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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Burnout and risk of type 2 diabetes: a prospective study of apparently healthy employed persons.
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Burnout and risk of type 2 diabetes: a prospective study of apparently healthy employed persons.

机译：2型糖尿病的倦怠和风险：对显然健康的就业者的前瞻性研究。

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OBJECTIVE: This prospective study was designed to test the extent to which the onset of type 2 diabetes in apparently healthy individuals was predicted by burnout, a unique affective response to combined exposure to chronic stressors. METHODS: The study participants were 677 employed men and women who were followed up for 3 to 5 years (mean = 3.6 years) for the onset of diagnosed type 2 diabetes. Burnout was assessed by the Shirom-Melamed Burnout Measure with its three subscales: emotional exhaustion, physical fatigue, and cognitive weariness. RESULTS: The burnout symptoms were remarkably consistent over the follow-up period irrespective of changes in place of work and in employment status. During the follow-up period, 17 workers developed type 2 diabetes. Logistic regression results indicated that burnout was associated with a 1.84-fold increased risk of diabetes (95% confidence interval [CI] = 1.19-2.85) even after adjusting for age, sex, body mass index, smoking, alcohol use, leisure time physical activity, initial job category, and follow-up duration. In a subsample of 507 workers, the relative risk of diabetes was found to be much higher after additional control for blood pressure levels (odds ratio = 4.32, 95% CI = 1.75-10.67), available only for this subsample. CONCLUSIONS: These findings suggest that chronic burnout might be a risk factor for the onset of type 2 diabetes in apparently healthy individuals.
机译：目的：这项前瞻性研究旨在测试通过倦怠预测明显健康的2型糖尿病发作的程度，这种倦怠是对长期暴露于慢性应激源的独特情感反应。方法：研究对象为677名受雇的男女，对诊断为2型糖尿病的发作进行了3至5年（平均= 3.6年）的随访。通过Shirom-Melamed倦怠量度以三个子量表评估倦怠：情绪衰竭，身体疲劳和认知疲劳。结果：无论工作地点和就业状况如何变化，倦怠症状在随访期间都非常一致。在随访期间，有17名工人患上2型糖尿病。 Logistic回归结果表明，即使在调整了年龄，性别，体重指数，吸烟，饮酒，休闲时间后，倦怠与糖尿病风险增加了1.84倍（95％置信区间[CI] = 1.19-2.85）。活动，初始工作类别和随访时间。在507名工人的子样本中，发现在进一步控制血压水平之后，糖尿病的相对风险要高得多（优势比= 4.32，95％CI = 1.75-10.67），该样本仅适用于此子样本。结论：这些发现表明，慢性倦怠可能是明显健康个体中2型糖尿病发作的危险因素。

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