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Sökning: id:"swepub:oai:DiVA.org:su-170220" > Does inflammation p...

Does inflammation provide a link between psychosocial work characteristics and diabetes? Analysis of the role of interleukin-6 and C-reactive protein in the Whitehall II cohort study

Magnusson Hanson, Linda L. (författare)
Stockholms universitet,Stressforskningsinstitutet,Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden
Virtanen, Marianna (författare)
Uppsala universitet,Stockholms universitet,Stressforskningsinstitutet,University of Uppsala, Sweden,Folkhälsovetenskap,Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden
Rod, Naja H. (författare)
Stockholms universitet,Stressforskningsinstitutet,University of Copenhagen, Denmark,Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden;Univ Copenhagen, Dept Publ Hlth, Sect Epidemiol, Copenhagen, Denmark
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Steptoe, Andrew (författare)
UCL, Res Dept Behav Sci & Hlth, London, England
Head, Jenny (författare)
UCL, Dept Epidemiol & Publ Hlth, London, England
Batty, G. D. (författare)
UCL, Dept Epidemiol & Publ Hlth, London, England
Kivimäki, Mika (författare)
UCL, Dept Epidemiol & Publ Hlth, London, England;Univ Helsinki, Fac Med, Clinicum, Helsinki, Finland
Westerlund, Hugo (författare)
Stockholms universitet,Stressforskningsinstitutet,Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden
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 (creator_code:org_t)
Elsevier BV, 2019
2019
Engelska.
Ingår i: Brain, behavior, and immunity. - : Elsevier BV. - 0889-1591 .- 1090-2139. ; 78, s. 153-160
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objective: Inflammation may underlie the association between psychological stress and cardiometabolic diseases, but this proposition has not been tested longitudinally. We investigated whether the circulating inflammatory markers interleukin-6 (IL-6) and C-reactive protein (CRP) mediate the relationship between psychosocial work characteristics and diabetes. Methods: We used three phases of data at 5 years intervals from the Whitehall II cohort study, originally recruiting 10,308 civil service employees aged 35-55 years. The data included repeat self-reports of job demands, control and social support, IL-6 from plasma samples, CRP from serum samples, and diabetes, ascertained through oral glucose tolerance test, medications, and self-reports of doctor-diagnosed diabetes. Results: Structural equation models with age, sex and occupational position considering men and women combined, showed that low social support at work, but not high job demands or low job control, was prospectively associated with diabetes (standardized beta = 0.05, 95% confidence interval (CI) 0.01-0.09) and higher levels of IL-6 (beta = 0.03, CI 0.00-0.06). The inflammatory markers and diabetes were bidirectionally associated over time. A mediation model including workplace social support, IL-6 and diabetes further showed that 10% of the association between social support and diabetes over the three repeat examinations (total effect beta = 0.08, CI 0.01-0.15) was attributable to a weak indirect effect through IL-6 (beta = 0.01, CI 0.00-0.02). A similar indirect effect was observed for CRP in men only, while job control was prospectively associated with IL-6 among women. Conclusions: This study indicates an association between poor workplace support and diabetes that is partially ascribed to an inflammatory response.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
SAMHÄLLSVETENSKAP  -- Sociologi (hsv//swe)
SOCIAL SCIENCES  -- Sociology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Nyckelord

Social support
Occupational stress
Psychosocial factors
Inflammation
Mechanism
Pathways
Diabetes mellitus

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