2004
DOI: 10.2337/diacare.27.9.2211
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Lower Toenail Chromium in Men With Diabetes and Cardiovascular Disease Compared With Healthy Men

Abstract: OBJECTIVE -Chromium may improve insulin sensitivity, which can modify the risk of diabetes and cardiovascular disease (CVD). Therefore, we evaluated the association between toenail chromium and CVD in diabetic men.RESEARCH DESIGN AND METHODS -We performed cross-sectional and nested case-control analyses among men aged 40 -75 years within the Health Professionals Follow-up Study. The cross-sectional analysis compared men with diabetes only (n ϭ 688), diabetes with prevalent CVD (n ϭ 198), and healthy control su… Show more

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Cited by 94 publications
(88 citation statements)
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References 26 publications
(16 reference statements)
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“…Results from some trials [54] have indicated that Cr supplementation increases muscle gain and fat loss associated with exercise and improvesglucose metabolism and the serum lipid profile in patients with or without diabetes. Most of the patients under study have cardiac problems, which is consistent with other studies,who reported that low Cr concentrations and the associated impairments in insulin, glucose and lipid metabolism resulting in increased cardiovascular risk [55,56]. Insulinresistant diabetic patients responded well to oral doses of Mn [57].…”
Section: Discussionsupporting
confidence: 77%
“…Results from some trials [54] have indicated that Cr supplementation increases muscle gain and fat loss associated with exercise and improvesglucose metabolism and the serum lipid profile in patients with or without diabetes. Most of the patients under study have cardiac problems, which is consistent with other studies,who reported that low Cr concentrations and the associated impairments in insulin, glucose and lipid metabolism resulting in increased cardiovascular risk [55,56]. Insulinresistant diabetic patients responded well to oral doses of Mn [57].…”
Section: Discussionsupporting
confidence: 77%
“…Epidemiological studies suggest an inverse association between chromium levels in toenails and the risk of myocardial infarction in the general population (45). The Health Professionals Follow-up Study has found lower levels of toenail chromium among men with diabetes and CVD compared with those of healthy control subjects (46). Concentrations of chromium in the blood, lenses and toenails are lower in diabetes compared with those of the normal population (14,16,46).…”
Section: Discussionmentioning
confidence: 99%
“…The quality and quantity of macronutrients (especially fat and carbohydrates) are known to have an impact on the risk of type 2 diabetes; however, the role of micronutrients is not well established (1). Several studies have suggested a possible role of minerals such as magnesium (2,3), chromium (4,5), calcium (6), and iron (7) in insulin resistance or diabetes.…”
mentioning
confidence: 99%