22-year trends in dysglycemia and body mass index: A population-based cohort study in Savitaipale, Finland.

Autor: Saramies J; South Karelia Social and Health Care District, Finland; Center for Life Course Health Research, University of Oulu, Oulu, Finland. Electronic address: jouko.saramies@fimnet.fi., Koiranen M; Center for Life Course Health Research, University of Oulu, Oulu, Finland., Auvinen J; Center for Life Course Health Research, University of Oulu, Oulu, Finland; Medical Research Center, Oulu University Hospital, Oulu, Finland., Uusitalo H; SILK, Department of Ophthalmology, Faculty of Medicine and Health Technology, Tampere University, PL 100, 33014 Tampere, Finland; Tays Eye Centre, Tampere University Hospital, Tampere, Finland., Hussi E; South Karelia Social and Health Care District, Finland., Cederberg H; Center for Life Course Health Research, University of Oulu, Oulu, Finland; Department of Endocrinology, Abdominal Center, Helsinki University Hospital, Helsinki, Finland., Keinänen-Kiukaanniemi S; Center for Life Course Health Research, University of Oulu, Oulu, Finland; Medical Research Center, Oulu University Hospital, Oulu, Finland; Healthcare and Social Services of Selänne, Pyhäjärvi, Finland., Tuomilehto J; Public Health Promotion Unit, Finnish Institute for Health and Welfare, Helsinki, Finland; Diabetes Research Group, King Abdulaziz University, Jeddah, Saudi Arabia.
Jazyk: angličtina
Zdroj: Primary care diabetes [Prim Care Diabetes] 2021 Dec; Vol. 15 (6), pp. 977-984. Date of Electronic Publication: 2021 Oct 11.
DOI: 10.1016/j.pcd.2021.09.010
Abstrakt: Aims: We describe a 22-year prospective observational population-based study that determined the prevalence and incidence of type 2 diabetes (T2D) and intermediate hyperglycaemia (IH), obesity, hypertension, and disorders of lipid metabolism in a middle-age population in the Finnish municipality of Savitaipale.
Methods: 1151 people participated in the baseline survey in 1996-1999, following two follow-up examinations, in 2007-2008 and 2018-2019. Follow-up studies comprised clinical measurements, 2-h oral glucose tolerance test and other biochemistry, questionnaires, and registry data.
Results: The prevalence of T2D quadrupled to 27% and the proportion of normoglycemic people decreased from 73% to 44% while IH increased only slightly during the 22-year follow-up. A large proportion of people who died between the surveys were diabetic. The mean body mass index (BMI) did not, whereas mean waist circumference increased significantly, by 5-6 cm (P = 0.001) during the 22 years. Systolic blood pressure increased by 13-15 mmHg from baseline (P = 0.0001) but diastolic blood pressure did not. The mean plasma levels of total and LDL-cholesterol decreased 10.8% and 8.9% in women (P = 0.001), 21.5% and 22.2% in men (P = 0.001), respectively, while HDL-cholesterol and triglycerides remained stable. The proportion of those achieving targets in the treatment of dyslipidaemia increased significantly (P < 0.001).
Conclusions: In this 22-year prospective follow-up study of in middle-aged Europeans with high participation rates, the progression of dysglycaemia to overt diabetes with aging was rapid, even without a significant change in BMI.
(Copyright © 2021 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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