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Trait anxiety and glucose metabolism in people without diabetes: vulnerabilities among black women.
MedLine Citation:
PMID:  22151474     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims:  We examined whether the relationship between anxiety and indicators of glucose metabolism in people without diabetes varies by race and gender. Methods:  Participants were 914 adults (777 white, 137 black) without diabetes in the MIDUS (Midlife in the USA) II study. Glucose metabolism was characterized by fasting glucose, insulin, HOMA-IR (homeostasis model of assessment - insulin resistance) and HbA(1c) . Hierarchical linear regressions stratified by race and gender examined whether anxiety was associated with glucose metabolism. Results:  After adjustment for potential confounders, positive relationships between anxiety and fasting glucose (P = 0.04), insulin (P = 0.01), and HOMA-IR (P = 0.02) but not HbA(1c) , were observed in black women only. Conclusions:  Our findings extend previous evidence for the links between psychosocial vulnerabilities and impaired glucose metabolism in black women, by documenting significant associations between anxiety and clinical indicators of glycaemic control among black women without diabetes. Thus, anxiety might constitute an intervention target in black women, a subgroup disproportionately affected by Type 2 diabetes, its complications, and premature mortality. © 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK.
Authors:
V K Tsenkova; M A Albert; A Georgiades; C D Ryff
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-12
Journal Detail:
Title:  Diabetic medicine : a journal of the British Diabetic Association     Volume:  -     ISSN:  1464-5491     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8500858     Medline TA:  Diabet Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK.
Affiliation:
Center for Women's and Health Disparities Research, University of Wisconsin-Madison Divisions of Cardiovascular Diseases and Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School Department of Psychiatry and Behavioral Sciences, Duke University Medical Center Institute on Aging, University of Wisconsin-Madison, USA.
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