Diabetes mellitus and stroke

Idris, Iskandar; Thomson, GA; Sharma, Jagdish C.

doi:10.1111/j.1368-5031.2006.00682.x

Cited by 105 publications

(80 citation statements)

References 92 publications

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“…Under these conditions of injured vasculature, cold temperature could more seriously affect patients with hyperglycemia. 34 The reason why the effect of hyperglycemia was limited to stroke is still unclear. A cohort study of male Japanese workers found that smoking, even at a low level, increased the risk of cardiovascular death.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Cold Temperature and Cardiovascular Mortality, With Assessment of Effect Modification by Individual Characteristics

Atsumi

Ueda

Irie

et al. 2013

Circ J

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Section: Discussionmentioning

confidence: 99%

Relationship Between Cold Temperature and Cardiovascular Mortality, With Assessment of Effect Modification by Individual Characteristics

Atsumi

Ueda

Irie

et al. 2013

Circ J

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“…Associated dyslipidemia and hypertension also probably contribute (40). Endothelial proliferation and thickening of the basement membrane in small blood vessels lead to increased risk of lacunar infarction (41,42). Increased coagulability and platelet aggregability as well as decreased fibrinolysis in diabetic patients may augment the risk of large-artery infarction (40).…”

Section: Discussionmentioning

confidence: 99%

Prospective Study of Type 1 and Type 2 Diabetes and Risk of Stroke Subtypes

et al. 2007

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OBJECTIVE -The aim of this study was to examine the relationship between type 1 and type 2 diabetes and risk of stroke subtypes in women.RESEARCH DESIGN AND METHODS -We followed 116,316 women aged 30 -55 years in 1976 through 2002 for incidence of stroke. At baseline and through biennial follow-up, women were asked about their history and treatment of diabetes and other potential risk factors for stroke.RESULTS -During 2.87 million person-years of follow-up, 3,463 incident strokes occurred. In multivariate analyses, the incidence of total stroke was fourfold higher in women with type 1 diabetes (relative risk [RR] I n many (1-11) but not all (12-15) epidemiological studies, type 2 diabetes has been an important risk factor for ischemic stroke; however, relative risks (RRs) have varied widely, from 1.3 to 4.9 (1-11). The disparate RRs may be explained in part by differences in populations, definitions of diabetes, types of stroke studied, and analytical methods. The increased risk of stroke has been linked to the pathophysiological changes seen in the cerebral vessels of individuals with diabetes (1). In contrast, the association with hemorrhagic stroke remains controversial; reported associations have been positive (3,5), null (16,17), or even inverse (1,18 -20). Further, only a few small studies have examined the risk of stroke in patients with type 1 diabetes (18 -21), and this relationship remains unsettled. We used the large ongoing Nurses' Health Study to examine the risk of total stroke and its subtypes in women with type 1 or type 2 diabetes. RESEARCH DESIGN AND METHODS Data collectionThe Nurses' Health Study is an ongoing cohort established in 1976 when 121,701 female registered nurses aged 30 -55 years completed a mailed questionnaire on their health status and various lifestyle and behavioral risk factors. Participants complete biennial follow-up questionnaires to update risk factors and report newly diagnosed diseases including stroke. The biennial follow-up rate exceeds 90%, and mortality follow-up is estimated as Ͼ98% complete (22). The human research committees at the Harvard School of Public Health and Brigham and Women's Hospital approved the study. Ascertainment of strokeIncident strokes were defined as the first nonfatal stroke or stroke death occurring after the baseline questionnaire in 1976 but before 1 June 2002. Women who reported a stroke were asked for permission to access their medical records, which were reviewed by a physician without knowledge of the participant's exposure status. Women for whom medical record release was refused or for whom medical records were unavailable were classified as probable if supporting information was provided. Cerebrovascular pathology due to infection, trauma, or malignancy was excluded, as were "silent" strokes discovered only by radiological imaging. Stroke was classified according to criteria established by the National Survey of Stroke (23), which required evidence of a neurological deficit with sudden or rapid onset that persisted for Ͼ24 h or u...

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“…People with diabetes have a particularly high risk of mortality and morbidity from coronary heart disease and stroke (2,3). Moreover, diabetes has been the seventh leading cause of death, and the agestandardized mortality rate for diabetes has increased by 45% from 1987 to 2002 in the U.S. (4).…”

mentioning

confidence: 99%

Clustering of Multiple Healthy Lifestyle Habits and Health-Related Quality of Life Among U.S. Adults With Diabetes

Ford

Mokdad

et al. 2007

Diabetes Care

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OBJECTIVE -We sought to examine the association between clustering of multiple healthy lifestyle habits (HLHs) and health-related quality of life (HRQOL) among adults with diabetes.RESEARCH DESIGN AND METHODS -We analyzed the representative sample of the civilian, noninstitutionalized U.S. population aged Ն18 years with diabetes using data from the 2005 Behavioral Risk Factor Surveillance System (n ϭ 16,428). Four HRQOL measures were general health rating, physically unhealthy days, mentally unhealthy days, and impaired activity days. Three HLHs included not smoking, engaging in adequate leisure time physical activity, and consuming five or more servings of fruits and vegetables per day.RESULTS -The proportion of having 0, 1, 2, and 3 HLHs was 10.5, 44.7, 32.9, and 11.9%, respectively. The age-adjusted prevalence rates of poor or fair health, Ն14 physically unhealthy days, Ն14 mentally unhealthy days, and Ն14 impaired activity days were 43.07, 27.61, 17.22, and 18.87%, respectively. After adjustment for potential confounders and comparison with none of the three HLHs, people with all three HLHs were less likely to report poor or fair health Diabetes is a common chronic disease, affecting ϳ20.6 million or 9.6% of adults aged Ն20 years in the U.S. in 2005 (1). People with diabetes have a particularly high risk of mortality and morbidity from coronary heart disease and stroke (2,3). Moreover, diabetes has been the seventh leading cause of death, and the agestandardized mortality rate for diabetes has increased by 45% from 1987 to 2002 in the U.S. (4). Health-related quality of life (HRQOL) is one of the key indicators for national health in Healthy People 2010 (5). It also is a global measure of perceived health and health burden among people with and without diseases or disabilities (6). Studies have shown that HRQOL is impaired among people with diabetes (7 (12) were associated with a better quality of life among people with diabetes. Little is known about whether clustering of multiple HLHs may be associated with better HRQOL among people with diabetes. The proportion of people who met the recommended levels of all three HLHs was only 5% among those without coronary heart disease and 7% among those with coronary heart disease in the U.S. (22). It is expected that the prevalence of having all three HLHs may be higher among adults with diabetes than in the general population because these healthy habits are important components of disease management (23). The goal of this study was to assess the association between clustering of multiple HLHs and HRQOL among U.S. adults with diabetes in the 2005 Behavioral Risk Factor Surveillance System (BRFSS).•

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Diabetes mellitus and stroke

Cited by 105 publications

References 92 publications

Relationship Between Cold Temperature and Cardiovascular Mortality, With Assessment of Effect Modification by Individual Characteristics

Relationship Between Cold Temperature and Cardiovascular Mortality, With Assessment of Effect Modification by Individual Characteristics

Prospective Study of Type 1 and Type 2 Diabetes and Risk of Stroke Subtypes

Clustering of Multiple Healthy Lifestyle Habits and Health-Related Quality of Life Among U.S. Adults With Diabetes

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