中老年美国人中糖尿病,焦虑和死亡风险
Srikanta Banerjee1, Jagdish Khubchandani2, Rafael Gonzales-Lagos1
1College of Health Sciences Walden University Minneapolis, MN, 55401, USA.
Journal of diabetes and its complications
|October 12, 2025
概括
焦虑显著增加了2型糖尿病 (T2D) 患者的死亡风险. 同时出现的T2D和焦虑症具有最高的死亡风险,需要综合护理和查以获得更好的结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 2型糖尿病 (T2D) 是美国的主要死亡原因.
- 焦虑是美国普遍存在的心理健康问题.
- 焦虑对T2D患者死亡率的长期影响还未得到充分研究.
研究的目的:
- 调查焦虑对美国成年2型糖尿病患者死亡风险的影响.
- 分析T2D和焦虑对所有原因死亡率的综合影响.
主要方法:
- 利用美国国家健康和营养检查调查 (2007-2012) 的数据.
- 将调查数据与国家死亡指数死亡记录连接到2019年12月31日.
- 分析了50岁及以上的14137名成年人的数据.
主要成果:
- 与没有T2D的人相比,患有T2D的人的全因死亡风险高出2.08倍.
- 在患有T2D和焦虑症的个体中,死亡风险最高 (调整后危险比率=1.81).
- 在研究样本中,22.6%的人存在焦虑,12.8%的人存在T2D.
结论:
- 同时发生的T2D和焦虑会显著增加死亡风险.
- 针对这两种疾病的干预措施对于降低T2D患者的死亡率至关重要.
- 建议对中年和老年患有T2D的中年和老年人进行合作医疗保健和广泛的焦虑查.
相关概念视频
Diabetes: Symptoms, Diagnosis, and Complications
2.1K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.1K
Psychoneuroimmunology: Diabetes and Cancer
449
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
449
Diabetes Mellitus: Type 2 and Gestational
4.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
4.3K
Diabetes Mellitus: Overview and Type I Subtype
4.9K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
4.9K
Carbohydrate Metabolism
13.8K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
13.8K
Diabetes: Management and Pharmacotherapy
867
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
867


