Sekizuka Hiromitsu, Kato Hirohisa, Ishii Toshiya, Nagumo Satoko
Department of Internal Medicine, Fujitsu Clinic, 4-1-1 Kamikodanaka, Nakahara-Ku, Kawasaki City, Kanagawa Prefecture 211-8588 Japan.
Health Promotion Unit, Fujitsu Ltd., Kanagawa, Japan.
Diabetol Int. 2025 Jan 27;16(2):339-347. doi: 10.1007/s13340-025-00796-z. eCollection 2025 Apr.
Stress and working environments are risk factors for diabetes mellitus. A new occupational health policy called the Stress Check Program was started in Japan in 2015. Therefore, we clarified whether the presence or absence of high job stress (HJS) as determined using the Brief Job Stress Questionnaire (BJSQ) is related to the comorbidity of diabetes.
The results of a single year's BJSQ and medical examinations were investigated for 30,694 Japanese active office workers who were 30 to 59 years old. Presence or absence of HJS was assessed using the BJSQ and investigated using a personal computer in a medical interview. Furthermore, the relationships between HJS and diabetes comorbidity were analyzed.
The mean age of the subjects was 43.8 ± 10.5 years old, and the proportion of subjects with HJS was 10%. After adjustment for age and sex, HJS was associated with a risk of diabetes comorbidity (odds ratio, 1.30; 95% confidence interval 1.13-1.49). HJS was not a significant diabetic comorbidity factor when adjusted for lifestyle habits in addition to age and sex.
HJS measured using the BJSQ and unhealthy lifestyles synergistically contributed to diabetes comorbidity.
压力和工作环境是糖尿病的风险因素。2015年日本启动了一项名为压力检查计划的新职业健康政策。因此,我们明确了使用简短工作压力问卷(BJSQ)确定的高工作压力(HJS)的有无是否与糖尿病的合并症相关。
对30694名年龄在30至59岁之间的日本在职上班族的单年度BJSQ结果和体检结果进行了调查。使用BJSQ评估HJS的有无,并在医学访谈中通过个人电脑进行调查。此外,分析了HJS与糖尿病合并症之间的关系。
受试者的平均年龄为43.8±10.5岁,HJS受试者的比例为10%。在对年龄和性别进行调整后,HJS与糖尿病合并症的风险相关(比值比,1.30;95%置信区间1.13 - 1.49)。除年龄和性别外,在对生活习惯进行调整后,HJS不是糖尿病合并症的显著因素。
使用BJSQ测量的HJS和不健康的生活方式协同导致糖尿病合并症。