PSYCHOLOGICAL STRESS AND LONG-TERM RISK OF TYPE 2 DIABETES MELLITUS AMONG CIVIL SERVANT: A PROSPECTIVE COHORT STUDY
DOI:
https://doi.org/10.31674/mjmr.2021.v05i01.004Abstract
Background:The high incidence rate of Diabetes Mellitus (DM) among Indonesian productive age populationsignificantly affects the quality of the human capital in this country. Thus, it is highly necessary to manage and to prevent the onset of DM by identifying its risk factors, both direct and indirect ones. One of these factors is psychological stress, which triggers increased level of the body's fight-or-flight hormone making the body release extra energy in the form of glucose and fat into cells. The long term psychological stress prevents the insulin fromenabling the extra energy to be absorbed into the cells thereby leading the glucose to build up in the blood. Therefore, it is important to identify the psychological stress in the attempt to avoid the future incidence of DM. Objective: To determine the association between psychological stress and risk of type 2 DM among male and female civil servants. Methods: A prospective cohort study was conductedin 190 participants (aged 26-45 years) of six civil department services in Bukittinggi city, West Sumatra Indonesia. Data were collected for 3 times measurements by using Depression, Anxiety, Stress Scale (DASS)and Framingham Offspring Type 2 Diabetes Risk Score (FRS). The Spearman rho was used to analyze the inferential statistic. Results: Result of the study showed there was a strong relationship between psychological stress and the risk of type 2 DM at baseline (RR = 0.46 , p< .05) and the coefficient of determinant showed 22%. Same as on 2nd and 3rd measurements were found that the p-values are < .05, while the determinant coefficient were 33% and 19%, respectively. Conclusion: The evidence reflected that a long term stress or uncontrol psychological stress for a sufficiently long period might disturb insuline regulation in the body, which in turn increases the risk of developing type 2 DM, especially on productive aged.
Keywords:
Psychological Stress, Risk of Type 2 Diabetes Mellitus, Productive AgedDownloads
References
American Diabetes Association (2017) Standards of Medical Care in Diabetes. Diakses retrieve from: https://professional.diabetes.org/sites/professional.diabetes.org/files/media/standardofcare2017fulldeckfinal_0.pdf
Anggina, L., Ali, H & Pandhit. (2010). Hubungan antara dukungan sosial keluarga dengan kepatuhan pasien Diabetes Mellitus dalam melaksanakan program diet Di Poli Penyakit Dalam RSUD Cibabat Cimahi. Jurnal Penelitian Kesehatan Suara Forikes, hal 1-9.
Diagnosis and Classification of Diabetes Mellitus (2011). Diakses. American Diabetes Association (ADA).Retrieved from : www.care.Diabetes journals.org/content/34/Supplement_1/S62.ful
Harris, M. L., Oldmeadow, C., Hure , A., Luu, J., Loxton, D. & Attia, J. (2017), Stress increases the risk of type 2 diabetes onset in women: A 12-year longitudinal study using causal modeling. PLoS ONE 12(2)pp: e0172126
Heraclides , A., Chandola, T., Witte, D. R. & Brunner, E. J. (2009) Psychosocial Stress at Work Doubles the Risk of Type 2 Diabetes in Middle-Aged Women: evidence from the Whitehall II study. Diabetes Care.32(12) pp:2230-2235
Isnaini, Ratnasari (2012) Faktor risiko mempengaruhi kejadian Diabetes mellitus tipe dua. Retrieved from: https://www.researchgate.net/publication/327725771_faktor_risiko_mempengaruhi_kejadian_Diabetes_mellitus_tipe_dua
Kusnanto, Sundari, P.M., Asmoro, C.P. & Hidayat Arifin Hubungan Tingkat Pengetahuan dan Diabetes Self-Management dengan Tingkat Stres Pasien Diabetes Melitus JKI, 22(1), pp:31–42
Labindjang, F.I , Kadir, S. & Salamanja V. (2015). Hubungan Stres Dengan Kadar Glukosa Darah Pada Penderita Diabetes Mellitus Di Puskesmas Bolangitang Barat Kabupaten Bolaang Mongondow Utara. Retrieved from: https://repository.ung.ac.id/skripsi/show/841411126/hubungan-stres-dengan-kadar-glukosa-darah-pada-penderita-diabetes-mellitus-di-puskesmas-bolangitang-barat-kabupaten-bolaang-mongondow-utara.html
Marcondes, F.K., Neves, V.J., Costa1, R., Sanches, A., Cunha, T.S., Moura, M.J.C.S., Tanno, A.P. & Casarini, D.E. (2019). Dyslipidemia induced by stress. Diakses. Retrieved from: https://www.researchgate.net/publication/221923784_Dyslipidemia_Induced_ by_Stress
PERKENI (2015) Konsensus Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Di Indonesia 2015. Jakarta: PB Perkeni
Ridayani, Santri. & Naim (2018). Gambaran hasil pemeriksaan kadar High Density Lipoprotein (HDL) dan Low Density Lipoprotein (LDL) pada penderita obesitas di Rumah Sakit Umum Daerah Syekh Yusuf Kabupaten Gowa. Diakses pada tanggal 10 Oktober 2020 melalui uit.e-journal.id
Siregar & Hidajat (2017)Faktor Yang Berperan Terhadap Depresi, Kecemasan Dan Stres Pada Penderita Diabetes Melitus Tipe 2: Studi Kasus Puskesmas Kecamatan Gambir Jakarta Pusat.Diakses pada tanggal. Retrieved From:http://ojs.atmajaya. ac.id/index.php/manasa/article/view/621
Sui, H., Sun, N., Zhan , L., Lu, X., Chen, T. & Mao, X. (2016). Association between Work-Related Stress andRisk for Type 2 Diabetes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies. PLoS One; 11(8):e0159978
Virtanen, M., Ferrie, J.E., Tabak, A.G., Akbaraly, T.N., Vahtera, J.,Singh-Manoux, A. & Kivimäki M. (2014). Psychological Distress and Incidence of Type 2 Diabetes in High-Risk and Low-Risk Populations: The Whitehall II Cohort Study. Diabetes Care; 37(8);pp:2091-7
Widodo, A. (2012). Stres pada pasien diabetes mellitus tipe-2 dalam melaksanakan program diet di Klinik Penyakit Dalam RSUP Dr. Kariadi Semarang. Medica Hospitalia, 1 (1), pp:53–56
World Health Organization. (2017). Diabetes. Genewa: World Health Organization.
Yoo, H. & Franke, W.D. (2010). Stress and cardiovascular disease risk in female law enforcement officer. International Archives of Occupational and Environmental Health, 84(3), pp:279-286
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