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ABSTRACT: Background
Greater purpose in life is associated with lower rates of certain chronic diseases. Whether purpose in life can protect against development of prediabetes or type 2 diabetes is unknown.Purpose
To examine the association between purpose in life and blood glucose control among adults ≥50 years.Methods
We conducted a longitudinal cohort study of 3,907 participants of the Health and Retirement Study who at baseline did not have type 2 diabetes or prediabetes. Baseline purpose in life was measured using the Ryff and Keyes' Scales of Psychological Well-Being and grouped into tertiles (high, medium, and low). We used multivariable linear regression to examine the association between baseline purpose in life and HbA1c over 4 years. Multivariable logistic regression was used to examine the association between baseline purpose and incident prediabetes or type 2 diabetes over the same period.Results
After adjusting for sociodemographic factors, body mass index, physical activity, and physical and mental health factors, HbA1c was 0.07 percentage points lower among participants with high purpose than those with low purpose (95% confidence interval [CI] -0.12 to -0.02; p = .011). Participants with high purpose had lower odds of developing prediabetes or type 2 diabetes than those with low purpose (adjusted odds ratio 0.78; 95% CI 0.62 to 0.98; p = .037).Conclusions
Among older adults, greater purpose in life is associated with a lower incidence of prediabetes or type 2 diabetes. Strategies to promote greater purpose in life should be tested as a part of type 2 diabetes prevention efforts.
SUBMITTER: Hafez D
PROVIDER: S-EPMC6082637 | biostudies-literature | 2018 Mar
REPOSITORIES: biostudies-literature
Hafez Dina D Heisler Michele M Choi HwaJung H Ankuda Claire K CK Winkelman Tyler T Kullgren Jeffrey T JT
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 20180301 4
<h4>Background</h4>Greater purpose in life is associated with lower rates of certain chronic diseases. Whether purpose in life can protect against development of prediabetes or type 2 diabetes is unknown.<h4>Purpose</h4>To examine the association between purpose in life and blood glucose control among adults ≥50 years.<h4>Methods</h4>We conducted a longitudinal cohort study of 3,907 participants of the Health and Retirement Study who at baseline did not have type 2 diabetes or prediabetes. Basel ...[more]