| Title |
Stress resilience and subsequent risk of type 2 diabetes in 1.5 million young men
|
|---|---|
| Published in |
Diabetologia, January 2016
|
| DOI | 10.1007/s00125-015-3846-7 |
| Pubmed ID | |
| Authors |
Casey Crump, Jan Sundquist, Marilyn A. Winkleby, Kristina Sundquist |
| Abstract |
Psychosocial stress in adulthood is associated with a higher risk of type 2 diabetes, possibly mediated by behavioural and physiological factors. However, it is unknown whether low stress resilience earlier in life is related to subsequent development of type 2 diabetes. We examined whether low stress resilience in late adolescence is associated with an increased risk of type 2 diabetes in adulthood. We conducted a national cohort study of all 1,534,425 military conscripts in Sweden during 1969-1997 (97-98% of all 18-year-old men nationwide each year) without prior diagnosis of diabetes, who underwent standardised psychological assessment for stress resilience (on a scale of 1-9) and were followed up for type 2 diabetes identified from outpatient and inpatient diagnoses during 1987-2012 (maximum attained age 62 years). There were 34,008 men diagnosed with type 2 diabetes in 39.4 million person-years of follow-up. Low stress resilience was associated with an increased risk of developing type 2 diabetes after adjusting for BMI, family history of diabetes, and individual and neighbourhood socioeconomic factors (HR for lowest vs highest quintile: 1.51; 95% CI 1.46, 1.57; p < 0.0001), including a strong linear trend across the full range of stress resilience (p trend < 0.0001). This association did not vary by BMI level, family history of diabetes or socioeconomic factors. These findings suggest that low stress resilience may play an important long-term role in aetiological pathways for type 2 diabetes. Further elucidation of the underlying causal factors may help inform more effective preventive interventions across the lifespan. |
X Demographics
The data shown below were collected from the profiles of 40 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 6 | 15% |
| United Kingdom | 5 | 13% |
| Canada | 3 | 8% |
| Sweden | 2 | 5% |
| Australia | 2 | 5% |
| Saudi Arabia | 1 | 3% |
| France | 1 | 3% |
| India | 1 | 3% |
| Spain | 1 | 3% |
| Other | 5 | 13% |
| Unknown | 13 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 26 | 65% |
| Scientists | 8 | 20% |
| Practitioners (doctors, other healthcare professionals) | 5 | 13% |
| Science communicators (journalists, bloggers, editors) | 1 | 3% |
Mendeley readers
The data shown below were compiled from readership statistics for 132 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | <1% |
| Unknown | 131 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 19 | 14% |
| Student > Ph. D. Student | 17 | 13% |
| Researcher | 16 | 12% |
| Student > Bachelor | 16 | 12% |
| Student > Doctoral Student | 7 | 5% |
| Other | 23 | 17% |
| Unknown | 34 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 30 | 23% |
| Nursing and Health Professions | 17 | 13% |
| Psychology | 15 | 11% |
| Biochemistry, Genetics and Molecular Biology | 7 | 5% |
| Agricultural and Biological Sciences | 5 | 4% |
| Other | 14 | 11% |
| Unknown | 44 | 33% |
Attention Score in Context
This research output has an Altmetric Attention Score of 147. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 February 2018.
All research outputs
#285,711
of 26,017,215 outputs
Outputs from Diabetologia
#171
of 5,646 outputs
Outputs of similar age
#4,865
of 407,980 outputs
Outputs of similar age from Diabetologia
#4
of 65 outputs
Altmetric has tracked 26,017,215 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,646 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 24.1. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 65 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.