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. 2017:2017:2042980.
doi: 10.1155/2017/2042980. Epub 2017 Jun 18.

All-Cause Mortality Risk in Australian Women with Impaired Fasting Glucose and Diabetes

Lelia L F de Abreu  1 , Kara L Holloway  1 , Mohammadreza Mohebbi  1 , Muhammad A Sajjad  1 , Mark A Kotowicz  1   2   3 , Julie A Pasco  1   2   3
Affiliations

All-Cause Mortality Risk in Australian Women with Impaired Fasting Glucose and Diabetes

Lelia L F de Abreu et al. J Diabetes Res. 2017.

Abstract

Aims: Impaired fasting glucose (IFG) and diabetes are increasing in prevalence worldwide and lead to serious health problems. The aim of this longitudinal study was to investigate the association between impaired fasting glucose or diabetes and mortality over a 10-year period in Australian women.

Methods: This study included 1167 women (ages 20-94 yr) enrolled in the Geelong Osteoporosis Study. Hazard ratios for all-cause mortality in diabetes, IFG, and normoglycaemia were calculated using a Cox proportional hazards model.

Results: Women with diabetes were older and had higher measures of adiposity, LDL cholesterol, and triglycerides compared to the IFG and normoglycaemia groups (all p < 0.001). Mortality rate was greater in women with diabetes compared to both the IFG and normoglycaemia groups (HR 1.8; 95% CI 1.3-2.7). Mortality was not different in women with IFG compared to those with normoglycaemia (HR 1.0; 95% CI 0.7-1.4).

Conclusions: This study reports an association between diabetes and all-cause mortality. However, no association was detected between IFG and all-cause mortality. We also showed that mortality in Australian women with diabetes continues to be elevated and women with IFG are a valuable target for prevention of premature mortality associated with diabetes.

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Figures

Figure 1
Figure 1
Unadjusted (a) and model adjusted (b) cumulative survival functions for fasting glucose status versus age at death (x-axis). Adjusted model includes fasting plasma glucose, age at cohort entry, and smoking status.
See this image and copyright information in PMC

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