Association between a family history of diabetes and carotid artery atherosclerosis in Korean adults

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Titel: Association between a family history of diabetes and carotid artery atherosclerosis in Korean adults
Weitere Verfasser: Sun Young Shim, Ga Bin Lee, Jee-Seon Shim, Sun Jae Jung, Hyeon Chang Kim, Kim, Hyeon Chang
Verlagsinformationen: EPIDEMIOLOGY AND HEALTH
Publikationsjahr: 2021
Schlagwörter: Adult, Atherosclerosis / epidemiology, Carotid Artery Diseases / epidemiology, Cross-Sectional Studies, Diabetes Mellitus / epidemiology, Diabetes Mellitus / genetics, Family Health / statistics & numerical data, Female, Humans, Male, Middle Aged, Republic of Korea / epidemiology, Risk Assessment, Atherosclerosis, Carotid intima-media thickness, Diabetes mellitus, Medical history taking
Beschreibung: Objectives: Diabetes is a well-known risk factor for atherosclerosis, but the association between a family history of diabetes and atherosclerosis remains unknown. In this study, we assessed the association between a family history of diabetes and increased carotid intima-media thickness (IMT), a marker of subclinical atherosclerosis, in a middle-aged Korean population. Methods: This cross-sectional study included 3,974 community-dwelling adults (1,404 male and 2,570 female) aged 30-64 years from the Cardiovascular and Metabolic Diseases Etiology Research Center cohort. The presence of a family history of diabetes was assessed through face-to-face interviews using a standardized questionnaire. Carotid IMT was assessed using B-mode ultrasonography, and increased IMT was defined as a value in the top quartile of the IMT values of all participants. Multivariate logistic regression was used to evaluate independent associations between a family history of diabetes and increased IMT. Results: A family history of diabetes was significantly associated with increased carotid IMT (odds ratio, 1.23; 95% confidence interval, 1.03 to 1.48) after adjusting for sex; age; body mass index; systolic blood pressure; total cholesterol, triglyceride, and hemoglobin A1c levels; smoking; alcohol consumption; exercise; use of antidiabetic, antihypertensive, and antilipidemic drugs; and a family history of hypertension. The positive association remained significant after excluding participants with diabetes (odds ratio, 1.21; 95% confidence interval, 1.00 to 1.47). Conclusions: A family history of diabetes was positively associated with increased carotid IMT, even in participants without diabetes. Therefore, information on a family history of diabetes may help identify individuals at high risk of atherosclerotic cardiovascular disease. ; open
Publikationsart: article in journal/newspaper
Dateibeschreibung: application/pdf
Sprache: unknown
ISSN: 34525777
Relation: EPIDEMIOLOGY AND HEALTH; J00791; https://ir.ymlib.yonsei.ac.kr/handle/22282913/187408; T202124948; EPIDEMIOLOGY AND HEALTH, Vol.43 : e2021049, 2021
DOI: 10.4178/epih.e2021049
Verfügbarkeit: https://ir.ymlib.yonsei.ac.kr/handle/22282913/187408
https://doi.org/10.4178/epih.e2021049
Rights: CC BY-NC-ND 2.0 KR
Dokumentencode: edsbas.5CE07EBE
Datenbank: BASE
Beschreibung
Abstract:Objectives: Diabetes is a well-known risk factor for atherosclerosis, but the association between a family history of diabetes and atherosclerosis remains unknown. In this study, we assessed the association between a family history of diabetes and increased carotid intima-media thickness (IMT), a marker of subclinical atherosclerosis, in a middle-aged Korean population. Methods: This cross-sectional study included 3,974 community-dwelling adults (1,404 male and 2,570 female) aged 30-64 years from the Cardiovascular and Metabolic Diseases Etiology Research Center cohort. The presence of a family history of diabetes was assessed through face-to-face interviews using a standardized questionnaire. Carotid IMT was assessed using B-mode ultrasonography, and increased IMT was defined as a value in the top quartile of the IMT values of all participants. Multivariate logistic regression was used to evaluate independent associations between a family history of diabetes and increased IMT. Results: A family history of diabetes was significantly associated with increased carotid IMT (odds ratio, 1.23; 95% confidence interval, 1.03 to 1.48) after adjusting for sex; age; body mass index; systolic blood pressure; total cholesterol, triglyceride, and hemoglobin A1c levels; smoking; alcohol consumption; exercise; use of antidiabetic, antihypertensive, and antilipidemic drugs; and a family history of hypertension. The positive association remained significant after excluding participants with diabetes (odds ratio, 1.21; 95% confidence interval, 1.00 to 1.47). Conclusions: A family history of diabetes was positively associated with increased carotid IMT, even in participants without diabetes. Therefore, information on a family history of diabetes may help identify individuals at high risk of atherosclerotic cardiovascular disease. ; open
ISSN:34525777
DOI:10.4178/epih.e2021049