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Psychological Factors, Coffee and Risk of Diabetes Mellitus among Middle-Aged Japanese: a Population-Based Prospective Study in the JPHC Study Cohort
Open accessAbstract
An association between psychological factors and diabetes has been suspected for a long time. However, epidemiological data on this association is limited. We investigated the association between psychological factors (perceived mental stress and type A behavior) and the onset of diabetes in a community-based, prospective cohort study in a large number of middle-aged Japanese adults. A total of 55,826 subjects (24,826 men and 31,000 women) aged 40-69 years were followed for 10 years. A self-administered questionnaire on medical conditions including diabetes and other lifestyle factors was performed at baseline and 5 and 10 years later. Psychological factors and diabetes were assessed based on the questionnaire results. During the 10-year follow-up period, we documented 1,601 incident cases (6.4%) of diabetes among men and 1,093 cases (3.5%) among women. The risk of diabetes increased with an increasing stress level, especially among men. Multivariate adjusted odds ratios for high stress compared with low stress were 1.36 (1.13 to 1.63) among men and 1.22 (0.98 to 1.51) among women. The risk of diabetes increased with an increasing level of type A behavior only among women. Multivariate adjusted odds ratios for high levels of type A behavior compared with low levels of type A behavior were 1.09 (0.94 to 1.27) among men and 1.22 (1.01 to 1.47) among women. We found an association between perceived mental stress and the incidence of diabetes, especially among men. We also found an association between type A behavior and the incidence of diabetes among women. In addition, inverse association between coffee consumption and the incidence of diabetes which was consistent with other studies was observed.
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“Considering the evidence as a whole, a link seems to exist between perceived stress and development of T2DM.”
From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as [84]
In the citing paper
“However, this association has been shown in some studies to vary by sex or socioeconomic status (as measured by occupational status), which indicates that these factors might moderate this relationship.”
From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as [84]
In the citing paper
“Japanese adults ( n = 55,826, n = 1,601 incident cases of diabetes mellitus; 10 year follow-up) | item). Perceived stress based on one item 'How much stress to feel in daily life?' (three point scale) | men OR 2.36 (95% CI 1.22- 4.59). *Overall association but effects were stronger among male OR 1.39(95% CI 1.15-1.65) than in female participants OR 1”
From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as Kato (2009) 77
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Metadata
- Authors
- KATO, M., NODA, M., INOUE, M., KADOWAKI, T., & TSUGANE, S.
- Affiliations
- The Japan Foundation (JP)
- Department of Diabetes and Metabolic Medicine, International Medical Center of Japan
- National Cancer Center (US)
- The University of Tokyo (JP)
- Venue
- Endocrine Journal
- Publisher
- Japan Endocrine Society
- Published
- 2009
- Volume
- 56
- Issue
- 3
- Pages
- 459-468
- ISSN
- 0918-8959 (ISSN-L)
- 1348-4540
- OpenAlex
- W1999614923
- Cited by
- 120
- References
- 36
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 4 · 2022: 6 · 2021: 6 · 2020: 11 · 2019: 9 · 2018: 9 · 2017: 4 · 2016: 8 · 2015: 11 · 2014: 10 · 2013: 14 · 2012: 9
- FWCI
- 5.50
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Endocrine Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Health, Labour and Welfare (H13-008, H14-008, H16-３次がん-019, H15-新興-006, H17-健康-一般-019, H18-医療-一般-028)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Coffee research and impacts
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- diabetes mellitus, Type A behavior pattern, coffee consumption, psychological factors, sex differences, middle-aged adults, incident diabetes risk
- MeSH terms
- Adult, Aged, Coffee, Diabetes Mellitus, Type 2, Feeding Behavior, Female, Humans, Japan, Longitudinal Studies, Male, Middle Aged, Surveys and Questionnaires, Risk, Sex Factors, Stress, Psychological, Type A Personality, Cohort Studies, Asian People
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