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Sökning: WFRF:(Arriola Larraitz) > HbA(1c) Measured in...

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FältnamnIndikatorerMetadata
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008171212s2012 sw |||| o |||| ||eng c
024a http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-573632 uri
024a urn:nbn:se:umu:diva-573632 urn
024a 10.1371/journal.pone.00388772 doi
040 a S
041a eng
042 9 EPLK
100a Sluik, Diewertje4 aut
2451 0a HbA(1c) Measured in Stored Erythrocytes Is Positively Linearly Associated with Mortality in Individuals with Diabetes Mellitush [Elektronisk resurs]
260 c 2012
500 a Published
506a gratis
520 a Introduction: Observational studies have shown that glycated haemoglobin (HbA(1c)) is related to mortality, but the shape of the association is less clear. Furthermore, disease duration and medication may modify this association. This observational study explored the association between HbA(1c) measured in stored erythrocytes and mortality. Secondly, it was assessed whether disease duration and medication use influenced the estimates or were independently associated with mortality. Methods: Within the European Prospective Investigation into Cancer and Nutrition a cohort was analysed of 4,345 individuals with a confirmed diagnosis of diabetes at enrolment. HbA(1c) was measured in blood samples stored up to 19 years. Multivariable Cox proportional hazard regression models for all-cause mortality investigated HbA(1c) in quartiles as well as per 1% increment, diabetes medication in seven categories of insulin and oral hypoglycaemic agents, and disease duration in quartiles. Results: After a median follow-up of 9.3 years, 460 participants died. Higher HbA(1c) was associated with higher mortality: Hazard Ratio for 1%-increase was 1.11 (95% CI 1.06, 1.17). This association was linear (P-nonlinearity = 0.15) and persistent across categories of medication use, disease duration, and co-morbidities. Compared with metformin, other medication types were not associated with mortality. Longer disease duration was associated with mortality, but not after adjustment for HbA(1c) and medication. Conclusion: This prospective study showed that persons with lower HbA(1c) had better survival than those with higher HbA(1c). The association was linear and independent of disease duration, type of medication use, and presence of co-morbidities. Any improvement of HbA(1c) appears to be associated with reduced mortality risk.
650 7a Medical and Health Sciences2 hsv
650 7a Clinical Medicine2 hsv
650 7a Endocrinology and Diabetes2 hsv
650 7a Medicin och hälsovetenskap2 hsv
650 7a Klinisk medicin2 hsv
650 7a Endokrinologi och diabetes2 hsv
700a Boeing, Heiner4 aut
700a Montonen, Jukka4 aut
700a Kaaks, Rudolf4 aut
700a Lukanova, Annekatrin4 aut
700a Sandbaek, Annelli4 aut
700a Overvad, Kim4 aut
700a Arriola, Larraitz4 aut
700a Ardanaz, Eva4 aut
700a Saieva, Calogero4 aut
700a Grioni, Sara4 aut
700a Tumino, Rosario4 aut
700a Sacerdote, Carlotta4 aut
700a Mattiello, Amalia4 aut
700a Spijkerman, Annemieke M. W.4 aut
700a van der A, Daphne L.4 aut
700a Beulens, Joline W. J.4 aut
700a van Dieren, Susan4 aut
700a Nilsson, Peter M.4 aut
700a Groop, Leif C.4 aut
700a Franks, Paul W.4 aut
700a Rolandsson, Olov4 aut
700a Bueno-de-Mesquita, Bas4 aut
700a Noethlings, Ute4 aut
7101 2a Umeå universitetb Medicinska fakulteten4 pbl0 268483
7101 2a Umeå universitetb Medicinska fakulteten4 pbl0 268483
7101 2a Umeå universitetb Medicinska fakulteten4 pbl0 268483
7721 8i channel recordw 18813935
7730 8i Värdpublikationt PLoS ONEg 7:6, e38877x 1932-6203
8564 0u http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-57363
8564 0u http://dx.doi.org/10.1371/journal.pone.0038877
8564 0u http://umu.diva-portal.org/smash/get/diva2:541420/FULLTEXT02
9102 s6 710,710,710a Umeå universitet.b Medicinsk-odontologiska fakultetenu Umeå universitet.b Medicinska fakulteten
9102 s6 710,710,710a Medicinska fakulteten vid Umeå universitetu Umeå universitet.b Medicinska fakulteten
841 5 APISa x ab 171212||0000|||||001||||||000000e 1
0245 APISa urn:nbn:se:umu:diva-573632 urn
852 5 APISb APIS
8564 05 APISu http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-57363

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