Association of glucose metabolism, smoking and cardiovascular risk factors with incident peripheral arterial disease : The DESIR study
Identifieur interne : 009714 ( Main/Exploration ); précédent : 009713; suivant : 009715Association of glucose metabolism, smoking and cardiovascular risk factors with incident peripheral arterial disease : The DESIR study
Auteurs : Robyn J. Tapp [France, Australie] ; Beverley Balkau [France] ; Jonathan E. Shaw [Australie] ; Paul Valensi [France] ; Martine Cailleau [France] ; Eveline Eschwege [France]Source :
- Atherosclerosis [ 0021-9150 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Diabète de type 2 (métabolisme), Diabète de type 2 (épidémiologie), Facteurs de risque, Femelle, France (épidémiologie), Glucose (métabolisme), Humains, Incidence, Insulinorésistance, Intolérance au glucose (métabolisme), Intolérance au glucose (épidémiologie), Maladies vasculaires périphériques (métabolisme), Maladies vasculaires périphériques (épidémiologie), Modèles logistiques, Mâle, Sujet âgé, Tabagisme (métabolisme), Tabagisme (épidémiologie), Études longitudinales, Évolution de la maladie.
- MESH :
- métabolisme : Diabète de type 2, Glucose, Intolérance au glucose, Maladies vasculaires périphériques, Tabagisme.
- épidémiologie : Diabète de type 2, France, Intolérance au glucose, Maladies vasculaires périphériques, Tabagisme.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Appareil circulatoire pathologie, Athérosclérose, Facteurs de risque, Femelle, Humains, Incidence, Insulinorésistance, Modèles logistiques, Mâle, Sujet âgé, Tabagisme, Artériopathie oblitérante, Diabète, Glucose, Métabolisme, Facteur risque, Incidence, Epidémiologie, Insuline, Jeûne alimentaire, Diagnostic, Claudication, Cholestérol, Triglycéride, Conduite à tenir, Études longitudinales, Évolution de la maladie.
- Wicri :
English descriptors
- KwdEn :
- Adult, Aged, Atherosclerosis, Cardiovascular disease, Cholesterol, Claudication, Clinical management, Diabetes Mellitus, Type 2 (epidemiology), Diabetes Mellitus, Type 2 (metabolism), Diabetes mellitus, Diagnosis, Disease Progression, Epidemiology, Fasting, Female, France (epidemiology), Glucose, Glucose (metabolism), Glucose Intolerance (epidemiology), Glucose Intolerance (metabolism), Humans, Incidence, Insulin, Insulin Resistance, Logistic Models, Longitudinal Studies, Male, Metabolism, Middle Aged, Occlusive arterial disease, Peripheral Vascular Diseases (epidemiology), Peripheral Vascular Diseases (metabolism), Risk Factors, Risk factor, Smoking (epidemiology), Smoking (metabolism), Tobacco smoking, Triglyceride.
- MESH :
- chemical , metabolism : Glucose.
- geographic , epidemiology : France.
- epidemiology : Diabetes Mellitus, Type 2, Glucose Intolerance, Peripheral Vascular Diseases, Smoking.
- metabolism : Diabetes Mellitus, Type 2, Glucose Intolerance, Peripheral Vascular Diseases, Smoking.
- Adult, Aged, Disease Progression, Female, Humans, Incidence, Insulin Resistance, Logistic Models, Longitudinal Studies, Male, Middle Aged, Risk Factors.
