Pairs of spouses share common lifestyle factors. In a cross-sectional analysis, we investigated whether spouses of diabetic individuals had a higher prevalence of diabetes and cardiometabolic disorders in a community-based population of Chinese adults aged 40 years or older between 2011 and 2012. A total of 34,805 pairs of spouses were identified. All participants underwent a standard oral glucose tolerance test and provided detailed clinical, sociodemographic, and lifestyle information. Diabetes and multiple cardiometabolic disorders were defined according to standard criteria. Compared with participants whose spouses did not have diabetes, participants whose spouses had diabetes had higher odds of having diabetes (for men, odds ratio (OR) = 1.33, 95% confidence interval (CI): 1.22, 1.45; for women, OR = 1.35, 95% CI: 1.24, 1.47), obesity (for men, OR = 1.34, 95% CI: 1.13, 1.59; for women, OR = 1.19, 95% CI: 1.05, 1.35), metabolic syndrome (for men, OR = 1.31, 95% CI: 1.21, 1.42; for women, OR = 1.12, 95% CI: 1.04, 1.20), and cardiovascular disease (for men, OR = 1.18, 95% CI: 1.03, 1.34; for women, OR = 1.18, 95% CI: 1.03, 1.35). The associations were independent of age, body mass index, education, family history of diabetes, cigarette smoking, alcohol drinking, physical activity, and diet. Spousal diabetes was simple and valuable information for identifying individuals at risk for diabetes and cardiometabolic disorders.
[1]Shanghai Jiao Tong Univ, Sch Med, Shanghai Clin Ctr Endocrine & Metab Dis, Rui Jin Hosp, 197 Rui Jin 2nd Rd, Shanghai 200025, Peoples R China.
[2]Chinese Acad Sci, Inst Hlth Sci, Shanghai Inst Biol Sci, Shanghai, Peoples R China.
[3]Shanghai Jiao Tong Univ, Sch Med, Shanghai, Peoples R China.
[4]Shanghai Jiao Tong Univ, Sch Med, State Key Lab Med Genom, Key Lab Endocrine & Metab Dis,Minist Hlth,Chinese, Shanghai, Peoples R China.
[5]Peoples Liberat Army Gen Hosp, Dept Endocrinol, Beijing, Peoples R China.
[6]Shandong Prov Hosp, Dept Endocrinol, Jinan, Peoples R China.
[7]Jiangsu Prov Hosp Integrat Chinese & Western Med, Dept Endocrinol, Nanjing, Jiangsu, Peoples R China.
[8]Huazhong Univ Sci & Technol, Dept Endocrinol, Union Hosp, Tongji Med Coll, Wuhan, Peoples R China.
[9]Guiyang Med Coll, Dept Endocrinol, Affiliated Hosp, Guiyang, Peoples R China.
[10]Harbin Med Univ, Dept Endocrinol, Affiliated Hosp 2, Harbin, Peoples R China.
[11]Nanjing Med Univ, Jiangsu Prov Hosp, Dept Endocrinol, Affiliated Hosp 1, Nanjing, Jiangsu, Peoples R China.
[12]Sun Yat Sen Univ, Dept Endocrinol, Sun Yat Sen Mem Hosp, Guangzhou, Guangdong, Peoples R China.
[13]Luzhou Med Coll, Dept Endocrinol, Affiliated Hosp, Luzhou, Peoples R China.
[14]Xinjiang Kelamayi Peoples Hosp, Dept Endocrinol, Kelamayi, Peoples R China.
[15]Jilin Univ, Dept Endocrinol, Hosp 1, Changchun, Peoples R China.
[16]Guangxi Med Univ, Dept Endocrinol, Affiliated Hosp 1, Nanning, Peoples R China.
[17]Lanzhou Univ, Dept Endocrinol, Hosp 1, Lanzhou, Peoples R China.
[18]Fujian Med Univ, Dept Endocrinol, Fujian Prov Hosp, Fuzhou, Peoples R China.
[19]Jiangxi Peoples Hosp, Dept Endocrinol, Nanchang, Peoples R China.
[20]Dalian Municipal Cent Hosp, Dept Endocrinol, Dalian, Peoples R China.
[21]Shanghai Jiao Tong Univ, Sch Med, Dept Endocrinol, Xinhua Hosp, Shanghai, Peoples R China.
[22]Zhejiang Ctr Dis Control & Prevent, Hangzhou, Zhejiang, Peoples R China.
[23]Anhui Med Univ, Dept Endocrinol, Affiliated Hosp 1, Hefei, Peoples R China.
[24]Zhengzhou Univ, Dept Endocrinol, Affiliated Hosp 1, Zhengzhou, Peoples R China.
[25]Chongqing Med Univ, Dept Endocrinol, Affiliated Hosp 1, Chongqing, Peoples R China.
[26]Huazhong Univ Sci & Technol, Dept Endocrinol, Tongji Hosp, Tongji Med Coll, Wuhan, Peoples R China.
[27]Wenzhou Med Univ, Dept Endocrinol, Affiliated Hosp 1, Wenzhou, Peoples R China.
[28]Shandong Univ, Sch Med, Dept Endocrinol, Qilu Hosp, Jinan, Peoples R China.
[29]Johns Hopkins Univ, Sch Med, Dept Pathol, Baltimore, MD 21205 USA.
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