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Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) study.

Publication ,  Journal Article
Yeh, H-C; Punjabi, NM; Wang, N-Y; Pankow, JS; Duncan, BB; Cox, CE; Selvin, E; Brancati, FL
Published in: Diabetes Care
April 2008

OBJECTIVE: The aim of this study was to test the hypothesis that diabetes is independently associated with reduced lung function, both cross-sectionally and longitudinally. RESEARCH DESIGN AND METHODS: We conducted cross-sectional and prospective analyses of diabetes status and lung function decline using baseline and 3-year follow-up data on 1,100 diabetic and 10,162 nondiabetic middle-aged adults from the Atherosclerosis Risk in Communities (ARIC) Study. Forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV(1)) were measured at baseline and at the 3-year follow-up using standard spirometry. RESULTS: At baseline, adults with diabetes had significantly lower predicted FVC (96 vs. 103%, P < 0.001) and predicted FEV(1) (92 vs. 96%, P < 0.001) than those without diabetes. These differences remained significant after adjustment for demographic characteristics, adiposity, smoking, physical activity index, education, and ARIC field center. Graded, inverse associations were observed between hyperglycemia, diabetes severity (i.e., duration of diabetes and types of antidiabetes medications), and FVC and FEV(1) (all P(trend) < 0.001). In prospective analyses, FVC declined faster in diabetic adults than in their nondiabetic counterparts (64 vs. 58 ml/year, P = 0.01). Diabetes severity as indicated by intensity of antidiabetic treatment also showed graded relationships with the rate of FVC decline (P < 0.01). CONCLUSIONS: These data support the notion that the lung is a target organ for diabetic injury. Additional research is required to identify pathophysiologic mechanisms and to determine clinical significance.

Duke Scholars

Published In

Diabetes Care

DOI

EISSN

1935-5548

Publication Date

April 2008

Volume

31

Issue

4

Start / End Page

741 / 746

Location

United States

Related Subject Headings

  • Vital Capacity
  • Risk Factors
  • Respiratory Function Tests
  • Prospective Studies
  • Middle Aged
  • Male
  • Humans
  • Forced Expiratory Volume
  • Female
  • Endocrinology & Metabolism
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Yeh, H.-C., Punjabi, N. M., Wang, N.-Y., Pankow, J. S., Duncan, B. B., Cox, C. E., … Brancati, F. L. (2008). Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) study. Diabetes Care, 31(4), 741–746. https://doi.org/10.2337/dc07-1464
Yeh, Hsin-Chieh, Naresh M. Punjabi, Nae-Yuh Wang, James S. Pankow, Bruce B. Duncan, Christopher E. Cox, Elizabeth Selvin, and Frederick L. Brancati. “Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) study.Diabetes Care 31, no. 4 (April 2008): 741–46. https://doi.org/10.2337/dc07-1464.
Yeh H-C, Punjabi NM, Wang N-Y, Pankow JS, Duncan BB, Cox CE, et al. Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) study. Diabetes Care. 2008 Apr;31(4):741–6.
Yeh, Hsin-Chieh, et al. “Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) study.Diabetes Care, vol. 31, no. 4, Apr. 2008, pp. 741–46. Pubmed, doi:10.2337/dc07-1464.
Yeh H-C, Punjabi NM, Wang N-Y, Pankow JS, Duncan BB, Cox CE, Selvin E, Brancati FL. Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) study. Diabetes Care. 2008 Apr;31(4):741–746.

Published In

Diabetes Care

DOI

EISSN

1935-5548

Publication Date

April 2008

Volume

31

Issue

4

Start / End Page

741 / 746

Location

United States

Related Subject Headings

  • Vital Capacity
  • Risk Factors
  • Respiratory Function Tests
  • Prospective Studies
  • Middle Aged
  • Male
  • Humans
  • Forced Expiratory Volume
  • Female
  • Endocrinology & Metabolism