Eun Youngmi, Ock Sun Myeong, Kim Se-Hong, Chung Ju Hye, Park Se Jin, Kim Churlmin, Im Min-Kyun, Han Kyung-do
Department of Family Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 10, 63-Ro, Yeongdeungpo-Gu, Seoul, 07345, Republic of Korea.
Department of Family Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Acta Diabetol. 2023 May;60(5):655-661. doi: 10.1007/s00592-023-02041-y. Epub 2023 Feb 8.
Although Catholic priests have a life of discipline with many responsibilities, there has been little research on the health effects of their lifestyle. Analysis of disease prevalence in priests will help elucidate the influence of religious life and occupational characteristics on the occurrence of diabetes. This retrospective study was performed to examine the differences in the prevalence of diabetes and prediabetes between Catholic priests and the general population.
The study population comprised 1845 Catholic priests aged 31-80 years who visited the health promotion centers of three university hospitals in Korea between 2010 and 2019. Controls consisted of 1801 adult non-clerics aged 31-80 years who underwent health checkups at the screening center during the same period. Logistic regression analysis was performed to compare the differences in the rates of diabetes and prediabetes between the priest and control groups.
Priests were younger and had lower rates of smoking, drinking alcohol, and hypertension compared with the control group. However, metabolic markers, such as BMI, waist circumference, body fat mass, insulin, HbA1c, and lipid profiles, were significantly higher in the priest group than the control group (all p < 0.05). After adjusting for covariates, the priest group had a significantly higher likelihood of having diabetes (OR = 1.651, 95% CI 1.146-2.379) or prediabetes (OR = 3.270, 95% CI 2.471-4.327) compared with the controls.
This study showed that Catholic priests have higher risks of diabetes and prediabetes compared with the general population, and these risks increase with age. Further large-scale prospective studies are required to confirm these relationships.
尽管天主教神父过着有纪律且责任众多的生活,但关于他们生活方式对健康影响的研究却很少。分析神父中的疾病患病率将有助于阐明宗教生活和职业特征对糖尿病发生的影响。本回顾性研究旨在探讨天主教神父与普通人群在糖尿病和糖尿病前期患病率上的差异。
研究人群包括1845名年龄在31 - 80岁之间的天主教神父,他们于2010年至2019年期间前往韩国三家大学医院的健康促进中心。对照组由1801名年龄在31 - 80岁之间的成年非神职人员组成,他们在同一时期在筛查中心接受了健康检查。进行逻辑回归分析以比较神父组和对照组在糖尿病和糖尿病前期发病率上的差异。
与对照组相比,神父年龄更小,吸烟、饮酒和患高血压的比率更低。然而,神父组的代谢指标,如体重指数(BMI)、腰围、体脂量、胰岛素、糖化血红蛋白(HbA1c)和血脂谱,均显著高于对照组(所有p < 0.05)。在调整协变量后,与对照组相比,神父组患糖尿病(比值比[OR] = 1.651,95%置信区间[CI] 1.146 - 2.379)或糖尿病前期(OR = 3.270,95% CI 2.471 - 4.327)的可能性显著更高。
本研究表明,与普通人群相比,天主教神父患糖尿病和糖尿病前期的风险更高,且这些风险随年龄增加。需要进一步的大规模前瞻性研究来证实这些关系。