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HbA(1c) measured in stored erythrocytes and mortality rate among middle-aged and older women.

HbA(1c) measured in stored erythrocytes and mortality rate among middle-aged and older women. Research Abstract Details 

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  • HbA(1c) measured in stored erythrocytes and mortality rate among middle-aged and older women. Abstract Text:

    e b levitanE B Levitan,s liuS Liu,m j stampferM J Stampfer,n r cookN R Cook,k m rexrodeK M Rexrode,p m ridkerP M Ridker,j e buringJ E Buring,j e mansonJ E Manson,

    AIMS/HYPOTHESIS: Diabetes is known to increase mortality rate, but the degree to which mild hyperglycaemia may be associated with the risk of death is uncertain. We examined the association between HbA(1c) measured in stored erythrocytes and mortality rate in women with and without diabetes. METHODS: We conducted a cohort study of 27,210 women >/= 45 years old with no history of cardiovascular disease or cancer who participated in the Women's Health Study, a randomised trial of vitamin E and aspirin. RESULTS: Over a median of 10 years of follow-up, 706 women died. Proportional hazards models adjusted for age, smoking, hypertension, blood lipids, exercise, postmenopausal hormone use, multivitamin use and C-reactive protein were used to estimate the relative risk of mortality. Among women without a diagnosis of diabetes and HbA(1c) <5.60%, those in the top quintile (HbA(1c) 5.19-5.59%) had a relative risk of mortality of 1.28 (95% CI 0.98-1.69, p value for linear trend = 0.14) compared with those with HbA(1c) 2.27-4.79%. Women with HbA(1c) 5.60-5.99% and no diagnosis of diabetes had a 54% increased risk of mortality (95% CI 1-136%) compared with those with HbA(1c) 2.27-4.79%. HbA(1c) was significantly associated with mortality across the range 4.50-7.00% (p value for linear trend = 0.02); a test of deviation from linearity was not statistically significant (p = 0.67). Diabetic women had more than twice the mortality risk of non-diabetic women. CONCLUSIONS/INTERPRETATION: This study provides further evidence that chronic mild hyperglycaemia, even in the absence of diagnosed diabetes, is associated with increased risk of mortality. ClinicalTrials.gov ID no.: NCT00000479.

    HbA(1c) measured in stored erythrocytes and mortality rate among middle-aged and older women. Publishing Authors By Initials

    eb levitanEB Levitan,s liuS Liu,mj stampferMJ Stampfer,nr cookNR Cook,km rexrodeKM Rexrode,pm ridkerPM Ridker,je buringJE Buring,je mansonJE Manson,

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    HbA(1c) measured in stored erythrocytes and mortality rate among middle-aged and older women. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Diabetologia

    VOLUME: 51

    Page Numbers: 267-75

    Journal Abbreviation: Diabetologia

    ISSN: 0012-186X

    DAY: 28

    MONTH: 11

    YEAR: 2007

    HbA(1c) measured in stored erythrocytes and mortality rate among middle-aged and older women. Information

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    LANGUAGE: eng

    NlmUniqueID: 6777

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    AFFILIATION: Cardiovascular Epidemiology Research Unit, Beth Israel Deaconess Medical Center, 375 Longwood Avenue, MS 443, Boston, MA, 02215, USA, elevitan@bidmc.harvard.edu.

    Country: Germany

    Germany Research PublicationGermany Research Publication

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    MEDLINETA: Diabetologia

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