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Relationships Among Conventional Cardiovascular Risk Factors and Lifestyle Habits With Arterial Stiffness in Type 2 Diabetic Patients

机译:2型糖尿病患者常规心血管危险因素和生活方式习惯与动脉僵硬度的关系

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Background: While conventional cardiovascular risk factors and certain lifestyle habits are associated with arterial stiffness in patients with type 2 diabetes mellitus (T2DM), it is still unknown whether they are actually associated with arterial stiffness even after adjustment for conventional cardiovascular risk factors and lifestyle habits. The aim of this study was to identify variables that are associated with brachial-ankle pulse wave velocity (baPWV).Methods: The study participants comprised 724 Japanese T2DM outpatients free of history of cardiovascular diseases. Lifestyle habits were analyzed using self-reported questionnaires. The associations among conventional cardiovascular risk factors and lifestyle habits with baPWV were investigated by multivariable linear regression analysis.Results: The mean age of the study subjects was 57.8 ± 8.6 years, and 62.8% of those were males. The mean HbA1c was 7.0±1.0%, and the estimated duration of T2DM was 9.9 ± 7.2 years. Multiple linear regression analysis that included age and gender demonstrated that age and male sex were positively associated with baPWV. In a model adjusted for numerous conventional cardiovascular risk factors and lifestyle habits, age, duration of T2DM, systolic blood pressure, serum uric acid, urinary albumin excretion and poor sleep quality were positively associated with baPWV, while body mass index was negatively associated with baPWV.Conclusions: In Japanese T2DM, in addition to several conventional cardiovascular risk factors, poor sleep quality was associated with baPWV even after adjustment for numerous conventional cardiovascular risk factors and lifestyle habits.J Clin Med Res. 2017;9(4):297-302doi: https://doi.org/10.14740/jocmr2870w
机译:背景:尽管常规心血管危险因素和某些生活方式习惯与2型糖尿病(T2DM)患者的动脉僵硬度相关,但即使在调整了常规心血管危险因素和生活方式习惯后,它们是否确实与动脉僵硬度相关仍是未知的。这项研究的目的是确定与臂踝脉搏波速度(baPWV)相关的变量。方法:研究参与者包括724名无心血管疾病史的日本T2DM门诊患者。使用自我报告的问卷分析生活习惯。通过多变量线性回归分析研究了传统的心血管危险因素与生活方式习惯与baPWV之间的关系。结果:研究对象的平均年龄为57.8±8.6岁,其中男性为62.8%。平均HbA1c为7.0±1.0%,估计的T2DM病程为9.9±7.2年。包括年龄和性别的多元线性回归分析表明,年龄和男性与baPWV呈正相关。在针对众多常规心血管危险因素和生活方式习惯进行调整的模型中,年龄,T2DM持续时间,收缩压,血清尿酸,尿白蛋白排泄和睡眠质量差与baPWV呈正相关,而体重指数与baPWV呈负相关结论:在日本的T2DM中,除了一些常规的心血管危险因素之外,即使在调整了许多常规的心血管危险因素和生活方式之后,睡眠质量差仍与baPWV相关。JClin Med Res。 2017; 9(4):297-302doi:https://doi.org/10.14740/jocmr2870w

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