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C-reactive protein, diabetes, and attendance at religious services.

机译:C反应蛋白,糖尿病和参加宗教仪式。

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OBJECTIVE-Previous studies have shown an association between attendance at religious services and health, particularly cardiovascular morbidity and mortality. People with diabetes have higher risk of cardiovascular mortality and higher C-reactive protein (CRP) levels than people without diabetes. The purpose of this study was to explore the relationship between religious attendance and CRP in people with diabetes. RESEARCH DESIGN AND METHODS-This study used cross-sectional survey and examination of a nationally representative sample of noninstitutionalized U.S. adults aged >/=40 years, derived from the National Health and Nutrition Examination Survey III 1988-1994 (n = 10,059). There were 556 people with diabetes. The primary outcome measure was the presence of elevated CRP. RESULTS-There were no differences between people with diabetes compared with people without diabetes in the percentage of those who attended religious services (62.29 vs. 62.0%, P = 0.36). Religious service nonattenders with diabetes were more likely than attenders to have an elevated CRP (odds ratio [OR] 2.17 [95% CI 1.15-4.09]). In people without diabetes, the association between attendance and CRP was not significant (P > 0.05). Among people with diabetes, after adjusting for demographic variables, health status, smoking, social support, mobility, and BMI, the association between religious attendance and CRP remained significant for respondents with diabetes (1.90 [1.03-3.51]). CONCLUSIONS-These findings revealed that people with diabetes who have not attended religious services in the previous year are more likely to have elevated levels of CRP. Further research should be conducted to evaluate this association to improve our understanding of the psychological and religious factors that influence diabetes.
机译:目的-先前的研究表明参加宗教仪式与健康之间的关联,尤其是心血管疾病的发病率和死亡率。与没有糖尿病的人相比,患有糖尿病的人具有更高的心血管死亡风险和更高的C反应蛋白(CRP)水平。这项研究的目的是探讨糖尿病患者的宗教信仰和CRP之间的关系。研究设计和方法-这项研究采用横断面调查和检查,该数据来自1988-1994年美国国家健康与营养检查调查III(n = 10,059),年龄为40岁以上的非机构化美国成年人在全国范围内具有代表性。有556人患有糖尿病。主要结局指标是CRP升高。结果-参加宗教仪式的人与没有糖尿病的人相比,没有糖尿病的人之间没有差异(62.29比62.0%,P = 0.36)。与非宗教信仰者相比,患有糖尿病的非宗教信仰者更可能具有较高的CRP(赔率[OR] 2.17 [95%CI 1.15-4.09])。在没有糖尿病的人中,出勤率和CRP之间的相关性不显着(P> 0.05)。在糖尿病患者中,在调整了人口统计学变量,健康状况,吸烟,社会支持,活动能力和BMI之后,宗教出勤率与CRP之间的关联对于糖尿病受访者仍然很重要(1.90 [1.03-3.51])。结论-这些发现表明,前一年未参加过宗教仪式的糖尿病患者的CRP水平较高。应该进行进一步的研究以评估这种关联,以增进我们对影响糖尿病的心理和宗教因素的理解。

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