Temporal Changes in Resting Heart Rate and Risk of Diabetes Mellitus.

IF 6.8 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes & Metabolism Journal Pub Date : 2024-07-01 Epub Date: 2024-02-02 DOI:10.4093/dmj.2023.0305

Mi Kyoung Son, Kyoungho Lee, Hyun-Young Park

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引用次数: 0

Abstract

Backgruound: To investigate the association between the time-varying resting heart rate (RHR) and change in RHR (∆RHR) over time and the risk of diabetes mellitus (DM) by sex.

Methods: We assessed 8,392 participants without DM or atrial fibrillation/flutter from the Korean Genome and Epidemiology Study, a community-based prospective cohort study that was initiated in 2001 to 2002. The participants were followed up until December 31, 2018. Updating RHR with biennial in-study re-examinations, the time-varying ∆RHR was calculated by assessing the ∆RHR at the next follow-up visit.

Results: Over a median follow-up of 12.3 years, 1,345 participants (16.2%) had DM. As compared with RHR of 60 to 69 bpm, for RHR of ≥80 bpm, the incidence of DM was significantly increased for both male and female. A drop of ≥5 bpm in ∆RHR when compared with the stable ∆RHR group (-5< ∆RHR <5 bpm) was associated significantly with lower risk of DM in both male and female. However, an increase of ≥5 bpm in ∆RHR was significantly associated with higher risk of DM only in female, not in male (hazard ratio for male, 1.057 [95% confidence interval, 0.869 to 1.285]; and for female, 1.218 [95% confidence interval, 1.008 to 1.471]).

Conclusion: In this community-based longitudinal cohort study, a reduction in ∆RHR was associated with a decreased risk of DM, while an increase in ∆RHR was associated with an increased risk of DM only in female.

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静息心率的时间变化与糖尿病风险

研究背景目的：研究随时间变化的静息心率（RHR）和RHR随时间的变化（ΔRHR）与糖尿病（DM）风险之间的关系：我们对韩国基因组与流行病学研究（Korean Genome and Epidemiology Study）的8392名无糖尿病或心房颤动/扑动的参与者进行了评估。对参与者进行了随访，直至 2018 年 12 月 31 日。通过每两年一次的研究内复查更新RHR，并在下一次随访时评估∆RHR，从而计算出随时间变化的∆RHR：中位随访时间为 12.3 年，1345 名参与者（16.2%）患有糖尿病。与 RHR 为 60 至 69 bpm 的人群相比，RHR ≥80 bpm 的男性和女性糖尿病发病率均显著增加。与稳定的 ∆RHR 组相比，∆RHR 下降了≥5 bpm（-5< ∆RHR 结论）：在这项基于社区的纵向队列研究中，∆RHR的降低与糖尿病风险的降低有关，而∆RHR的增加仅与女性糖尿病风险的增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes & Metabolism Journal Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

10.40

自引率

6.80%

发文量

审稿时长

52 weeks

期刊介绍： The aims of the Diabetes & Metabolism Journal are to contribute to the cure of and education about diabetes mellitus, and the advancement of diabetology through the sharing of scientific information on the latest developments in diabetology among members of the Korean Diabetes Association and other international societies. The Journal publishes articles on basic and clinical studies, focusing on areas such as metabolism, epidemiology, pathogenesis, complications, and treatments relevant to diabetes mellitus. It also publishes articles covering obesity and cardiovascular disease. Articles on translational research and timely issues including ubiquitous care or new technology in the management of diabetes and metabolic disorders are welcome. In addition, genome research, meta-analysis, and randomized controlled studies are welcome for publication. The editorial board invites articles from international research or clinical study groups. Publication is determined by the editors and peer reviewers, who are experts in their specific fields of diabetology.