The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP).

This study aims to describe the prevalence of depression and anxiety among a population sample of people at high risk for type 2 diabetes in Kerala, India, and examine the relationship between depressive symptoms, anxiety, and incident Type 2 Diabetes Mellitus (T2DM) over a two-year period. We used...

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Autores principales: Leslie C M Johnson, Allissa Desloge, Thirunavukkarasu Sathish, Emily D Williams, Pilvikki Absetz, Tilahun Haregu, Jeroen De Man, Kavumpurathu Raman Thankappan, Brian Oldenburg
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spelling oai:doaj.org-article:07f85d595a154fa184d268df5b84e12c2021-12-02T20:06:28ZThe relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP).1932-620310.1371/journal.pone.0255217https://doaj.org/article/07f85d595a154fa184d268df5b84e12c2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255217https://doaj.org/toc/1932-6203This study aims to describe the prevalence of depression and anxiety among a population sample of people at high risk for type 2 diabetes in Kerala, India, and examine the relationship between depressive symptoms, anxiety, and incident Type 2 Diabetes Mellitus (T2DM) over a two-year period. We used data from the Kerala Diabetes Prevention Program, a cluster-randomized controlled trial for diabetes prevention among 1007 high-risk individuals. The prevalence of depression and anxiety were estimated using the 9-item Patient Health Questionnaire and the Generalized Anxiety Disorder 7-item scale, respectively. We calculated proportions for depression and anxiety and performed generalized estimating equations (GEE) to examine the relationship between baseline mental health status and incident T2DM. The prevalence of depression and anxiety at baseline were 7.5% and 5.5%, respectively. Compared with those reporting none/low symptoms, the odds ratio for incident diabetes was 1.07 (95% CI 0.54-2.12) for participants with moderate to severe depression and 0.73 (95% CI 0.23-2.28) for participants with moderate to severe anxiety, after adjusting for potential confounders. Our findings suggest that the prevalence of depression and anxiety were higher than those previously reported in the general population in India. However, among this sample of community-based adults at high risk of developing T2DM, the presence of moderate to severe depression and/or anxiety symptoms was not significantly associated with the risk of developing T2DM. Trial registration: Australia and New Zealand Clinical Trials Registry ACTRN12611000262909. Registered 10 March 2011.Leslie C M JohnsonAllissa DeslogeThirunavukkarasu SathishEmily D WilliamsPilvikki AbsetzTilahun HareguJeroen De ManKavumpurathu Raman ThankappanBrian OldenburgPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255217 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Leslie C M Johnson
Allissa Desloge
Thirunavukkarasu Sathish
Emily D Williams
Pilvikki Absetz
Tilahun Haregu
Jeroen De Man
Kavumpurathu Raman Thankappan
Brian Oldenburg
The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP).
description This study aims to describe the prevalence of depression and anxiety among a population sample of people at high risk for type 2 diabetes in Kerala, India, and examine the relationship between depressive symptoms, anxiety, and incident Type 2 Diabetes Mellitus (T2DM) over a two-year period. We used data from the Kerala Diabetes Prevention Program, a cluster-randomized controlled trial for diabetes prevention among 1007 high-risk individuals. The prevalence of depression and anxiety were estimated using the 9-item Patient Health Questionnaire and the Generalized Anxiety Disorder 7-item scale, respectively. We calculated proportions for depression and anxiety and performed generalized estimating equations (GEE) to examine the relationship between baseline mental health status and incident T2DM. The prevalence of depression and anxiety at baseline were 7.5% and 5.5%, respectively. Compared with those reporting none/low symptoms, the odds ratio for incident diabetes was 1.07 (95% CI 0.54-2.12) for participants with moderate to severe depression and 0.73 (95% CI 0.23-2.28) for participants with moderate to severe anxiety, after adjusting for potential confounders. Our findings suggest that the prevalence of depression and anxiety were higher than those previously reported in the general population in India. However, among this sample of community-based adults at high risk of developing T2DM, the presence of moderate to severe depression and/or anxiety symptoms was not significantly associated with the risk of developing T2DM. Trial registration: Australia and New Zealand Clinical Trials Registry ACTRN12611000262909. Registered 10 March 2011.
format article
author Leslie C M Johnson
Allissa Desloge
Thirunavukkarasu Sathish
Emily D Williams
Pilvikki Absetz
Tilahun Haregu
Jeroen De Man
Kavumpurathu Raman Thankappan
Brian Oldenburg
author_facet Leslie C M Johnson
Allissa Desloge
Thirunavukkarasu Sathish
Emily D Williams
Pilvikki Absetz
Tilahun Haregu
Jeroen De Man
Kavumpurathu Raman Thankappan
Brian Oldenburg
author_sort Leslie C M Johnson
title The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP).
title_short The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP).
title_full The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP).
title_fullStr The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP).
title_full_unstemmed The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP).
title_sort relationship between common mental disorders and incident diabetes among participants in the kerala diabetes prevention program (k-dpp).
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/07f85d595a154fa184d268df5b84e12c
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