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Trajectory of lung function in diabetic adults: A 16-year follow-up study of community-based prospective cohorts

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dc.contributor.authorChoi, W-
dc.contributor.authorMoon, JH-
dc.contributor.authorChoi, H-
dc.contributor.authorLee, H-
dc.contributor.authorKim, HK-
dc.contributor.authorKang, HC-
dc.contributor.authorCho, NH-
dc.date.accessioned2024-06-19T07:06:58Z-
dc.date.available2024-06-19T07:06:58Z-
dc.date.issued2024-
dc.identifier.issn1323-7799-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/32519-
dc.description.abstractBackground and Objective: To investigate the difference in lung function according to diabetes status in a community-based prospective study. Methods: Individuals aged 40–69 years from two community-based cohorts were followed prospectively for 16 years. A spirometer was used to evaluate lung function at baseline, and lung function tests were carried out biennially thereafter. Multivariable linear regression analysis was performed for the cross-sectional and longitudinal analyses based on diabetes status. Results: Among the 6483 subjects, 2114 (32.6%) had prediabetes and 671 (10.4%) had diabetes. The prediabetes and diabetes groups had lower baseline % predicted values of forced expiratory volume in 1 s (FEV1) (mean, −1.853; 95% confidence interval [CI] –2.715 to −0.990 for prediabetes and mean, −4.088; 95% CI –5.424 to −2.752 for diabetes) and forced vital capacity (FVC) (mean, −2.087; 95% CI –2.837 to −1.337 for prediabetes and mean, −4.622; 95% CI –5.784 to −3.460 for diabetes) compared to the normoglycemia group after adjusting for relevant covariates. The rate of decline in FEV1% predicted (mean, −0.227; 95% CI –0.366 to −0.089) and FVC % predicted (mean, −0.232; 95% CI –0.347 to −0.117) during follow-up were faster in the diabetes group than in the normoglycemia group. The diabetes group had a lower proportion of normal ventilation (ptrend = 0.048) and higher proportions of restrictive (ptrend = 0.001) and mixed (ptrend = 0.035) ventilatory disorders at the last follow-up. Conclusion: Diabetes is associated with a lower baseline lung function and a faster rate of deterioration.-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHCross-Sectional Studies-
dc.subject.MESHDiabetes Mellitus-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHForced Expiratory Volume-
dc.subject.MESHHumans-
dc.subject.MESHLung-
dc.subject.MESHPrediabetic State-
dc.subject.MESHProspective Studies-
dc.subject.MESHVital Capacity-
dc.titleTrajectory of lung function in diabetic adults: A 16-year follow-up study of community-based prospective cohorts-
dc.typeArticle-
dc.identifier.pmid38185765-
dc.subject.keywordcommunity-based-
dc.subject.keyworddiabetes-
dc.subject.keywordlung function trajectory-
dc.subject.keywordprospective study-
dc.contributor.affiliatedAuthorCho, NH-
dc.type.localJournal Papers-
dc.identifier.doi10.1111/resp.14658-
dc.citation.titleRespirology (Carlton, Vic.)-
dc.citation.volume29-
dc.citation.number5-
dc.citation.date2024-
dc.citation.startPage413-
dc.citation.endPage420-
dc.identifier.bibliographicCitationRespirology (Carlton, Vic.), 29(5). : 413-420, 2024-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1440-1843-
dc.relation.journalidJ013237799-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Preventive Medicine & Public Health
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