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Prospective investigation of autonomic nervous system function and the development of type 2 diabetes: the Atherosclerosis Risk In Communities study, 1987-1998.

TitleProspective investigation of autonomic nervous system function and the development of type 2 diabetes: the Atherosclerosis Risk In Communities study, 1987-1998.
Publication TypeJournal Article
Year of Publication2003
AuthorsCarnethon MR, Golden SH, Folsom AR, Haskell W, Liao D
JournalCirculation
Volume107
Issue17
Pagination2190-5
Date Published2003 May 06
ISSN1524-4539
KeywordsArteriosclerosis, Autonomic Nervous System, Diabetes Mellitus, Type 2, Disease-Free Survival, Female, Heart Rate, Humans, Incidence, Male, Middle Aged, Prospective Studies, Risk Factors
Abstract

BACKGROUND: Autonomic nervous system (ANS) dysfunction has been correlated with fasting insulin and glucose, independent of clinically diagnosed diabetes. We tested whether men and women (aged 45 to 64 years) from the Atherosclerosis Risk In Communities study (n=8185) with ANS dysfunction, estimated by high heart rate (HR) and low HR variability (HRV), were at increased risk for developing type 2 diabetes.

METHODS AND RESULTS: Supine HR and HRV indices were measured for 2 minutes at baseline; indices were divided into quartiles for analyses. From 1987 to 1998 (mean follow-up 8.3 years), there were 1063 cases of incident diabetes. The relative risk (RR) of developing diabetes for participants with low-frequency (LF) power (0.04 to 0.15 Hz) HRV in the lowest quartile ( or =38.9 ms2) was 1.2 (95% CI 1.0-1.4) after adjustment for age, race, sex, study center, education, alcohol drinking, current smoking, prevalent coronary heart disease, physical activity, and body mass index. Participants in the uppermost (>72.7 bpm) versus the lowest (

CONCLUSIONS: These findings suggest that ANS dysfunction may be associated with the development of diabetes in healthy adults.

DOI10.1161/01.CIR.0000066324.74807.95
Alternate JournalCirculation
PubMed ID12695289
Grant List1 K01 HL73249-01 / HL / NHLBI NIH HHS / United States