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Article: Independent and combined associations of abdominal obesity and seated resting heart rate with type 2 diabetes among older Chinese: The Guangzhou Biobank Cohort Study

TitleIndependent and combined associations of abdominal obesity and seated resting heart rate with type 2 diabetes among older Chinese: The Guangzhou Biobank Cohort Study
Authors
KeywordsAbdominal obesity
Chinese
Heart rate
Type 2 diabetes
Issue Date2011
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/10009394
Citation
Diabetes/Metabolism Research And Reviews, 2011, v. 27 n. 3, p. 298-306 How to Cite?
AbstractBackground: Central obesity and poor physical fitness predict the development of type 2 diabetes and cardiovascular mortality among Caucasian populations. We studied the independent and combined effect of abdominal obesity and seated resting heart rate used as an indicator of physical fitness, on the presence of type 2 diabetes among 30 519 older residents of Guangzhou, Southern China. Methods: Participants were stratified into four groups, based on the Asian criteria for abdominal obesity (≥90/≥ 80 cm in men/women) and the 75% cut-off point for seated resting heart rate (≥83 beats per min). The association with type 2 diabetes was assessed using multivariable logistic regression. Results: A total of 3777 (12.7%) volunteers were diagnosed with type 2 diabetes, which was independently associated with seated resting heart rate and, in particular, increasing levels of abdominal obesity (p < 0.001). An odds ratio of 3.93 (95% confidence interval = 3.48-4.43) was identified for type 2 diabetes in participants who were obese with a seated resting heart rate ≥ 83 beats per min after adjusting for potential confounders. +Conclusions: Higher seated resting heart rate, a marker of poor physical fitness, independently doubles the risk of type 2 diabetes. The strength of this association is further increased when abdominal obesity is considered. © 2011 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/133344
ISSN
2014 Impact Factor: 3.553
2014 SCImago Journal Rankings: 1.289
ISI Accession Number ID
Funding AgencyGrant Number
University of Hong Kong Foundation for Educational Development and Research, Hong Kong
Guangzhou Public Health Bureau
Guangzhou Science and Technology Bureau, Guangzhou, China
University of Birmingham, UK
Funding Information:

The Guangzhou Biobank Cohort Study was funded by the University of Hong Kong Foundation for Educational Development and Research, Hong Kong; the Guangzhou Public Health Bureau and the Guangzhou Science and Technology Bureau, Guangzhou, China; and the University of Birmingham, UK. We thank the Guangzhou Health and Happiness Association for the Respectable Elders for recruiting the participants. The Guangzhou Biobank Cohort Study investigators include the Guangzhou Number 12 People's Hospital: W. S. Zhang, M. Cao, T. Zhu, B. Liu and C. Q. Jiang (Co-PI); the University of Hong Kong: C. M. Schooling, S. M. McGhee, R. F. Fielding, G. M. Leung and T. H. Lam (Co-PI) and the University of Birmingham: G. N. Thomas, P. Adab and K. K. Cheng (Co-PI).

References

 

DC FieldValueLanguage
dc.contributor.authorÓ Hartaigh, Ben_HK
dc.contributor.authorJiang, CQen_HK
dc.contributor.authorBosch, JAen_HK
dc.contributor.authorZhang, WSen_HK
dc.contributor.authorCheng, KKen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorThomas, GNen_HK
dc.date.accessioned2011-05-11T08:32:24Z-
dc.date.available2011-05-11T08:32:24Z-
dc.date.issued2011en_HK
dc.identifier.citationDiabetes/Metabolism Research And Reviews, 2011, v. 27 n. 3, p. 298-306en_HK
dc.identifier.issn1520-7552en_HK
dc.identifier.urihttp://hdl.handle.net/10722/133344-
dc.description.abstractBackground: Central obesity and poor physical fitness predict the development of type 2 diabetes and cardiovascular mortality among Caucasian populations. We studied the independent and combined effect of abdominal obesity and seated resting heart rate used as an indicator of physical fitness, on the presence of type 2 diabetes among 30 519 older residents of Guangzhou, Southern China. Methods: Participants were stratified into four groups, based on the Asian criteria for abdominal obesity (≥90/≥ 80 cm in men/women) and the 75% cut-off point for seated resting heart rate (≥83 beats per min). The association with type 2 diabetes was assessed using multivariable logistic regression. Results: A total of 3777 (12.7%) volunteers were diagnosed with type 2 diabetes, which was independently associated with seated resting heart rate and, in particular, increasing levels of abdominal obesity (p < 0.001). An odds ratio of 3.93 (95% confidence interval = 3.48-4.43) was identified for type 2 diabetes in participants who were obese with a seated resting heart rate ≥ 83 beats per min after adjusting for potential confounders. +Conclusions: Higher seated resting heart rate, a marker of poor physical fitness, independently doubles the risk of type 2 diabetes. The strength of this association is further increased when abdominal obesity is considered. © 2011 John Wiley & Sons, Ltd.en_HK
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/10009394en_HK
dc.relation.ispartofDiabetes/Metabolism Research and Reviewsen_HK
dc.rightsDiabetes - Metabolism: Research and Reviews. Copyright © John Wiley & Sons Ltd.-
dc.subjectAbdominal obesityen_HK
dc.subjectChineseen_HK
dc.subjectHeart rateen_HK
dc.subjectType 2 diabetesen_HK
dc.titleIndependent and combined associations of abdominal obesity and seated resting heart rate with type 2 diabetes among older Chinese: The Guangzhou Biobank Cohort Studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1520-7552&volume=27&issue=3&spage=298&epage=306&date=2011&atitle=Independent+and+combined+associations+of+abdominal+obesity+and+seated+resting+heart+rate+with+type+2+diabetes+among+older+Chinese:+the+Guangzhou+Biobank+Cohort+Study-
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/dmrr.1178en_HK
dc.identifier.pmid21309059en_HK
dc.identifier.scopuseid_2-s2.0-79952129154en_HK
dc.identifier.hkuros185058en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79952129154&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume27en_HK
dc.identifier.issue3en_HK
dc.identifier.spage298en_HK
dc.identifier.epage306en_HK
dc.identifier.isiWOS:000288034300012-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridÓ Hartaigh, B=41862323700en_HK
dc.identifier.scopusauthoridJiang, CQ=10639500500en_HK
dc.identifier.scopusauthoridBosch, JA=35236063200en_HK
dc.identifier.scopusauthoridZhang, WS=39862329800en_HK
dc.identifier.scopusauthoridCheng, KK=7402997800en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridThomas, GN=35465269900en_HK

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