Abstract
Aims: We determined the 6-year incidence of peripheral arterial disease (PAD) in a French population and assessed the association of glucose metabolism, smoking, cardiovascular risk factors and physical activity with incident PAD. Methods: Participants from the French Data from a Epidemiological Study on the Insulin Resistance Syndrome (DESIR) were studied. Participants analysed were 30-65 years (at baseline) and had complete data (n = 3805) after 6 years of follow-up. Diabetes was diagnosed according to the 1999 WHO criteria on the basis of fasting plasma glucose results or previous diagnosis of diabetes mellitus. The ankle brachial pressure index (ABPI) and a claudication question were used to classify PAD. Results: The 6-year incidence of PAD (defined by ABPI < 0.9 and or claudication present) among those with normal fasting glucose (NFG) and free of PAD at baseline was 5.1%. Among those with impaired fasting glucose (IFG) at baseline the incidence of PAD was 4.9% and among those with diabetes mellitus at baseline the incidence of PAD was 9.8%. The incidence of PAD among those who maintained NFG over 6 years was 4.7% and among those who progressed to diabetes over 6 years was 10.2%. Those who progressed from NFG or IFG to diabetes over 6 years were twice as likely to develop PAD compared to those who maintained NFG over 6 years, after adjustment for age and sex (OR (95% CI), 2.22 (1.12-4.42)). Independent risk factors for incident PAD using baseline population characteristics were diabetes (OR (95% CI) 2.11 (1.25-3.55)), systolic BP 122-135 mmHg 1.06 (0.70-1.60), >135mmHg 1.54 (1.04-2.27) and current smoking 1.60 (1.10-2.34) after multivariate adjustment for age, sex, cholesterol, triglycerides and waist circumference. Conclusions: This French study shows that those who progress to diabetes are twice as likely to develop PAD, compared to those who maintain NFG. Peripheral arterial disease is a treatable condition and more aggressive management of atherosclerotic risk factors could reduce the numbers of people who develop PAD.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 003B24
- to stream PascalFrancis, to step Curation: 002564
- to stream PascalFrancis, to step Checkpoint: 003A47
- to stream Main, to step Merge: 00A159
- to stream PubMed, to step Corpus: 003C18
- to stream PubMed, to step Curation: 003A73
- to stream PubMed, to step Checkpoint: 003A73
- to stream Ncbi, to step Merge: 000188
- to stream Ncbi, to step Curation: 000188
- to stream Ncbi, to step Checkpoint: 000188
- to stream Main, to step Merge: 009995
- to stream Main, to step Curation: 009714
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Association of glucose metabolism, smoking and cardiovascular risk factors with incident peripheral arterial disease : The DESIR study</title>
<author><name sortKey="Tapp, Robyn J" sort="Tapp, Robyn J" uniqKey="Tapp R" first="Robyn J." last="Tapp">Robyn J. Tapp</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>INSERM Unite 258-IFR69, University Paris XI</s1>
<s2>Villejuif</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>University Paris XI</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Epidemiology and Preventive Medicine, Monash University</s1>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Epidemiology and Preventive Medicine, Monash University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>INSERM Unite 258-IFR69, University Paris XI</s1>
<s2>Villejuif</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>University Paris XI</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E." last="Shaw">Jonathan E. Shaw</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Epidemiology and Preventive Medicine, Monash University</s1>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Epidemiology and Preventive Medicine, Monash University</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>International Diabetes Institute</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Valensi, Paul" sort="Valensi, Paul" uniqKey="Valensi P" first="Paul" last="Valensi">Paul Valensi</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Endocrinology, Diabetology and Nutrition, Jean Verdier Hospital, Paris-Nord University</s1>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Paris-Nord University</wicri:noRegion>
<wicri:noRegion>Department of Endocrinology, Diabetology and Nutrition, Jean Verdier Hospital, Paris-Nord University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cailleau, Martine" sort="Cailleau, Martine" uniqKey="Cailleau M" first="Martine" last="Cailleau">Martine Cailleau</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>IRSA</s1>
<s2>La Riche</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>La Riche</wicri:noRegion>
<wicri:noRegion>IRSA</wicri:noRegion>
<wicri:noRegion>IRSA</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Eschwege, Eveline" sort="Eschwege, Eveline" uniqKey="Eschwege E" first="Eveline" last="Eschwege">Eveline Eschwege</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>INSERM Unite 258-IFR69, University Paris XI</s1>
<s2>Villejuif</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>University Paris XI</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">07-0335594</idno>
<date when="2007">2007</date>
<idno type="stanalyst">PASCAL 07-0335594 INIST</idno>
<idno type="RBID">Pascal:07-0335594</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">003B24</idno>
<idno type="wicri:Area/PascalFrancis/Curation">002564</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">003A47</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">003A47</idno>
