitsuhiko Funakoshi1Hisashi Matsumoto2Akemi Ikota3Koichi Ito4Hisashi Okimoto5Nobuaki Shimizu6Fumihiro Tsujimura7Hiroshi Fukuda8Chozi Miyagi9Sayaka Osawa10Ryo Osawa11Jiro Miura12Department of Internal Medicine Jouhoku Hospital Ishikawa JapanDepartment of Preventive Medicine Chidoribashi General Hospital Fukuoka JapanDepartment of Internal Medicine Kuwamizu Hospital Kumamoto JapanDepartment of Diabetology and Endocrinology Sapporo Hokkaido JapanDepartment of Internal Medicine Nakano Kyoritsu Hospital Tokyo JapanDepartment of Diabetology and Metabolism Saka General Hospital Shiogama Miyagi JapanDepartment of Internal Medicine Kamiina Co‐op Hospital Kamiina Nagano JapanDepartment of Internal Medicine Tanaka Clinic Abashiri Hokkaido JapanDepartment of General Medicine Juntendo University Hospital Tokyo JapanDepartment of Diabetology and Endocrinology Tachikawa Sogo Hospital Tokyo JapanDepartment of General Medicine and Primary Care University of Tsukuba Hospital Tsukuba Ibaraki JapanDepartment of General Medicine and Primary Care University of Tsukuba Hospital Tsukuba Ibaraki JapanDepartment of Internal Medicine Kissyouin Hospital Kyoto JapanAbstract Aims/Introduction To assess the associations of working conditions, eating habits and glycemic control among young Japanese workers with type 2 diabetes. Materials and Methods This hospital‐ and clinic‐based prospective study included 352 male and 126 female working patients with diabetes aged 20–40 years. Data were obtained from June to July 2012 and June to July 2013. Logistic regression analysis was used to estimate multivariable‐adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for suboptimal glycemic control (glycosylated hemoglobin level of ≥7%) obtained from June to July 2013. Results Multivariable logistic regression analysis showed that disease duration of ≥10 years (OR 2.43, 95% CI 1.02–5.80), glycosylated hemoglobin level of ≥7% in 2012 (OR 8.50, 95% CI 4.90–14.80), skipping breakfast and late evening meals (OR 2.50, 95% CI 1.25–5.00) and working ≥60 h/week (OR 2.92, 95% CI 1.16–7.40) were predictive of suboptimal glycemic control in male workers, whereas a glycosylated hemoglobin level of ≥7% in 2012 (OR 17.96, 95% CI 5.93–54.4), oral hyperglycemic agent therapy (OR 12.49, 95% CI 2.75–56.86) and insulin therapy (OR 11.60, 95% CI 2.35–57.63) were predictive of suboptimal glycemic control in female workers. Conclusions Working ≥60 h/week and habitual skipping breakfast concomitant with late evening meals might affect the ability of young male workers with type 2 diabetes to achieve and maintain glycemic control.https://doi.org/10.1111/jdi.12852Glycosylated hemoglobinLifestyleType 2 diabetes
spellingShingle Yasushi Azami
Mitsuhiko Funakoshi
Hisashi Matsumoto
Akemi Ikota
Koichi Ito
Hisashi Okimoto
Nobuaki Shimizu
Fumihiro Tsujimura
Hiroshi Fukuda
Chozi Miyagi
Sayaka Osawa
Ryo Osawa
Jiro Miura
Long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male Japanese patients with type 2 diabetes
Journal of Diabetes Investigation
Glycosylated hemoglobin
Lifestyle
Type 2 diabetes
title Long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male Japanese patients with type 2 diabetes
title_full Long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male Japanese patients with type 2 diabetes
title_fullStr Long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male Japanese patients with type 2 diabetes
title_full_unstemmed Long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male Japanese patients with type 2 diabetes
title_short Long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male Japanese patients with type 2 diabetes
title_sort long working hours and skipping breakfast concomitant with late evening meals are associated with suboptimal glycemic control among young male japanese patients with type 2 diabetes
topic Glycosylated hemoglobin
Lifestyle
Type 2 diabetes
url https://doi.org/10.1111/jdi.12852
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