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Target organ damage and incident type 2 diabetes mellitus: the Strong Heart Study

Overview of attention for article published in Cardiovascular Diabetology, May 2017
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Title
Target organ damage and incident type 2 diabetes mellitus: the Strong Heart Study
Published in
Cardiovascular Diabetology, May 2017
DOI 10.1186/s12933-017-0542-6
Pubmed ID
Authors

Giovanni de Simone, Wenyu Wang, Lyle G. Best, Fawn Yeh, Raffaele Izzo, Costantino Mancusi, Mary J. Roman, Elisa T. Lee, Barbara V. Howard, Richard B. Devereux

Abstract

Recent analyses in a registry of hypertensive patients suggested that preceding left ventricular (LV) hypertrophy (LVH) and/or carotid atherosclerosis are associated with incident type 2 diabetes, independent of confounders. We assess the relation between prevalent cardio-renal target organ damage (TOD) and subsequent incident type 2 diabetes in a population-based study with high prevalence of obesity. We selected 2887 non-diabetic participants from two cohorts of the Strong Heart Study (SHS). Clinical exam, laboratory tests and echocardiograms were performed. Adjudicated TODs were LVH, left atrium (LA) dilatation, and high urine albumin/creatinine ratio (UACR). Multivariable logistic regression models were used to identify variables responsible for the association between initial TODs and incident diabetes at 4-year follow-up (FU). After 4 years, 297 new cases of diabetes (10%) were identified, 216 of whom exhibited baseline impaired fasting glucose (IFG, 73%, p < 0.0001). Participants developing type 2 diabetes exhibited higher inflammatory markers, fat-free mass and adipose mass and higher prevalence of initial LVH and LA dilatation than those without (both p < 0.04). In multivariable logistic regression, controlling for age, sex, family relatedness, presence of arterial hypertension and IFG, all three indicators of TOD predicted incident diabetes (all p < 0.01). However, the effects of TOD was offset when body fat and inflammatory markers were introduced into the model. In this population-based study with high prevalence of obesity, TOD precedes clinical appearance of type 2 diabetes and is related to the preceding metabolic status, body composition and inflammatory status. Trial registration Trial registration number: NCT00005134, Name of registry: Strong Heart Study, URL of registry: https://clinicaltrials.gov/ct2/show/NCT00005134, Date of registration: May 25, 2000, Date of enrolment of the first participant to the trial: September 1988.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 76 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 76 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 11%
Student > Master 7 9%
Student > Bachelor 7 9%
Other 5 7%
Student > Ph. D. Student 4 5%
Other 11 14%
Unknown 34 45%
Readers by discipline Count As %
Medicine and Dentistry 26 34%
Biochemistry, Genetics and Molecular Biology 3 4%
Nursing and Health Professions 2 3%
Economics, Econometrics and Finance 2 3%
Immunology and Microbiology 2 3%
Other 5 7%
Unknown 36 47%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 February 2018.
All research outputs
#20,449,496
of 23,005,189 outputs
Outputs from Cardiovascular Diabetology
#1,236
of 1,399 outputs
Outputs of similar age
#270,086
of 310,168 outputs
Outputs of similar age from Cardiovascular Diabetology
#19
of 23 outputs
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