Association between poor psychosocial conditions and diabetic nephropathy in Japanese type 2 diabetes patients: A cross‐sectional study

Abstract

Aims/IntroductionIt is suggested that a positive psychosocial condition has a good effect on health and glycemic control. However, there has been no research to evaluate the association between positive psychosocial factors and diabetic nephropathy (DN). The aim of the present study was to evaluate the association between psychosocial factors and DN in patients with type 2 diabetes.Material and MethodsTo assess psychosocial condition, six indicators (happiness score, Life Orientation Test‐revised score as an indicator of dispositional optimism, laughter frequency, self‐awareness of stress, social network and social support) were assessed by a self‐administered questionnaire, and associations between these psychosocial indicators and the presence of DN were examined.ResultsA cross‐sectional analysis of patients with (n = 123) and without DN (n = 220) showed that a high score for happiness (odds ratio [OR] per 1 standard deviation 0.71, 95% confidence interval [CI] 0.57–0.89, P = 0.003), high Life Orientation Test‐revised score (OR per 1 standard deviation 0.77, 95% CI: 0.61–0.98, P = 0.035), less self‐awareness of stress (OR 0.56, 95% CI: 0.34–0.90, P = 0.017), high connection of social network (OR 0.55, 95% CI: 0.35–0.87, P = 0.010) and high social support (OR 0.61, 95% CI: 0.38–0.96, P = 0.035) were associated with a reduced risk of prevalence of DN. Similar results were observed even after adjustment for the following conventional risk factors of DN: age, sex, duration of diabetes, hemoglobin A1c, hypertension, dyslipidemia and current smoking.ConclusionsThe present study showed that five out of six prespecified indicators of psychosocial condition were significantly associated with the presence of DN in Japanese patients with type 2 diabetes.

A survey of social network status and its related factors for older adults with type 2 diabetes in Beijing, China

“…When the social support model entered the model, R c 2 rose highest, from 0.245 to 0.540, which means social support was the most important factor in the final model. This result is similar to the study results of Ninomiya et al (Ninomiya et al., 2018 ) and Vassilev et al (Vassilev et al., 2016 ) on adults with diabetes. We believe that social support is an important factor to the social network of adults with diabetes of all ages.…”

Social networks and type 2 diabetes: a narrative review

“…The observed sex difference may be due to different coping strategies between men and women. Furthermore, a Japanese study observed that higher levels of social support and a highly connected social network was associated with a lower prevalence of diabetic nephropathy [ 22 ].…”

“…In women, small network and less informational support is associated with microvascular complications (ORs 1.02–1.71). Ninomiya (2018) [ 22 ] Study name: NA. T2D from general population, Osaka (Japan).…”