Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study –
Abstract Background Social isolation is associated with type 2 diabetes (T2DM), but it is unclear which elements play a crucial role in this association. Therefore, we assessed the associations of a broad range of structural and functional social network characteristics with normal glucose metabolis...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-017-4948-6 |
| _version_ | 1818670965149663232 |
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| author | Stephanie Brinkhues Nicole H. T. M. Dukers-Muijrers Christian J. P. A. Hoebe Carla J. H. van der Kallen Pieter C. Dagnelie Annemarie Koster Ronald M. A. Henry Simone J. S. Sep Nicolaas C. Schaper Coen D. A. Stehouwer Hans Bosma Paul H. M. Savelkoul Miranda T. Schram |
| author_facet | Stephanie Brinkhues Nicole H. T. M. Dukers-Muijrers Christian J. P. A. Hoebe Carla J. H. van der Kallen Pieter C. Dagnelie Annemarie Koster Ronald M. A. Henry Simone J. S. Sep Nicolaas C. Schaper Coen D. A. Stehouwer Hans Bosma Paul H. M. Savelkoul Miranda T. Schram |
| author_sort | Stephanie Brinkhues |
| collection | DOAJ |
| description | Abstract Background Social isolation is associated with type 2 diabetes (T2DM), but it is unclear which elements play a crucial role in this association. Therefore, we assessed the associations of a broad range of structural and functional social network characteristics with normal glucose metabolism, pre-diabetes, newly diagnosed T2DM and previously diagnosed T2DM. Methods Participants originated from The Maastricht Study, a population-based cohort study (n = 2861, mean age 60.0 ± 8.2 years, 49% female, 28.8% T2DM (oversampled)). Social network characteristics were assessed through a name generator questionnaire. Diabetes status was determined by an oral glucose tolerance test. We used multinomial regression analyses to investigate the associations between social network characteristics and diabetes status, stratified by sex. Results More socially isolated individuals (smaller social network size) more frequently had newly diagnosed and previously diagnosed T2DM, while this association was not observed with pre-diabetes. In women, proximity and the type of relationship was associated with newly diagnosed and previously diagnosed T2DM. A lack of social participation was associated with pre-diabetes as well as with previously diagnosed T2DM in women, and with previously diagnosed T2DM in men. Living alone was associated with higher odds of previously diagnosed T2DM in men, but not in women. Less emotional support related to important decisions, less practical support related to jobs, and less practical support for sickness were associated with newly diagnosed and previously diagnosed T2DM in men and women, but not in pre-diabetes. Conclusion This study shows that several aspects of structural and functional characteristics of the social network were associated with newly and previously diagnosed T2DM, partially different for men and women. These results may provide useful targets for T2DM prevention efforts. |
| first_indexed | 2024-12-17T07:16:29Z |
| format | Article |
| id | doaj.art-b2edc24bc00b4805bdbf8df05d4035af |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-17T07:16:29Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-b2edc24bc00b4805bdbf8df05d4035af2022-12-21T21:58:53ZengBMCBMC Public Health1471-24582017-12-0117111210.1186/s12889-017-4948-6Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study –Stephanie Brinkhues0Nicole H. T. M. Dukers-Muijrers1Christian J. P. A. Hoebe2Carla J. H. van der Kallen3Pieter C. Dagnelie4Annemarie Koster5Ronald M. A. Henry6Simone J. S. Sep7Nicolaas C. Schaper8Coen D. A. Stehouwer9Hans Bosma10Paul H. M. Savelkoul11Miranda T. Schram12Department of Medical Microbiology, Maastricht University Medical CentreDepartment of Medical Microbiology, Maastricht University Medical CentreDepartment of Medical Microbiology, Maastricht University Medical CentreDepartment of Medicine, Maastricht University Medical CentreCAPHRI Care and Public Health Research Institute, Maastricht UniversityCAPHRI Care and Public Health Research Institute, Maastricht UniversityDepartment of Medicine, Maastricht University Medical CentreDepartment of Medicine, Maastricht University Medical CentreCAPHRI Care and Public Health Research Institute, Maastricht UniversityDepartment of Medicine, Maastricht University Medical CentreCAPHRI Care and Public Health Research Institute, Maastricht UniversityDepartment of Medical Microbiology, Maastricht University Medical CentreDepartment of Medicine, Maastricht University Medical CentreAbstract Background Social isolation is associated with type 2 diabetes (T2DM), but it is unclear which elements play a crucial role in this association. Therefore, we assessed the associations of a broad range of structural and functional social network characteristics with normal glucose metabolism, pre-diabetes, newly diagnosed T2DM and previously diagnosed T2DM. Methods Participants originated from The Maastricht Study, a population-based cohort study (n = 2861, mean age 60.0 ± 8.2 years, 49% female, 28.8% T2DM (oversampled)). Social network characteristics were assessed through a name generator questionnaire. Diabetes status was determined by an oral glucose tolerance test. We used multinomial regression analyses to investigate the associations between social network characteristics and diabetes status, stratified by sex. Results More socially isolated individuals (smaller social network size) more frequently had newly diagnosed and previously diagnosed T2DM, while this association was not observed with pre-diabetes. In women, proximity and the type of relationship was associated with newly diagnosed and previously diagnosed T2DM. A lack of social participation was associated with pre-diabetes as well as with previously diagnosed T2DM in women, and with previously diagnosed T2DM in men. Living alone was associated with higher odds of previously diagnosed T2DM in men, but not in women. Less emotional support related to important decisions, less practical support related to jobs, and less practical support for sickness were associated with newly diagnosed and previously diagnosed T2DM in men and women, but not in pre-diabetes. Conclusion This study shows that several aspects of structural and functional characteristics of the social network were associated with newly and previously diagnosed T2DM, partially different for men and women. These results may provide useful targets for T2DM prevention efforts.http://link.springer.com/article/10.1186/s12889-017-4948-6Type 2 diabetesPre-diabetesSocial networkSocial supportPrevention |
| spellingShingle | Stephanie Brinkhues Nicole H. T. M. Dukers-Muijrers Christian J. P. A. Hoebe Carla J. H. van der Kallen Pieter C. Dagnelie Annemarie Koster Ronald M. A. Henry Simone J. S. Sep Nicolaas C. Schaper Coen D. A. Stehouwer Hans Bosma Paul H. M. Savelkoul Miranda T. Schram Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study – BMC Public Health Type 2 diabetes Pre-diabetes Social network Social support Prevention |
| title | Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study – |
| title_full | Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study – |
| title_fullStr | Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study – |
| title_full_unstemmed | Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study – |
| title_short | Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study – |
| title_sort | socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus the maastricht study |
| topic | Type 2 diabetes Pre-diabetes Social network Social support Prevention |
| url | http://link.springer.com/article/10.1186/s12889-017-4948-6 |
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