<idno type="wicri:doubleKey">0021-9150:2007:Tapp R:association:of:glucose</idno>
<idno type="wicri:Area/Main/Merge">00A159</idno>
<idno type="wicri:source">PubMed</idno>
<idno type="RBID">pubmed:16674960</idno>
<idno type="wicri:Area/PubMed/Corpus">003C18</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003C18</idno>
<idno type="wicri:Area/PubMed/Curation">003A73</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003A73</idno>
<idno type="wicri:Area/PubMed/Checkpoint">003A73</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003A73</idno>
<idno type="wicri:Area/Ncbi/Merge">000188</idno>
<idno type="wicri:Area/Ncbi/Curation">000188</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000188</idno>
<idno type="wicri:doubleKey">0021-9150:2007:Tapp R:association:of:glucose</idno>
<idno type="wicri:Area/Main/Merge">009995</idno>
<idno type="wicri:Area/Main/Curation">009714</idno>
<idno type="wicri:Area/Main/Exploration">009714</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Association of glucose metabolism, smoking and cardiovascular risk factors with incident peripheral arterial disease : The DESIR study</title>
<author><name sortKey="Tapp, Robyn J" sort="Tapp, Robyn J" uniqKey="Tapp R" first="Robyn J." last="Tapp">Robyn J. Tapp</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>INSERM Unite 258-IFR69, University Paris XI</s1>
<s2>Villejuif</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>University Paris XI</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Epidemiology and Preventive Medicine, Monash University</s1>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Epidemiology and Preventive Medicine, Monash University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>INSERM Unite 258-IFR69, University Paris XI</s1>
<s2>Villejuif</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>University Paris XI</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E." last="Shaw">Jonathan E. Shaw</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Epidemiology and Preventive Medicine, Monash University</s1>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Epidemiology and Preventive Medicine, Monash University</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>International Diabetes Institute</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Valensi, Paul" sort="Valensi, Paul" uniqKey="Valensi P" first="Paul" last="Valensi">Paul Valensi</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Endocrinology, Diabetology and Nutrition, Jean Verdier Hospital, Paris-Nord University</s1>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Paris-Nord University</wicri:noRegion>
<wicri:noRegion>Department of Endocrinology, Diabetology and Nutrition, Jean Verdier Hospital, Paris-Nord University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cailleau, Martine" sort="Cailleau, Martine" uniqKey="Cailleau M" first="Martine" last="Cailleau">Martine Cailleau</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>IRSA</s1>
<s2>La Riche</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>La Riche</wicri:noRegion>
<wicri:noRegion>IRSA</wicri:noRegion>
<wicri:noRegion>IRSA</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Eschwege, Eveline" sort="Eschwege, Eveline" uniqKey="Eschwege E" first="Eveline" last="Eschwege">Eveline Eschwege</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>INSERM Unite 258-IFR69, University Paris XI</s1>
<s2>Villejuif</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>University Paris XI</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Atherosclerosis</title>
<title level="j" type="abbreviated">Atherosclerosis</title>
<idno type="ISSN">0021-9150</idno>
<imprint><date when="2007">2007</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Atherosclerosis</title>
<title level="j" type="abbreviated">Atherosclerosis</title>
<idno type="ISSN">0021-9150</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Atherosclerosis</term>
<term>Cardiovascular disease</term>
<term>Cholesterol</term>
<term>Claudication</term>
<term>Clinical management</term>
<term>Diabetes Mellitus, Type 2 (epidemiology)</term>
<term>Diabetes Mellitus, Type 2 (metabolism)</term>
<term>Diabetes mellitus</term>
<term>Diagnosis</term>
<term>Disease Progression</term>
<term>Epidemiology</term>
<term>Fasting</term>
<term>Female</term>
<term>France (epidemiology)</term>
<term>Glucose</term>
<term>Glucose (metabolism)</term>
<term>Glucose Intolerance (epidemiology)</term>
<term>Glucose Intolerance (metabolism)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Insulin</term>
<term>Insulin Resistance</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Metabolism</term>
<term>Middle Aged</term>
<term>Occlusive arterial disease</term>
<term>Peripheral Vascular Diseases (epidemiology)</term>
<term>Peripheral Vascular Diseases (metabolism)</term>
<term>Risk Factors</term>
<term>Risk factor</term>
<term>Smoking (epidemiology)</term>
<term>Smoking (metabolism)</term>
<term>Tobacco smoking</term>
<term>Triglyceride</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Diabète de type 2 (métabolisme)</term>
<term>Diabète de type 2 (épidémiologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>France (épidémiologie)</term>
<term>Glucose (métabolisme)</term>
<term>Humains</term>
<term>Incidence</term>
<term>Insulinorésistance</term>
<term>Intolérance au glucose (métabolisme)</term>
<term>Intolérance au glucose (épidémiologie)</term>
<term>Maladies vasculaires périphériques (métabolisme)</term>
<term>Maladies vasculaires périphériques (épidémiologie)</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Tabagisme (métabolisme)</term>
