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Women living alone have an increased risk to develop diabetes, which is explained mainly by lifestyle factors.

Lidfeldt, Jonas LU ; Nerbrand, Christina LU ; Samsioe, Göran LU and Agardh, Carl-David LU (2005) In Diabetes Care 28(10). p.2531-2536
Abstract
OBJECTIVE— The purpose of this study was to assess the role of household conditions for the progression to diabetes in women with impaired glucose tolerance (IGT).



RESEARCH DESIGN AND METHODS— A total of 461 women, aged 50–64 years, with IGT defined by an oral glucose tolerance test, had baseline advice on physical exercise, diet, smoking, and alcohol habits. Physical examination, blood tests, and questionnaires were completed at baseline and after 2.5 years. Household status was categorized into living alone or with a partner, other adults, or children.



RESULTS— Women living alone had a 2.68-fold increased risk (95% CI 1.02–7.05) of developing diabetes after adjustments for biological risk factors.... (More)
OBJECTIVE— The purpose of this study was to assess the role of household conditions for the progression to diabetes in women with impaired glucose tolerance (IGT).



RESEARCH DESIGN AND METHODS— A total of 461 women, aged 50–64 years, with IGT defined by an oral glucose tolerance test, had baseline advice on physical exercise, diet, smoking, and alcohol habits. Physical examination, blood tests, and questionnaires were completed at baseline and after 2.5 years. Household status was categorized into living alone or with a partner, other adults, or children.



RESULTS— Women living alone had a 2.68-fold increased risk (95% CI 1.02–7.05) of developing diabetes after adjustments for biological risk factors. Further stepwise adjustments for education, occupation, subjective mental health, exercise, diet, and alcohol showed remaining significant odds ratios (ORs), decreasing from 3.26 (1.19–8.96) to 3.03 (1.02–8.99). However, when smoking status was added, the OR became nonsignificant, 2.07 (0.62–6.88). More women who lived alone smoked and did not reduce their daily cigarette consumption compared with women in other household conditions. At follow-up, women living alone had reduced their alcohol consumption and were more often abstainers and fewer had healthy dietary habits or had improved their diet. Physical exercise did not differ among the groups. Separate analyses of any other household status did not show any excess risk for development of diabetes.



CONCLUSIONS— Women living alone had a higher risk to progress from IGT to diabetes, mostly explained by smoking, alcohol, and dietary habits. Household conditions should be accounted for when assessing future risk for diabetes. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Diabetes Care
volume
28
issue
10
pages
2531 - 2536
publisher
American Diabetes Association
external identifiers
  • wos:000232358900032
  • pmid:16186292
  • scopus:25644439281
ISSN
1935-5548
DOI
10.2337/diacare.28.10.2531
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Section I-II (013230011), Family Medicine (013241010), Division V (013230900), Department of Clinical Sciences, Malmö (013240000), Department of Obstetrics and Gynaecology (Lund) (013018000), Unit on Vascular Diabetic Complications (013241510)
id
d94367d6-4c7a-407c-9c2a-3de647ec9b54 (old id 143399)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16186292&dopt=Abstract
date added to LUP
2016-04-01 15:39:37
date last changed
2022-04-22 08:47:05
@article{d94367d6-4c7a-407c-9c2a-3de647ec9b54,
  abstract     = {{OBJECTIVE— The purpose of this study was to assess the role of household conditions for the progression to diabetes in women with impaired glucose tolerance (IGT).<br/><br>
<br/><br>
RESEARCH DESIGN AND METHODS— A total of 461 women, aged 50–64 years, with IGT defined by an oral glucose tolerance test, had baseline advice on physical exercise, diet, smoking, and alcohol habits. Physical examination, blood tests, and questionnaires were completed at baseline and after 2.5 years. Household status was categorized into living alone or with a partner, other adults, or children.<br/><br>
<br/><br>
RESULTS— Women living alone had a 2.68-fold increased risk (95% CI 1.02–7.05) of developing diabetes after adjustments for biological risk factors. Further stepwise adjustments for education, occupation, subjective mental health, exercise, diet, and alcohol showed remaining significant odds ratios (ORs), decreasing from 3.26 (1.19–8.96) to 3.03 (1.02–8.99). However, when smoking status was added, the OR became nonsignificant, 2.07 (0.62–6.88). More women who lived alone smoked and did not reduce their daily cigarette consumption compared with women in other household conditions. At follow-up, women living alone had reduced their alcohol consumption and were more often abstainers and fewer had healthy dietary habits or had improved their diet. Physical exercise did not differ among the groups. Separate analyses of any other household status did not show any excess risk for development of diabetes.<br/><br>
<br/><br>
CONCLUSIONS— Women living alone had a higher risk to progress from IGT to diabetes, mostly explained by smoking, alcohol, and dietary habits. Household conditions should be accounted for when assessing future risk for diabetes.}},
  author       = {{Lidfeldt, Jonas and Nerbrand, Christina and Samsioe, Göran and Agardh, Carl-David}},
  issn         = {{1935-5548}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{2531--2536}},
  publisher    = {{American Diabetes Association}},
  series       = {{Diabetes Care}},
  title        = {{Women living alone have an increased risk to develop diabetes, which is explained mainly by lifestyle factors.}},
  url          = {{http://dx.doi.org/10.2337/diacare.28.10.2531}},
  doi          = {{10.2337/diacare.28.10.2531}},
  volume       = {{28}},
  year         = {{2005}},
}