AI Article Synopsis
- The study explored the links between serious psychological distress, blood glucose levels (HbA1c), and body mass index (BMI) in American Indian and Alaska Native individuals with type 2 diabetes participating in a cardiovascular disease prevention program.
- Initial results showed that higher psychological distress was associated with increased HbA1c and BMI at the start of the study, but these relationships became non-significant after adjusting for other demographic and health factors.
- The authors call for more research into the factors that contribute to the relationship between psychological distress and diabetes outcomes, suggesting that longer observation periods may be necessary to fully understand these connections.
Article Abstract
Objective: Our study examined associations between serious psychological distress and blood glucose level (HbA1c) and body mass index (BMI) among American Indian and Alaska Native (AI/AN) participants in a cardiovascular disease prevention program.
Design: Using linear regression, we assessed the relationships between serious psychological distress and HbA1c and BMI at baseline and one year later. SETTING, PARTICIPANTS, AND INTERVENTION: AI/AN participants were aged 18 years, diagnosed with type 2 diabetes, and enrolled in the Special Diabetes Project for Indians Healthy Heart Project.
Main Outcome Measures: Outcomes were percentage of HbA1c and BMI, measured at enrollment and first annual exam. Both outcomes were continuous measures in all analyses.
Results: Serious psychological distress was associated at baseline with increased HbA1c in the unadjusted and adjusted models (adjusted b = .17%, P < 0.01). Serious psychological distress also was associated at baseline with increased BMI (.635 kg/m2, P = .01) and at one year with increased BMI (0.174 kg/m2, P = .01) in the unadjusted model. After adjustment for demographic and health characteristics, these relationships were no longer significant.
Conclusions: Cross-sectional baseline findings are consistent with existing literature. One-year findings suggest need for further inquiry into mediators of psychological distress and examination of additional diabetes-specific health outcomes. Additional years of observation may be needed to disentangle relationships between serious psychological distress and BMI.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4497797 | PMC |
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