The role of age on the risk relationship between prediabetes and major morbidities and mortality: Analysis of the Hong Kong diabetes surveillance database of 2 million Chinese adults

Autor: Xinge Zhang, Hongjiang Wu, Baoqi Fan, Mai Shi, Eric S.H. Lau, Aimin Yang, Elaine Chow, Alice P.S Kong, Juliana C.N Chan, Ronald C.W Ma, Andrea O.Y Luk
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: The Lancet Regional Health. Western Pacific, Vol 30, Iss , Pp 100599- (2023)
Druh dokumentu: article
ISSN: 2666-6065
DOI: 10.1016/j.lanwpc.2022.100599
Popis: Summary: Background: Intensive lifestyle modification showed variable success in the prevention of major clinical events and mortality among people with prediabetes. We propose that age may partly explain the heterogeneity and that health hazards related to prediabetes are age-specific. Methods: We conducted a retrospective analysis of a territory-wide diabetes surveillance dataset from the Hong Kong Hospital Authority between 2000 and 2019. Prediabetes was defined according to the American Diabetes Association criteria. Proportional Cox regression was performed, stratified by baseline age categories (20-39, 40-59, 60-79 and ≥80 years). Findings: 1,630,942 individuals were included in the analysis. Compared with normoglycaemia, prediabetes was associated with greater hazards for cardiovascular disease (CVD) and all-cause mortality in most age groups but the effect size attenuated with ascending age (p value for trend
Databáze: Directory of Open Access Journals