title: The association between resilience and diabetic neuropathy by socioeconomic position: cross-sectional findings from the KORA-Age study.
abstract: We investigated whether older adults with diabetes mellitus and lower resilience have an increased risk of diabetic neuropathy as compared to older adults with higher resilience, and whether this association varies by socioeconomic position. In total, 3942 individuals took part in a health survey in Augsburg, Germany, in 2008-2010 (KORA-Age study). We found that among participants with low socioeconomic position, those with higher resilience had a lower probability of suffering from neuropathy as compared to participants with lower resilience (absolute risk reduction = 10%). Adjusted odds ratio with 95% confidence intervals for the outcome diabetic neuropathy also showed that lower resilience scores had an independent effect in increasing the risk of diabetic neuropathy among elderly individuals with a low socioeconomic position (odds ratio: 1.83; confidence interval: 1.09-3.08). Health-promoting strategies focussing on resilience should be further explored.
authors.affiliation: Helmholtz Zentrum München, Germany laura.perna@helmholtz-muenchen.de l.perna@dkfz-heidelberg.de.
authors.forename: Laura
authors.initials: L
authors.lastname: Perna
authors.affiliation: Helmholtz Zentrum München, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Mielck
authors.affiliation: Helmholtz Zentrum München, Germany Martin-Luther University, Germany.
authors.forename: Maria E
authors.initials: ME
authors.lastname: Lacruz
authors.affiliation: Helmholtz Zentrum München, Germany.
authors.forename: Rebecca T
authors.initials: RT
authors.lastname: Emeny
authors.affiliation: Helmholtz Zentrum München, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: von Eisenhart Rothe
authors.affiliation: Helmholtz Zentrum München, Germany.
authors.forename: Christa
authors.initials: C
authors.lastname: Meisinger
authors.affiliation: Helmholtz Zentrum München, Germany Munich University of Technology, Germany.
authors.forename: Karl-Heinz
authors.initials: KH
authors.lastname: Ladwig
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003929:Diabetic Neuropathies / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D055500:Resilience, Psychological; D012923:Social Class
keywords: elder; health education; health promotion; risk; socioeconomic status