Stress and Conversion of Type 2 Diabetes Mellitus Among People with Prediabetes in Bogor, West Java, Indonesia Nurharianti Pradita Rani1, Kodim Nasrin2,* 1Master of Epidemiology, School of Public Health, University of Indonesia 2Departement of Epidemiology, School of Public Health, University of Indonesia *Corresponding Author: Nasrin Kodim, Departement of Epidemiology, School of Public Health, University of Indonesia, e-mail: jurnalkesmas.ui@gmail.com
Online published on 4 April, 2020. Abstract Background The study aim was to knowing the impact of stress on the conversion of prediabetes to type 2 diabetes mellitus in adults. Method This study used a prospective cohort design. The data used are secondary data from the Cohort Study of Risk Factors for Non-Communicable Diseases in Bogor, Indonesia. Data collection in this study was carried out since 2011 until 2015 with a total population of 5890. Based on the exclusion and inclusion criteria, the total of study participants were 1059. Results During 5 years of follow-up, among prediabetic adults there were 169 subjects categorized as T2DM and 219 subjects categorized as stressed. Bivariate analysis shows that stress and age at baseline is a risk factor on the conversion of prediabetes to T2DM (p < 0, 05). Final model on multivariate analysis, shows the hazard ratio of stress was 1.815 (95% CI: 1.307–2.520) with p < 0.05. Conclusion This findings, expected to be used as information and motivation in an effort to make prevention and control of T2DM. Especially in individuals with prediabetes who suffer from stress because it has an impact with conversion of prediabetes to T2DM. Top Keywords Type 2 diabetes mellitus, Prediabetes, Stress, Prospective study. Top |