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印度老年成年人中糖尿病相关因素与生活满意度及睡眠障碍的关联:一项大规模研究的证据

Association of diabetes-related factors with life satisfaction and sleep disturbances among Indian ageing adults: Evidence from a large-scale study.

作者信息

Padma Sri Lekha P, Abdul Azeez E P

机构信息

School of Social Sciences and Languages, Vellore Institute of Technology, Vellore, India.

出版信息

Health Psychol Open. 2025 Jul 28;12:20551029251362660. doi: 10.1177/20551029251362660. eCollection 2025 Jan-Dec.

DOI:10.1177/20551029251362660
PMID:40735299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12304642/
Abstract

Countries across the world, including India, are witnessing an increase in the cases of diabetes, posing public health challenges. Although diabetes is a metabolic disease, psychosocial factors are crucial in its management. Hence, the present study tried to identify the association of diabetes-related factors with life satisfaction and sleep disturbances among ageing adults living with diabetes in India. The data of adults aged 45 years and older living with diabetes (N = 8272) were extracted from the Longitudinal Ageing Study in India Wave 1 (2017-18). We conducted weighted least squares regression, t-test, and descriptive analysis. The likelihood of life satisfaction reduced with insulin usage (β = -.73, 99% CI: -1.16 to -.29), special diet (β = -.92, 99% CI: -1.31 to -.54), smoking habit, involvement in physical activity, depressive symptoms, lack of involvement in social activities and with duration of diabetes. The insulin usage (β = -.25, 99% CI: -.44 to -.07), special diet (β = -.22, 99% CI: -.38 to -.06), and involvement in physical activities decreased the probability of sleep disturbances, while alcohol consumption, smoking habits, and depressive symptoms escalated the likelihood of it. The evidence from this study underlines the links between diabetes and psychosocial factors. It signifies the importance of addressing such factors to ensure better glycemic control and the well-being of people living with diabetes.

摘要

包括印度在内的世界各国,糖尿病病例都在增加,这对公共卫生构成了挑战。尽管糖尿病是一种代谢性疾病,但心理社会因素在其管理中至关重要。因此,本研究试图确定在印度患有糖尿病的老年人中,与糖尿病相关的因素与生活满意度和睡眠障碍之间的关联。45岁及以上患有糖尿病的成年人(N = 8272)的数据取自印度纵向老龄化研究第一波(2017 - 2018年)。我们进行了加权最小二乘回归、t检验和描述性分析。生活满意度的可能性随着胰岛素使用(β = -0.73,99%置信区间:-1.16至-0.29)、特殊饮食(β = -0.92,99%置信区间:-1.31至-0.54)、吸烟习惯、参与体育活动、抑郁症状、缺乏参与社会活动以及糖尿病病程而降低。胰岛素使用(β = -0.25,99%置信区间:-0.44至-0.07)、特殊饮食(β = -0.22,99%置信区间:-0.38至-0.06)以及参与体育活动降低了睡眠障碍的概率,而饮酒、吸烟习惯和抑郁症状则增加了睡眠障碍的可能性。这项研究的证据强调了糖尿病与心理社会因素之间的联系。它表明解决这些因素对于确保更好的血糖控制和糖尿病患者的健康至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0db/12304642/832eed07f1e1/10.1177_20551029251362660-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0db/12304642/19ff413ac784/10.1177_20551029251362660-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0db/12304642/784c444846ae/10.1177_20551029251362660-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0db/12304642/832eed07f1e1/10.1177_20551029251362660-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0db/12304642/19ff413ac784/10.1177_20551029251362660-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0db/12304642/784c444846ae/10.1177_20551029251362660-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0db/12304642/832eed07f1e1/10.1177_20551029251362660-fig3.jpg

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本文引用的文献

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Curr Diabetes Rev. 2024;20(8):110-123. doi: 10.2174/0115733998283436231207093250.
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自我护理实践及其在糖尿病控制中的作用:一项叙述性综述。
Cureus. 2023 Jul 5;15(7):e41409. doi: 10.7759/cureus.41409. eCollection 2023 Jul.
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The Hidden Burden-Exploring Depression Risk in Patients with Diabetic Nephropathy: A Systematic Review and Meta-Analysis.隐性负担——探索糖尿病肾病患者的抑郁风险:一项系统评价与荟萃分析
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