Dog ownership, glycaemic control and all-cause death in patients with newly diagnosed type 2 diabetes: a national cohort study

AimsTo evaluate whether dog ownership from the time of type 2 diabetes diagnosis improved glycaemic control, increased achievement of major guideline treatment goals or reduced the risk of all-cause death.MethodsPatients diagnosed with type 2 diabetes were followed by linkage of four Swedish nationa...

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Main Authors: Karin Rådholm (Author), Peder af Geijerstam (Author), Mark Woodward (Author), John Chalmers (Author), Margareta Hellgren (Author), Stefan Jansson (Author), Olov Rolandsson (Author)
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Published: Frontiers Media S.A., 2023-12-01T00:00:00Z.
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001 doaj_f4188b9c1d0b4cfebb37f4beacbf8041
042 |a dc 
100 1 0 |a Karin Rådholm  |e author 
700 1 0 |a Karin Rådholm  |e author 
700 1 0 |a Peder af Geijerstam  |e author 
700 1 0 |a Mark Woodward  |e author 
700 1 0 |a Mark Woodward  |e author 
700 1 0 |a John Chalmers  |e author 
700 1 0 |a Margareta Hellgren  |e author 
700 1 0 |a Margareta Hellgren  |e author 
700 1 0 |a Stefan Jansson  |e author 
700 1 0 |a Stefan Jansson  |e author 
700 1 0 |a Olov Rolandsson  |e author 
245 0 0 |a Dog ownership, glycaemic control and all-cause death in patients with newly diagnosed type 2 diabetes: a national cohort study 
260 |b Frontiers Media S.A.,   |c 2023-12-01T00:00:00Z. 
500 |a 2296-2565 
500 |a 10.3389/fpubh.2023.1265645 
520 |a AimsTo evaluate whether dog ownership from the time of type 2 diabetes diagnosis improved glycaemic control, increased achievement of major guideline treatment goals or reduced the risk of all-cause death.MethodsPatients diagnosed with type 2 diabetes were followed by linkage of four Swedish national registers covering diabetes, dog ownership, socioeconomics, and mortality. Linear regression was used to estimate the mean yearly change in glycated haemoglobin (HbA1c). Cox survival analysis and logistic regression were used to analyse associations between dog ownership and all-cause death and achievement of treatment goals, respectively.ResultsOf 218,345 individuals included, 8,352 (3.8%) were dog-owners. Median follow-up was 5.2 years. Dog-owners had worse yearly change in HbA1c, and were less likely to reach HbA1c, low-density lipoprotein (LDL), and systolic blood pressure (SBP) treatment goals than non-dog-owners (adjusted odds ratios [95% CI] of 0.93 [0.88-0.97], 0.91 [0.86-0.95], and 0.95 [0.90-1.00], respectively). There was no difference in the risk of all-cause death (adjusted hazard ratio [95% CI] 0.92 [0.81-1.04], dog owners versus not).ConclusionOwning a dog when diagnosed with diabetes did not lead to better achievement of treatment goals or reduced mortality, but was in fact associated with a smaller reduction in HbA1c and reduced likelihood of achieving treatment goals. 
546 |a EN 
690 |a diabetes mellitus type 2 
690 |a dogs 
690 |a glycaemic control 
690 |a lifestyle 
690 |a epidemiology 
690 |a mortality 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Frontiers in Public Health, Vol 11 (2023) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fpubh.2023.1265645/full 
787 0 |n https://doaj.org/toc/2296-2565 
856 4 1 |u https://doaj.org/article/f4188b9c1d0b4cfebb37f4beacbf8041  |z Connect to this object online.