ASSOCIATION OF GLUCOSE WITH GENERAL AND CARDIOVASCULAR MORTALITY AMONG POPULATION FROM 55 YEARS AND OLDER

Aim. To evaluate association of various blood glucose levels with overall and cardiovascular mortality (CVM) among population 55 y. o. and older.Material and methods. Current paper represents partially the prospective study “Stress, ageing and health”. Totally, 1876 participants at the age 55 years...

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Main Authors: A. E. Imaeva, A. V. Kapustina, D. A. Smirnov, Yu. A. Balanova, G. A. Muromtseva, A. D. Deev, S. A. Shalnova, M. A. Shkolnikova, V. M. Shkolnikov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2016-10-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/954
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author A. E. Imaeva
A. V. Kapustina
D. A. Smirnov
Yu. A. Balanova
G. A. Muromtseva
A. D. Deev
S. A. Shalnova
M. A. Shkolnikova
V. M. Shkolnikov
author_facet A. E. Imaeva
A. V. Kapustina
D. A. Smirnov
Yu. A. Balanova
G. A. Muromtseva
A. D. Deev
S. A. Shalnova
M. A. Shkolnikova
V. M. Shkolnikov
author_sort A. E. Imaeva
collection DOAJ
description Aim. To evaluate association of various blood glucose levels with overall and cardiovascular mortality (CVM) among population 55 y. o. and older.Material and methods. Current paper represents partially the prospective study “Stress, ageing and health”. Totally, 1876 participants at the age 55 years and older included, assessed for traditional RF and presence of definite CHD according to quintile stratification by glucose levels in blood: <5,1 mmol/L, 5,1-5,5 mmol/L, 5,51-5,89 mmol/L, 5,9-6,59 mmol/L, >6,59 mmol/L. Epidemiological diagnosis of definite CHD was set based upon the algoritms and questionnaire by Rose and results of ECG by Minnessota coding. Follow-up lasted in average for 7,05 years. Totally, 411 lethal cases registered, among those 247 — from CVD. Statistics was done with STATA software.Results. Relative total risk of death after correction by sex, age and diabetes was significantly higher among those with glucose lower than 5,1 mmol/L. Such relations of glucose and total mortality were significant after correction for sex, age, diabetes, CHD and/or traditional risk factors. Also, the most prominent decrease of morality is found in glucose level 5,51-5,89 mmol/L. However, the highest glucose levels are associated with higher mortality, but not significantly. When assessing impact of glucose on CVM, same associations were found, though not so much significant. Significant relation of CVM was found just for glucose level equal to 5,51-5,89 mmol/L.Conclusion. Association of glucose with overall and CVM in population 55 y. o. and older is L-shaped. The highest overall and CVM is found in persons with glucose <5,1 mmol/L.
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spelling doaj-art-09d50e24155e4dbd9d42e34bb1e64c692025-08-04T13:00:14Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202016-10-01010535710.15829/1560-4071-2016-10-53-57807ASSOCIATION OF GLUCOSE WITH GENERAL AND CARDIOVASCULAR MORTALITY AMONG POPULATION FROM 55 YEARS AND OLDERA. E. Imaeva0A. V. Kapustina1D. A. Smirnov2Yu. A. Balanova3G. A. Muromtseva4A. D. Deev5S. A. Shalnova6M. A. Shkolnikova7V. M. Shkolnikov8National Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowYu. E. Veltishchev Scientific-Research Clinical Institute of Pediatrics of N. I. Pirogov Russian National Research Medical University (RNRMU), Moscow, RussiaMax Planck Institute for Demographic Research, Rostock, GermanyAim. To evaluate association of various blood glucose levels with overall and cardiovascular mortality (CVM) among population 55 y. o. and older.Material and methods. Current paper represents partially the prospective study “Stress, ageing and health”. Totally, 1876 participants at the age 55 years and older included, assessed for traditional RF and presence of definite CHD according to quintile stratification by glucose levels in blood: <5,1 mmol/L, 5,1-5,5 mmol/L, 5,51-5,89 mmol/L, 5,9-6,59 mmol/L, >6,59 mmol/L. Epidemiological diagnosis of definite CHD was set based upon the algoritms and questionnaire by Rose and results of ECG by Minnessota coding. Follow-up lasted in average for 7,05 years. Totally, 411 lethal cases registered, among those 247 — from CVD. Statistics was done with STATA software.Results. Relative total risk of death after correction by sex, age and diabetes was significantly higher among those with glucose lower than 5,1 mmol/L. Such relations of glucose and total mortality were significant after correction for sex, age, diabetes, CHD and/or traditional risk factors. Also, the most prominent decrease of morality is found in glucose level 5,51-5,89 mmol/L. However, the highest glucose levels are associated with higher mortality, but not significantly. When assessing impact of glucose on CVM, same associations were found, though not so much significant. Significant relation of CVM was found just for glucose level equal to 5,51-5,89 mmol/L.Conclusion. Association of glucose with overall and CVM in population 55 y. o. and older is L-shaped. The highest overall and CVM is found in persons with glucose <5,1 mmol/L.https://russjcardiol.elpub.ru/jour/article/view/954blood glucosecoronary heart diseasetraditional risk factorsoverall mortalitycardiovascular mortality
spellingShingle A. E. Imaeva
A. V. Kapustina
D. A. Smirnov
Yu. A. Balanova
G. A. Muromtseva
A. D. Deev
S. A. Shalnova
M. A. Shkolnikova
V. M. Shkolnikov
ASSOCIATION OF GLUCOSE WITH GENERAL AND CARDIOVASCULAR MORTALITY AMONG POPULATION FROM 55 YEARS AND OLDER
Российский кардиологический журнал
blood glucose
coronary heart disease
traditional risk factors
overall mortality
cardiovascular mortality
title ASSOCIATION OF GLUCOSE WITH GENERAL AND CARDIOVASCULAR MORTALITY AMONG POPULATION FROM 55 YEARS AND OLDER
title_full ASSOCIATION OF GLUCOSE WITH GENERAL AND CARDIOVASCULAR MORTALITY AMONG POPULATION FROM 55 YEARS AND OLDER
title_fullStr ASSOCIATION OF GLUCOSE WITH GENERAL AND CARDIOVASCULAR MORTALITY AMONG POPULATION FROM 55 YEARS AND OLDER
title_full_unstemmed ASSOCIATION OF GLUCOSE WITH GENERAL AND CARDIOVASCULAR MORTALITY AMONG POPULATION FROM 55 YEARS AND OLDER
title_short ASSOCIATION OF GLUCOSE WITH GENERAL AND CARDIOVASCULAR MORTALITY AMONG POPULATION FROM 55 YEARS AND OLDER
title_sort association of glucose with general and cardiovascular mortality among population from 55 years and older
topic blood glucose
coronary heart disease
traditional risk factors
overall mortality
cardiovascular mortality
url https://russjcardiol.elpub.ru/jour/article/view/954
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