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Association between Lung Function and New-Onset Diabetes Mellitus in Healthy Individuals after a 6-Year Follow-up
BACKGROUND: We analyzed hemoglobin A1c (HbA1c) levels and various lung function test results in healthy individuals after a 6-year follow-up period to explore the influence of lung function changes on glycemic control. METHODS: Subjects whose HbA1c levels did not qualify as diabetes mellitus (DM) an...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Endocrine Society
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743586/ https://www.ncbi.nlm.nih.gov/pubmed/34897261 http://dx.doi.org/10.3803/EnM.2021.1249 |
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author | Lee, Hwa Young Shin, Juyoung Kim, Hyunah Lee, Seung-Hwan Cho, Jae-Hyoung Lee, Sook Young Kim, Hun-Sung |
author_facet | Lee, Hwa Young Shin, Juyoung Kim, Hyunah Lee, Seung-Hwan Cho, Jae-Hyoung Lee, Sook Young Kim, Hun-Sung |
author_sort | Lee, Hwa Young |
collection | PubMed |
description | BACKGROUND: We analyzed hemoglobin A1c (HbA1c) levels and various lung function test results in healthy individuals after a 6-year follow-up period to explore the influence of lung function changes on glycemic control. METHODS: Subjects whose HbA1c levels did not qualify as diabetes mellitus (DM) and who had at least two consecutive lung function tests were selected among the people who visited a health promotion center. Lung function parameters, including forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), FEV/FVC ratio, and forced expiratory flow 25% to 75% (FEF(25%−75%)), were divided into four groups based on their baseline quantiles. To evaluate future DM onset risk in relation to lung function changes, the correlation between baseline HbA1c levels and changes in lung function parameters after a 6-year follow-up period was analyzed. RESULTS: Overall, 17,568 individuals were included; 0.9% of the subjects were diagnosed with DM. The individuals included in the quartile with FEV1/FVC ratio values of 78% to 82% had lower risk of DM than those in the quartile with FEV1/FVC ratio values of ≥86% after adjusting for age, sex, and body mass index (P=0.04). Baseline percent predicted FEV1, FVC, FEV1/FVC ratio, and FEF(25%−75%), and differences in the FEV1/FVC ratio or FEF(25%−75%), showed negative linear correlations with baseline HbA1c levels. CONCLUSION: Healthy subjects with FEV1/FVC ratio values between 78% and 82% had 40% lower risk for future DM. Smaller differences and lower baseline FEV1/FVC ratio or FEF(25%−75%) values were associated with higher baseline HbA1c levels. These findings suggest that airflow limitation affects systemic glucose control and that the FEV1/FVC ratio could be one of the factors predicting future DM risk in healthy individuals. |
format | Online Article Text |
id | pubmed-8743586 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Endocrine Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-87435862022-01-14 Association between Lung Function and New-Onset Diabetes Mellitus in Healthy Individuals after a 6-Year Follow-up Lee, Hwa Young Shin, Juyoung Kim, Hyunah Lee, Seung-Hwan Cho, Jae-Hyoung Lee, Sook Young Kim, Hun-Sung Endocrinol Metab (Seoul) Original Article BACKGROUND: We analyzed hemoglobin A1c (HbA1c) levels and various lung function test results in healthy individuals after a 6-year follow-up period to explore the influence of lung function changes on glycemic control. METHODS: Subjects whose HbA1c levels did not qualify as diabetes mellitus (DM) and who had at least two consecutive lung function tests were selected among the people who visited a health promotion center. Lung function parameters, including forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), FEV/FVC ratio, and forced expiratory flow 25% to 75% (FEF(25%−75%)), were divided into four groups based on their baseline quantiles. To evaluate future DM onset risk in relation to lung function changes, the correlation between baseline HbA1c levels and changes in lung function parameters after a 6-year follow-up period was analyzed. RESULTS: Overall, 17,568 individuals were included; 0.9% of the subjects were diagnosed with DM. The individuals included in the quartile with FEV1/FVC ratio values of 78% to 82% had lower risk of DM than those in the quartile with FEV1/FVC ratio values of ≥86% after adjusting for age, sex, and body mass index (P=0.04). Baseline percent predicted FEV1, FVC, FEV1/FVC ratio, and FEF(25%−75%), and differences in the FEV1/FVC ratio or FEF(25%−75%), showed negative linear correlations with baseline HbA1c levels. CONCLUSION: Healthy subjects with FEV1/FVC ratio values between 78% and 82% had 40% lower risk for future DM. Smaller differences and lower baseline FEV1/FVC ratio or FEF(25%−75%) values were associated with higher baseline HbA1c levels. These findings suggest that airflow limitation affects systemic glucose control and that the FEV1/FVC ratio could be one of the factors predicting future DM risk in healthy individuals. Korean Endocrine Society 2021-12 2021-12-13 /pmc/articles/PMC8743586/ /pubmed/34897261 http://dx.doi.org/10.3803/EnM.2021.1249 Text en Copyright © 2021 Korean Endocrine Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Hwa Young Shin, Juyoung Kim, Hyunah Lee, Seung-Hwan Cho, Jae-Hyoung Lee, Sook Young Kim, Hun-Sung Association between Lung Function and New-Onset Diabetes Mellitus in Healthy Individuals after a 6-Year Follow-up |
title | Association between Lung Function and New-Onset Diabetes Mellitus in Healthy Individuals after a 6-Year Follow-up |
title_full | Association between Lung Function and New-Onset Diabetes Mellitus in Healthy Individuals after a 6-Year Follow-up |
title_fullStr | Association between Lung Function and New-Onset Diabetes Mellitus in Healthy Individuals after a 6-Year Follow-up |
title_full_unstemmed | Association between Lung Function and New-Onset Diabetes Mellitus in Healthy Individuals after a 6-Year Follow-up |
title_short | Association between Lung Function and New-Onset Diabetes Mellitus in Healthy Individuals after a 6-Year Follow-up |
title_sort | association between lung function and new-onset diabetes mellitus in healthy individuals after a 6-year follow-up |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743586/ https://www.ncbi.nlm.nih.gov/pubmed/34897261 http://dx.doi.org/10.3803/EnM.2021.1249 |
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