당뇨병 전단계에서 제2형 당뇨병으로의 전이에 고혈압 및 인슐린 저항성의 영향 분석
Hypertension and Insulin Resistance from Prediabetes to Type 2 Diabetes: A 10-Years South Korean Prospective Cohort Study
- 한국보건사회약료경영학회
- 한국보건사회약료경영학회지
- 제11권 제1호
- 2023.05
- 52 - 62 (11 pages)
BACKGROUNDS There are many people with prediabetes. As prediabetes is a strong risk factor for Type 2 Diabetes and an opportunity to prevent Type 2 Diabetes, it is important to identify prediabetes with high risk of developing Type 2 Diabetes. The aim of this study is to examine whether hypertension or insulin resistance are valid transition factors to Type 2 Diabetes from prediabetes. METHODS 2265 middle-aged South Korean examinees with prediabetes in the Korean Genome and Epidemiology Studies (KoGES) during the follow-up period of 10 years. RESULTS During 8.24 person- years, we identified 469 incident Type 2 Diabetes cases (21%). The incidence of Type 2 Diabetes increased with hypertension or insulin resistance with the adjusted hazard ratios (HRs) of 1.595 (CI: 1.209-2.105) and 2.286 (1.761-2.968) respectively. Compared to those with hypertension (Adjusted HR, 1.342 [CI: 1.045-1.723]), those with hypertension and insulin resistance showed a larger HR (Adjusted HR, 2.593 [CI: 1.802-3.733]). CONCLUSION Middle-aged South Koreans with prediabetes who had hypertension or insulin resistance were especially high at risk of developing Type 2 Diabetes. Hypertension had an association with Type 2 Diabetes, whereas insulin resistance had a causal impact on East Asian populations to have Type 2 Diabetes.
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