The Association of Loneliness with Diabetes Is Mediated by Physical Activity and BMI but Not Diet Quality.
The Association of Loneliness with Diabetes Is Mediated by Physical Activity and BMI but Not Diet Quality.
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DOI：
10.3390/nu15234923
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发表时间：
2023-11-25
期刊：
影响因子：
5.9
通讯作者：
Zonderman AB
中科院分区：
文献类型：
--
作者：
Kuczmarski MF;Orsega-Smith E;Evans MK;Zonderman AB
通过许多途径，孤独被认为是健康状况不佳的预兆。这个协会的调解人还没有得到广泛的探索。这项研究的目的是确定饮食质量和体力活动是否是平行的中介，而体重指数(BMI)是孤独与糖尿病关联的第三个中介。36-77岁的中老年非洲裔美国人和白人成年人参加了2013-2017年间多样性社区未来健康老龄化研究的第二次后续浪潮。采用加州大学洛杉矶分校3项孤独量表测量孤独感。根据空腹血糖、自我报告或服用糖尿病药物，参与者被分类为非糖尿病、糖尿病前期或糖尿病患者。2010年健康饮食指数的平均得分是根据美国农业部自动多重通过法收集的两次24小时饮食召回计算得出的。体力活动来自贝克问卷。海斯过程宏模型#80被用来执行中介分析。协变量包括年龄、出生性别、种族、收入、饮酒和教育程度。孤独感与饮食质量和体力活动呈显著负相关。唯一重要的间接途径是孤独、体力活动、体重指数和糖尿病。在制定干预措施时，更好地理解可改变的生活方式行为可能会改善心理健康，从而改善健康。
Loneliness is considered a predictor of poor health through numerous pathways. Mediators of this association has not been extensively explored. The study objective was to determine if diet quality and physical activity are parallel mediators with body mass index (BMI) as the third mediator in the association of loneliness with diabetes. The sample, middle-aged and older African American and White adults, 36–77 years, participated in the second follow-up wave of the prospective Healthy Aging in Neighborhoods of Diversity across the Life Span study, 2013–2017. Loneliness was measured by the UCLA 3-item loneliness scale. Participants were categorized as not diabetic, pre-diabetic, or diabetic based on fasting blood glucose, self-reports, or taking medication for diabetes. The Mean Healthy Eating Index-2010 score was calculated from two 24 h dietary recalls collected using the USDA automated multiple pass method. Physical activity was derived from the Baecke questionnaire. The Hayes PROCESS macro, model #80, was used to perform the mediational analysis. Covariates were age, sex at birth, race, income, alcohol intake, and education. Loneliness was inversely and significantly associated with diet quality and physical activity. The only significant indirect path was loneliness > physical activity > BMI > diabetes. Better understanding of modifiable lifestyle behaviors when developing interventions may improve mental health, thereby improving health.
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DOI：
10.1007/s13300-021-01138-3
发表时间：
2021-10
期刊：
Diabetes therapy : research, treatment and education of diabetes and related disorders
影响因子：
--
作者：
Abe M;Fujii H;Funakoshi S;Satoh A;Kawazoe M;Maeda T;Tada K;Yokota S;Yamanokuchi T;Yoshimura C;Mimata R;Takahashi K;Ito K;Yasuno T;Kuga T;Mukoubara S;Akiyoshi K;Kawanami D;Masutani K;Arima H
通讯作者：
Arima H
影响因子：
--
作者：
Kuczmarski, Marie Fanelli;Sees, Alexandra Cremer;Zonderman, Alan B.
通讯作者：
Zonderman, Alan B.
影响因子：
2.6
作者：
Hughes, ME;Waite, LJ;Cacioppo, JT
通讯作者：
Cacioppo, JT
影响因子：
8.2
作者：
Henriksen, Roger E.;Nilsen, Roy M.;Strandberg, Ragnhild B.
通讯作者：
Strandberg, Ragnhild B.
影响因子：
4.6
作者：
He, Dingliu;Qiao, Yanan;Shen, Yueping
通讯作者：
Shen, Yueping