Jul 4, 2006

Relation between age and cardiovascular disease in men and women with diabetes compared with non-diabetic people: a population-based retrospective cohort study

Lancet
Gillian L BoothJack V Tu

Abstract

Adults with diabetes are thought to have a high risk of cardiovascular disease (CVD), irrespective of their age. The main aim of this study was to find out the age at which people with diabetes develop a high risk of CVD, as defined by: an event rate equivalent to a 10-year risk of 20% or more; or an event rate equivalent to that associated with previous myocardial infarction. We did a population-based retrospective cohort study using provincial health claims to identify all adults with (n=379,003) and (n=9,018,082) without diabetes mellitus living in Ontario, Canada, on April 1, 1994. Individuals were followed up to record CVD events until March 31, 2000. The transition to a high-risk category occurred at a younger age for men and women with diabetes than for those without diabetes (mean difference 14.6 years). For the outcome of acute myocardial infarction (AMI), stroke, or death from any cause, diabetic men and women entered the high-risk category at ages 47.9 and 54.3 years respectively. When we used a broader definition of CVD that also included coronary or carotid revascularisation, the ages were 41.3 and 47.7 years for men and women with diabetes respectively. Diabetes confers an equivalent risk to ageing 15 years. Howev...Continue Reading

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  • Citations253

Citations

Mentioned in this Paper

Diabetes Mellitus, Non-Insulin-Dependent
Enzyme Inhibitor Drugs
Myocardial Infarction
Cardiovascular Diseases
Angiotensins
Population Surveillance
Vascular Diseases
Repeated Rounds of Survey
Diabetes Mellitus, Insulin-Dependent
Aging

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