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Association between Work-Related Stress and Risk for Type 2 Diabetes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies

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  • Hua Sui
  • Nijing Sun
  • Libin Zhan
  • Xiaoguang Lu
  • Tuo Chen
  • Xinyong Mao

Abstract

Background/Objective: The prevalence of type 2 diabetes is increasing rapidly around the world. Work-related stress is thought to be a major risk factor for type 2 diabetes; however, this association has not been widely studied, and the findings that have been reported are inconsistent. Therefore, we conducted a meta-analysis of prospective cohort studies to explore the association between work-related stress and risk for type 2 diabetes. Methods: A systematic literature search and manual search limited to articles published in English were performed to select the prospective cohort studies evaluated the association between work-related stress and risk for type 2 diabetes up to September 2014 from four electronic databases including PubMed, EMBASE, the Cochrane Library and Web of Science. A random-effects model was used to estimate the overall risk. Results: No significant association was found between work-related stress and risk for type 2 diabetes based on meta-analysis of seven prospective cohort studies involving 214,086 participants and 5,511 cases (job demands: relative risk 0.94 [95% confidence interval 0.72–1.23]; decision latitude: relative risk 1.16 [0.85–1.58]; job strain: relative risk 1.12 [.0.95–1.32]). However, an association between work-related stress and risk for type 2 diabetes was observed in women (job strain: relative risk 1.22 [1.01–1.46]) (P = 0.04). A sensitivity analysis conducted by excluding one study in each turn yielded similar results. No publication bias was detected with a funnel plot despite the limited number of studies included in the analysis. Conclusions: The results of this meta-analysis did not confirm a direct association between work-related stress and risk for type 2 diabetes. In subgroup analyses we found job strain was a risk factor for type 2 diabetes in women.

Suggested Citation

  • Hua Sui & Nijing Sun & Libin Zhan & Xiaoguang Lu & Tuo Chen & Xinyong Mao, 2016. "Association between Work-Related Stress and Risk for Type 2 Diabetes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-16, August.
    • Handle: RePEc:plo:pone00:0159978
    DOI: 10.1371/journal.pone.0159978
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    References listed on IDEAS

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    1. Keisuke Kuwahara & Teppei Imai & Akiko Nishihara & Tohru Nakagawa & Shuichiro Yamamoto & Toru Honda & Toshiaki Miyamoto & Takeshi Kochi & Masafumi Eguchi & Akihiko Uehara & Reiko Kuroda & Daisuke Omot, 2014. "Overtime Work and Prevalence of Diabetes in Japanese Employees: Japan Epidemiology Collaboration on Occupational Health Study," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
    2. Karasek, R. & Baker, D. & Marxer, F. & Ahlbom, A. & Theorell, T., 1981. "Job decision latitude, job demands, and cardiovascular disease: A prospective study of Swedish men," American Journal of Public Health, American Public Health Association, vol. 71(7), pages 694-705.
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    2. Jose M. León-Pérez & Francisco J. Cantero-Sánchez & Ángela Fernández-Canseco & José M. León-Rubio, 2021. "Effectiveness of a Humor-Based Training for Reducing Employees’ Distress," IJERPH, MDPI, vol. 18(21), pages 1-13, October.
    3. Dann-Pyng Shih & Ping-Yi Lin & Wen-Miin Liang & Po-chang Tseng & Hsien-Wen Kuo & Jong-Yi Wang, 2020. "Sleep Duration and Effort-Reward Imbalance (ERI) Associated with Obesity and Type II Diabetes Mellitus (T2DM) among Taiwanese Middle-Aged Public Servants," IJERPH, MDPI, vol. 17(18), pages 1-12, September.
    4. Yoshihiro Abiko & Durga Paudel & Hirofumi Matsuoka & Mitsuru Moriya & Akira Toyofuku, 2021. "Psychological Backgrounds of Medically Compromised Patients and Its Implication in Dentistry: A Narrative Review," IJERPH, MDPI, vol. 18(16), pages 1-12, August.

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