Tuesday, November 6, 2018 (American Heart Association). Traditional risk factors, such as obesity, high blood pressure and sedentary lifestyle, may not be the only type 2 diabetes mellitus. New research points to the importance of the development of a woman's state of affairs in a stressful situation.
The study, which was presented on November 10 at the American Heart Association's Scientific Conference in Chicago, found that increasing stress from traumatic events, as well as long-term home or work situations, was associated with a nearly double-risk new type 2 diabetes in older women.
"Psychosocial stressors that are risk factors for diabetes should be taken as seriously as other linked risk factors for diabetes," said Jonathan Butler, a research researcher at the University of California, and a study by the University of California at the Center for Research on Damage and Cardiovascular Diseases.
According to recent data from the Center for Disease Control and Prevention, diabetes is a major public health problem affecting approximately 30.3 million Americans in 2015. Among these people, 12 million are 65 and over.
"As older women are increasingly representing a greater proportion of our population, we need to better understand the risk factors for diabetes in this group," Butler said.
Diabetes is a chronic condition in which the body can not adequately regulate blood sugar levels. Too many glucose in the blood can cause many health problems, including heart disease, stroke and kidney disease. Although family history and age may be significant, factors such as high cholesterol, high blood pressure, obesity and physical inactivity make people more susceptible to type 2 diabetes.
However, researchers are beginning to explore not only physiological risk factors.
"We have been trying for some time to understand the relationship between stress, mental health and diabetes," said Dr. Sherita Hill Golden, a medical professor at the Johns Hopkins University School of Medicine in Baltimore. New evidence suggests that psychosocial stress and the way people deal with stress can affect the health of cardiometabol.
Previous studies on stress and diabetes focus on individual stressors, such as work or symptoms of depression or anxiety. Others have only been watching snapshots in time. So Butler and colleagues have come up with an overview of many women with various diabetes-related illnesses over time.
Researchers included data on the 22,706 women healthcare professionals who participated in the Women's Health Study, who had no heart disease and whose average age was 72 years. They collected information on acute and chronic stress factors, followed by women for an average of three years. During acute stress, there were negative and traumatic events of life, but chronic stress was related to work, family, relationships, finances, surroundings and discrimination.
Women with the highest acute and chronic stress almost doubled the risk of diabetes.
Next steps will be to confirm the findings and identify strategies that address the psychosocial stress factors that older women can reduce the risk of diabetes, said Dr Michelle A. Albert, senior research author and medical professor at California University of California, San Francisco.
"From a public health perspective, healthcare providers should find out psychosocial stressors when assessing the risk of diabetes," she said.
Currently, Gold said that the new study emphasizes the importance of focusing on unconventional risk factors such as the development of stress in diabetes.
"We know that diabetes prevention measures contribute to lifestyle, but this can be a challenge if people are faced with cumulative stress factors, such as losing their jobs or caring for a family member that impedes them to healthy behaviors such as using, eating well or smoking, " she said. "It is important to assess and understand the patient's social history. They may need counseling with a counselor or social worker."
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