Open Access早年生活经历过1959‐1961年中国饥荒可加剧糖尿病与心血管疾病之间的关联
Author(s) -
Shi Zumin,
Ji Lig,
Ma Ronald C.W.,
Zimmet Paul
Publication year - 2020
Publication title -
journal of diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.949
H-Index - 43
eISSN - 1753-0407
pISSN - 1753-0393
DOI - 10.1111/1753-0407.12975
Subject(s) - medicine , diabetes mellitus , famine , heart failure , disease , odds ratio , cardiology , pediatrics , endocrinology , political science , law
Background We aimed to assess whether early life exposure to the Chinese famine (1959‐1961) modifies the association between type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) in adulthood. Methods Data from 4247 adults born between 1954 and 1964 from the 2011 and 2015 China Health and Retirement Longitudinal Study (CHARLS) were analyzed. CVD in 2011 and 2015 was based on self‐reported doctor's diagnosis of cardiac events (heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems) and stroke. Diabetes in 2011 was defined by fasting blood glucose, HbA1C, or known diabetes. Results Diabetes in 2011 was cross‐sectionally associated with an increase of CVD risk in 2011 (OR 1.91, 95%CI 1.53‐2.40, P < 0.001) after adjusting for age and gender. Famine exposure changed the association between diabetes and CVD in areas severely affected by famine. The odds ratios (OR) of diabetes in 2011 for CVD in 2015 were 1.24 (95%CI 0.73‐2.10), 1.27 (95%CI 0.72‐2.24), 2.25 (95%CI 1.29‐3.91), 4.31 (95%CI 2.07‐8.97) and 1.72 (95%CI 0.84‐3.51) among adults in late childhood‐, mid‐childhood‐, early childhood‐, fetal‐, and nonexposed cohorts in severe famine areas, respectively. Conclusion T2DM is associated with the risk of CVD among Chinese adults. Fetal and early childhood exposure to the Chinese famine exacerbated the associated risk.