ESSUA-Health School, University of Aveiro, 3810-193 Aveiro, Portugal.
CINTESIS-Center for Health Technology and Services Research, University of Porto, 4200-450 Porto, Portugal.
Int J Environ Res Public Health. 2018 Nov 28;15(12):2677. doi: 10.3390/ijerph15122677.
Little is known about how working adults with type 2 diabetes are managing their health. This study aims to analyze the associations between health, behavioral, and sociodemographic characteristics and obesity in older diabetic patients in Europe. Data from the Survey of Health, Ageing, and Retirement in Europe was used to compare 1447 participants that were identified as having type 2 diabetes with 28,047 participants without diabetes. Multilevel logistic models stratified by type 2 diabetes examined the relationships of health, behavioral, and sociodemographic characteristics with obesity. The proportion of physical inactivity was significantly higher among those with type 2 diabetes (15.0% vs. 6.1%). Individuals with diabetes had more chronic diseases, more limitations in activities, higher body mass index, more depression, lower quality of life and well-being, and lower employment rate. Among those with type 2 diabetes, those employed were more likely to be obese (OR = 1.377, 95% CI, 1.023 to 1.853) and women were 52% more likely to be obese than men. The surveillance of weight in working environments should be required within workers with type 2 diabetes. It is concluded that this and other adjustments could be beneficial in people with diabetes.
关于 2 型糖尿病的成年工作者如何管理其健康状况，目前知之甚少。本研究旨在分析健康、行为和社会人口学特征与欧洲老年糖尿病患者肥胖之间的关联。本研究使用了欧洲健康、老龄化和退休调查的数据，将 1447 名被确定为患有 2 型糖尿病的参与者与 28047 名没有糖尿病的参与者进行了比较。按 2 型糖尿病分层的多水平逻辑模型检查了健康、行为和社会人口学特征与肥胖之间的关系。与没有糖尿病的人相比，患有 2 型糖尿病的人身体活动不足的比例明显更高（15.0%对 6.1%）。糖尿病患者有更多的慢性疾病，更多的活动受限，更高的体重指数，更多的抑郁，更低的生活质量和幸福感，以及更低的就业率。在患有 2 型糖尿病的患者中，那些有工作的人更有可能肥胖（OR=1.377，95%CI，1.023-1.853），而女性肥胖的可能性比男性高 52%。应在患有 2 型糖尿病的劳动者的工作环境中监测体重。结论是，这和其他调整可能对糖尿病患者有益。
