Diabetes as a Risk Factor for Stroke in Women Compared With Men: A Systematic Review and Meta-Analysis of 64 Cohorts, Including 775,385 Individuals and 12,539 Strokes

Johnson, Skylar

doi:10.1016/j.jemermed.2014.07.011

Cited by 3 publications

(2 citation statements)

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“…However, it remains uncertain as to whether this goal has been achieved. Previous systematic reviews have investigated diabetes as a risk factor for stroke [9][10][11][12][13][14]. Several studies identified marked differences in incidence and RR of stroke in people with diabetes compared to the population without diabetes [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Incidence of Stroke in People With Diabetes Compared to Those Without Diabetes: A Systematic Review

Kvitkina

Narres

Claessen

et al. 2023

Exp Clin Endocrinol Diabetes

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Background: One of the goals of the St. Vincent Declaration was to reduce serious complications of diabetes, including strokes. However, it remains uncertain whether this goal has been achieved. Study aim: The aim of our review was to evaluate the incidence of stroke in the diabetic population and its differences regarding sex, ethnicities, age and regions, to compare the incidence rate (IR) in people with and without diabetes, and to investigate time trends. Materials and methods: A systematic review was conducted according to the guidelines for meta-analysis of observational studies in epidemiology (the MOOSE group) and to the PRISMA group guidelines. Results: Nineteen of the 6.470 studies retrieved were included in the analysis. The incidence of stroke in the population with diabetes ranged from 238 per 100,000 person-years (PYs) in Germany in 2014 to 1191 during the 1990s in the United Kingdom. The RR comparing people with diabetes to those without diabetes varied between 1.0 and 2.84 for total stroke, 1.0 and 3.7 for ischemic stroke, and 0.68 and 1.6 for hemorrhagic stroke. Significant differences were found between fatal and non-fatal stroke depending on the time period and the population. We found decreasing time trends in people with diabetes and stable incidence rates of stroke over time in people without diabetes. Conclusion: The considerable differences between results can partly be explained by differences in study designs, statistical methods, definitions of stroke, and methods used to identify patients with diabetes. The lack of evidence arising from these differences ought to be rectified by new studies.

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Section: Introductionmentioning

confidence: 99%

Incidence of Stroke in People With Diabetes Compared to Those Without Diabetes: A Systematic Review

Kvitkina

Narres

Claessen

et al. 2023

Exp Clin Endocrinol Diabetes

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“…The association between diabetes mellitus (DM) and stroke risk differs between sexes. A systematic review of 64 cohort studies representing 775 385 individuals and 12 539 strokes revealed associated with DM was 2.28 (95% CI 1.93-2.69) in women and 1.83 (1.60-2.08) in men47 .The group belonging to modifiable risks needs an incentive and support for lifestyle change.Atrial fibrillation (AF) is one of the most common forms of abnormal heart rhythm (arrhythmia) and a major cause of stroke. Thus,patients with arrhythmia are five times more likely to have a stroke.…”

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confidence: 99%

Stroke management and quality of care in low and middle-income countries: an integrative literature review

Godoi

Vianna

Santos

2020

BJD

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Association of Parity with Type 2 Diabetes Mellitus Prevalence in Japan: The Tohoku Medical Megabank Community-Based Cohort Study

Wang,

Iwama,

Yuwaki

et al. 2023

Preprint

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This study investigates the association between parity and type 2 diabetes mellitus (T2DM) prevalence in Japanese women, considering the clinical history of gestational diabetes mellitus (GDM) and menopausal status, which are known risk factors for T2DM. Overall, 30,116 Japanese women (6,588 premenopausal and 23,528 postmenopausal) were included in this cross-sectional study. They were divided into two groups according to menopausal status (premenopausal and postmenopausal women), and the association between parity and T2DM prevalence was evaluated using a multiple logistic regression model with possible confounders, including a clinical history of GDM. The association between parity and T2DM prevalence was not statistically significant in premenopausal women. In contrast, a linear graded association between parity and T2DM prevalence was found in postmenopausal women. Furthermore, the association between parity and T2DM prevalence in postmenopausal women was attenuated after adjusting for body weight gain after the age of 20 years. A clinical history of GDM was significantly associated with a high risk for T2DM, regardless of adjustment for body weight gain after the age of 20 years in both premenopausal and postmenopausal women. Parity is associated with an increased risk of T2DM in postmenopausal women but not in premenopausal women. Maintaining appropriate body weight would be beneficial in attenuating the risk of T2DM in postmenopausal women. A clinical history of GDM is a risk factor for T2DM in both pre- and postmenopausal women; therefore, women with a clinical history of GDM require continuous medical care to survey for T2DM.

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Diabetes as a Risk Factor for Stroke in Women Compared With Men: A Systematic Review and Meta-Analysis of 64 Cohorts, Including 775,385 Individuals and 12,539 Strokes

Cited by 3 publications

References 0 publications

Incidence of Stroke in People With Diabetes Compared to Those Without Diabetes: A Systematic Review

Incidence of Stroke in People With Diabetes Compared to Those Without Diabetes: A Systematic Review

Stroke management and quality of care in low and middle-income countries: an integrative literature review

Association of Parity with Type 2 Diabetes Mellitus Prevalence in Japan: The Tohoku Medical Megabank Community-Based Cohort Study

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