Association between ideal cardiovascular health and abnormal glucose metabolism in the elderly: evidence based on real-world data.
BMC Geriatr
; 24(1): 414, 2024 May 10.
Article
in En
| MEDLINE
| ID: mdl-38730349
ABSTRACT
BACKGROUND:
Limited information is available on the effect of ideal cardiovascular health (CVH) and abnormal glucose metabolism in elderly people. We aimed to analyze the prevalence of CVH behaviors, abnormal glucose metabolism, and their correlation in 65 and older people.METHODS:
In this study, randomized cluster sampling, multivariate logistic regression, and mediating effects analysis were used. Recruiting was carried out between January 2020 and December 2020, and 1984 participants aged 65 years or older completed the study.RESULTS:
The prevalence of abnormal glucose metabolism in this group was 26.7% (n = 529), among which the prevalence of impaired fasting glucose (IFG) was 9.5% (male vs. female 8.7% vs 10.1%, P = 0.338), and the prevalence of type 2 diabetes mellitus (T2DM) was 19.0% (male vs. female 17.8 vs. 19.8%, P = 0.256). The ideal CVH rate (number of ideal CVH metrics ≥ 5) was only 21.0%. The risk of IFG and T2DM decreased by 23% and 20% with each increase in one ideal CVH metrics, with OR (95%CI) of 0.77(0.65-0.92) and 0.80(0.71-0.90), respectively (P -trend < 0.001). TyG fully mediated the ideal CVH and the incidence of T2DM, and its mediating effect OR (95%CI) was 0.88(0.84-0.91).CONCLUSIONS:
Each increase in an ideal CVH measure may effectively reduce the risk of abnormal glucose metabolism by more than 20%.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood Glucose
/
Cardiovascular Diseases
/
Diabetes Mellitus, Type 2
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
En
Journal:
BMC Geriatr
Journal subject:
GERIATRIA
Year:
2024
Document type:
Article
Country of publication:
United kingdom