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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
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TitleIndependent and combined associations of abdominal obesity and seated resting heart rate with type 2 diabetes among older Chinese: The Guangzhou Biobank Cohort Study
 
AuthorsÓ Hartaigh, B3
Jiang, CQ2
Bosch, JA3
Zhang, WS2
Cheng, KK3
Lam, TH1
Thomas, GN3
 
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
 
CitationDiabetes/Metabolism Research And Reviews, 2011, v. 27 n. 3, p. 298-306 [How to Cite?]
DOI: http://dx.doi.org/10.1002/dmrr.1178
 
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.
 
ISSN1520-7552
 
DOIhttp://dx.doi.org/10.1002/dmrr.1178
 
ISI Accession Number IDWOS:000288034300012
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).

 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorÓ Hartaigh, B
 
dc.contributor.authorJiang, CQ
 
dc.contributor.authorBosch, JA
 
dc.contributor.authorZhang, WS
 
dc.contributor.authorCheng, KK
 
dc.contributor.authorLam, TH
 
dc.contributor.authorThomas, GN
 
dc.date.accessioned2011-05-11T08:32:24Z
 
dc.date.available2011-05-11T08:32:24Z
 
dc.date.issued2011
 
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.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationDiabetes/Metabolism Research And Reviews, 2011, v. 27 n. 3, p. 298-306 [How to Cite?]
DOI: http://dx.doi.org/10.1002/dmrr.1178
 
dc.identifier.doihttp://dx.doi.org/10.1002/dmrr.1178
 
dc.identifier.epage306
 
dc.identifier.hkuros185058
 
dc.identifier.isiWOS:000288034300012
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).

 
dc.identifier.issn1520-7552
 
dc.identifier.issue3
 
dc.identifier.openurl
 
dc.identifier.pmid21309059
 
dc.identifier.scopuseid_2-s2.0-79952129154
 
dc.identifier.spage298
 
dc.identifier.urihttp://hdl.handle.net/10722/133344
 
dc.identifier.volume27
 
dc.languageeng
 
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/10009394
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofDiabetes/Metabolism Research and Reviews
 
dc.relation.referencesReferences in Scopus
 
dc.rightsDiabetes - Metabolism: Research and Reviews. Copyright © John Wiley & Sons Ltd.
 
dc.subjectAbdominal obesity
 
dc.subjectChinese
 
dc.subjectHeart rate
 
dc.subjectType 2 diabetes
 
dc.titleIndependent and combined associations of abdominal obesity and seated resting heart rate with type 2 diabetes among older Chinese: The Guangzhou Biobank Cohort Study
 
dc.typeArticle
 
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<description.abstract>Background: 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 (&#8805;90/&#8805; 80 cm in men/women) and the 75% cut-off point for seated resting heart rate (&#8805;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 &lt; 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 &#8805; 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. &#169; 2011 John Wiley &amp; Sons, Ltd.</description.abstract>
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Author Affiliations
  1. The University of Hong Kong
  2. Guangzhou No. 12 Hospital
  3. University of Birmingham