Open Access心血管疾病与糖尿病发病风险:拉美裔社区健康研究/拉丁裔研究(HCHS/SOL)的研究结果
Author(s) -
Missikpode Celestin,
DurazoArvizu Ramon A.,
Cooper Richard S.,
OʼBrien Matthew James,
Castaneda Sheila F.,
Talavera Gregory A.,
Gallo Linda C.,
Llabre Maria M.,
Perera Marisa J.,
Perreira Krista M.,
Ricardo Ana C.,
Pirzada Amber,
Lash James P.,
Daviglus Martha
Publication year - 2021
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 - 10.1111/1753-0407.13224
Subject(s) - medicine , diabetes mellitus , odds ratio , confidence interval , incidence (geometry) , propensity score matching , disease , generalized estimating equation , demography , endocrinology , statistics , physics , mathematics , sociology , optics
Background Studies have reported an association between prevalent cardiovascular disease (CVD) and risk of diabetes mellitus (DM). However, factors that may explain the association remain unclear. We examined the association of prevalent CVD with incident DM and assessed whether weight gain and medication use may explain the association. Methods Data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Visit 1 (2008‐2011) and Visit 2 (2014‐2017) were used to compare incidence of DM among individuals with and without self‐reported CVD at Visit 1. A total of 1899 individuals with self‐reported CVD were matched to controls free of self‐reported CVD at Visit 1 using 1:1 propensity score matching. Covariates included in the propensity model were sociodemographic characteristics, lifestyle factors, comorbid conditions, and study site. The effect of self‐reported CVD on incident DM was examined using a generalized estimating equation. The mediating effects of weight gain and use of cardiovascular medications were evaluated. Results Covariate distributions were similar among individuals with and without self‐reported CVD. The incidence of DM among persons with self‐reported CVD was 15.3% vs 12.7% among those without self‐reported CVD. Compared to individuals without self‐reported CVD, individuals with self‐reported CVD had a 24% increased risk for incident DM (odds ratio = 1.24, 95% confidence interval = 1.01, 1.51). The association between self‐reported CVD and DM was mediated by the use of beta‐blockers (proportion explained = 25.4%), statins (proportion explained = 18%), and diuretics (proportion explained = 8%). We found that weight gain did not explain the observed association. Conclusions Prevalent cardiovascular disease was associated with a significant increased risk of incident diabetes. The observed association was partially explained by some medications used to manage CVD.