<term>Tabagisme (épidémiologie)</term>
<term>Études longitudinales</term>
<term>Évolution de la maladie</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Glucose</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Diabetes Mellitus, Type 2</term>
<term>Glucose Intolerance</term>
<term>Peripheral Vascular Diseases</term>
<term>Smoking</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Diabetes Mellitus, Type 2</term>
<term>Glucose Intolerance</term>
<term>Peripheral Vascular Diseases</term>
<term>Smoking</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Diabète de type 2</term>
<term>Glucose</term>
<term>Intolérance au glucose</term>
<term>Maladies vasculaires périphériques</term>
<term>Tabagisme</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Diabète de type 2</term>
<term>France</term>
<term>Intolérance au glucose</term>
<term>Maladies vasculaires périphériques</term>
<term>Tabagisme</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Insulin Resistance</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Appareil circulatoire pathologie</term>
<term>Athérosclérose</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Insulinorésistance</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Tabagisme</term>
<term>Artériopathie oblitérante</term>
<term>Diabète</term>
<term>Glucose</term>
<term>Métabolisme</term>
<term>Facteur risque</term>
<term>Incidence</term>
<term>Epidémiologie</term>
<term>Insuline</term>
<term>Jeûne alimentaire</term>
<term>Diagnostic</term>
<term>Claudication</term>
<term>Cholestérol</term>
<term>Triglycéride</term>
<term>Conduite à tenir</term>
<term>Études longitudinales</term>
<term>Évolution de la maladie</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Tabagisme</term>
<term>Diabète</term>
<term>Glucose</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Aims: We determined the 6-year incidence of peripheral arterial disease (PAD) in a French population and assessed the association of glucose metabolism, smoking, cardiovascular risk factors and physical activity with incident PAD. Methods: Participants from the French Data from a Epidemiological Study on the Insulin Resistance Syndrome (DESIR) were studied. Participants analysed were 30-65 years (at baseline) and had complete data (n = 3805) after 6 years of follow-up. Diabetes was diagnosed according to the 1999 WHO criteria on the basis of fasting plasma glucose results or previous diagnosis of diabetes mellitus. The ankle brachial pressure index (ABPI) and a claudication question were used to classify PAD. Results: The 6-year incidence of PAD (defined by ABPI < 0.9 and or claudication present) among those with normal fasting glucose (NFG) and free of PAD at baseline was 5.1%. Among those with impaired fasting glucose (IFG) at baseline the incidence of PAD was 4.9% and among those with diabetes mellitus at baseline the incidence of PAD was 9.8%. The incidence of PAD among those who maintained NFG over 6 years was 4.7% and among those who progressed to diabetes over 6 years was 10.2%. Those who progressed from NFG or IFG to diabetes over 6 years were twice as likely to develop PAD compared to those who maintained NFG over 6 years, after adjustment for age and sex (OR (95% CI), 2.22 (1.12-4.42)). Independent risk factors for incident PAD using baseline population characteristics were diabetes (OR (95% CI) 2.11 (1.25-3.55)), systolic BP 122-135 mmHg 1.06 (0.70-1.60), >135mmHg 1.54 (1.04-2.27) and current smoking 1.60 (1.10-2.34) after multivariate adjustment for age, sex, cholesterol, triglycerides and waist circumference. Conclusions: This French study shows that those who progress to diabetes are twice as likely to develop PAD, compared to those who maintain NFG. Peripheral arterial disease is a treatable condition and more aggressive management of atherosclerotic risk factors could reduce the numbers of people who develop PAD.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
</country>
<region><li>Victoria (État)</li>
</region>
<settlement><li>Melbourne</li>
</settlement>
</list>
<tree><country name="France"><noRegion><name sortKey="Tapp, Robyn J" sort="Tapp, Robyn J" uniqKey="Tapp R" first="Robyn J." last="Tapp">Robyn J. Tapp</name>
</noRegion>
<name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
<name sortKey="Cailleau, Martine" sort="Cailleau, Martine" uniqKey="Cailleau M" first="Martine" last="Cailleau">Martine Cailleau</name>
<name sortKey="Eschwege, Eveline" sort="Eschwege, Eveline" uniqKey="Eschwege E" first="Eveline" last="Eschwege">Eveline Eschwege</name>
<name sortKey="Valensi, Paul" sort="Valensi, Paul" uniqKey="Valensi P" first="Paul" last="Valensi">Paul Valensi</name>
</country>
<country name="Australie"><noRegion><name sortKey="Tapp, Robyn J" sort="Tapp, Robyn J" uniqKey="Tapp R" first="Robyn J." last="Tapp">Robyn J. Tapp</name>
</noRegion>
<name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E." last="Shaw">Jonathan E. Shaw</name>
<name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E." last="Shaw">Jonathan E. Shaw</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Asie/explor/AustralieFrV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 009714 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 009714 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Asie |area= AustralieFrV1 |flux= Main |étape= Exploration |type= RBID |clé= Pascal:07-0335594 |texte= Association of glucose metabolism, smoking and cardiovascular risk factors with incident peripheral arterial disease : The DESIR study }}
This area was generated with Dilib version V0.6.33. |