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本文引用的文献

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[Development of a diabetes risk prediction sheet for specific health guidance].[开发用于特定健康指导的糖尿病风险预测表]
Nihon Koshu Eisei Zasshi. 2008 May;55(5):287-94.
2
Underweight as a predictor of diabetes in older adults: a large cohort study.体重过轻作为老年人糖尿病的预测指标:一项大型队列研究。
Diabetes Care. 2008 Mar;31(3):583-4. doi: 10.2337/dc07-1390. Epub 2007 Dec 10.
3
Morbidity and mortality risk associated with an overweight BMI in older men and women.老年男性和女性超重体质指数(BMI)相关的发病和死亡风险。
Obesity (Silver Spring). 2007 Jul;15(7):1827-40. doi: 10.1038/oby.2007.217.
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Body mass index and risk of diabetes mellitus in the Asia-Pacific region.亚太地区的体重指数与糖尿病风险
Asia Pac J Clin Nutr. 2006;15(2):127-33.
5
Adiponectin--a key adipokine in the metabolic syndrome.脂联素——代谢综合征中的一种关键脂肪因子。
Diabetes Obes Metab. 2006 May;8(3):264-80. doi: 10.1111/j.1463-1326.2005.00510.x.
6
Increases in body mass index, even within non-obese levels, raise the risk for Type 2 diabetes mellitus: a follow-up study in a Japanese population.体重指数增加,即使在非肥胖水平内,也会增加2型糖尿病的风险:一项日本人群的随访研究。
Diabet Med. 2005 Aug;22(8):1107-11. doi: 10.1111/j.1464-5491.2005.01602.x.
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Influence of gender, age and renal function on plasma adiponectin level: the Tanno and Sobetsu study.性别、年龄和肾功能对血浆脂联素水平的影响:田野和矶部研究
Eur J Endocrinol. 2005 Jul;153(1):91-8. doi: 10.1530/eje.1.01930.
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Relationship of physical activity vs body mass index with type 2 diabetes in women.女性身体活动与体重指数与2型糖尿病的关系。
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9
Improvement in Japanese clinical laboratory measurements of total cholesterol and HDL-cholesterol by the US Cholesterol Reference Method Laboratory Network.美国胆固醇参考方法实验室网络对日本临床实验室总胆固醇和高密度脂蛋白胆固醇测量结果的改善。
J Atheroscler Thromb. 2003;10(3):145-53. doi: 10.5551/jat.10.145.
10
Obesity, weight change and risks for hypertension, diabetes and hypercholesterolemia in Japanese men.日本男性的肥胖、体重变化与高血压、糖尿病和高胆固醇血症风险
Eur J Clin Nutr. 2002 Jul;56(7):601-7. doi: 10.1038/sj.ejcn.1601364.

中年和老年日本成年人肥胖与新发糖尿病的关系:茨城县健康研究。

Relationship between obesity and incident diabetes in middle-aged and older Japanese adults: the Ibaraki Prefectural Health Study.

机构信息

Ibaraki Health Plaza, Ibaraki, Japan.

出版信息

Mayo Clin Proc. 2010 Jan;85(1):36-40. doi: 10.4065/mcp.2009.0230.

DOI:10.4065/mcp.2009.0230
PMID:20042559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2800296/
Abstract

OBJECTIVE

To investigate the age-specific relationship between body mass index (BMI) and risk of diabetes in a Japanese general population.

PARTICIPANTS AND METHODS

A cohort of Japanese men (N=19,926) and women (N=41,489) (aged 40-79 years) who under went community-based health checkups in 1993 and were free of diabetes was followed up by annual examinations with measurement of blood glucose concentrations until the end of 2006. Incident diabetes mellitus was defined as a blood glucose concentration of 126 mg/dL or greater under fasting conditions, 200 mg/dL or greater under nonfasting conditions, or diabetic medication use at baseline. Hazard ratios (HRs) for diabetes according to BMI were estimated using a Cox proportional hazard model. The model was adjusted for possible confounding variables.

RESULTS

A total of 4429 participants (7.2%) developed diabetes (2065 men and 2364 women) during a mean follow-up of 5.5 years. Compared with those with a BMI of less than 25.0, the multivariate HRs for diabetes among participants with a BMI of 30.0 or greater were 1.40 (95% confidence interval [CI], 0.89-2.20) for men aged 40 to 59 years and 1.26 (95% CI, 0.81-1.96) for men aged 60 to 79 years (P=.002 for interaction). The HRs were 2.50 (95% CI, 2.01-3.11) for women aged 40 to 59 years and 1.80 (95% CI, 1.41-2.30) for women aged 60 to 79 years (P=.04 for interaction).

CONCLUSION

The effect of obesity on the risk of diabetes is greater for middle-aged than for older adults.

摘要

目的

探讨日本一般人群中体质指数(BMI)与糖尿病风险的年龄特异性关系。

参与者和方法

1993 年,对参加社区健康检查的日本男性(N=19926)和女性(N=41489)(年龄 40-79 岁)进行了队列研究,这些人在基线时无糖尿病,并在随后的年度检查中测量血糖浓度,随访至 2006 年底。糖尿病定义为空腹血糖浓度为 126mg/dL 或更高、非空腹血糖浓度为 200mg/dL 或更高,或在基线时使用降糖药物。采用 Cox 比例风险模型估计 BMI 与糖尿病的风险比(HR)。该模型调整了可能的混杂变量。

结果

共有 4429 名参与者(7.2%)在平均 5.5 年的随访中发生了糖尿病(2065 名男性和 2364 名女性)。与 BMI 小于 25.0 的参与者相比,BMI 为 30.0 或更高的男性参与者中,年龄为 40-59 岁者糖尿病的多变量 HR 为 1.40(95%置信区间 [CI],0.89-2.20),年龄为 60-79 岁者为 1.26(95% CI,0.81-1.96)(P=0.002 用于交互作用检验)。年龄为 40-59 岁的女性参与者的 HR 为 2.50(95% CI,2.01-3.11),年龄为 60-79 岁的女性参与者的 HR 为 1.80(95% CI,1.41-2.30)(P=0.04 用于交互作用检验)。

结论

肥胖对糖尿病风险的影响在中年人中比在老年人中更大。