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Diabetes and Modifiable Risk Factors for Cardiovascular Disease: The Prospective Million Women Study

To compare the effect of potentially modifiable lifestyle factors on the incidence of vascular disease in women with and without diabetes. In 1996-2001 over one million middle-aged women in the UK joined a prospective study, providing medical history, lifestyle and sociodemographic information. All... Full description

Journal Title: European journal of epidemiology 2008, Vol.23 (12), p.793-799
Main Author: Spencer, Elizabeth A
Other Authors: Pirie, Kirstin L , Stevens, Richard J , Beral, Valerie , Brown, Anna , Liu, Bette , Green, Jane , Reeves, Gillian K
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Dordrecht: Springer
ID: ISSN: 0393-2990
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recordid: cdi_proquest_miscellaneous_69948241
title: Diabetes and Modifiable Risk Factors for Cardiovascular Disease: The Prospective Million Women Study
format: Article
creator:
  • Spencer, Elizabeth A
  • Pirie, Kirstin L
  • Stevens, Richard J
  • Beral, Valerie
  • Brown, Anna
  • Liu, Bette
  • Green, Jane
  • Reeves, Gillian K
subjects:
  • Age Distribution
  • Aged
  • Biological and medical sciences
  • Blood circulation disorders
  • Body mass index
  • Cardiology
  • Cardiovascular Disease
  • Cardiovascular Diseases
  • Coronary artery disease
  • Coronary Disease - complications
  • Coronary Disease - epidemiology
  • Coronary heart disease
  • Diabetes
  • Diabetes Complications - epidemiology
  • Diabetes Mellitus - drug therapy
  • Diabetes Mellitus - epidemiology
  • Diabetes. Impaired glucose tolerance
  • Diabetic angiopathies
  • Diabetics
  • Endocrine pancreas. Apud cells (diseases)
  • Endocrinopathies
  • Epidemiology
  • Etiopathogenesis. Screening. Investigations. Target tissue resistance
  • Female
  • Health behavior
  • Hospital admissions
  • Humans
  • Hypoglycemic Agents - therapeutic use
  • Incidence
  • Infectious Diseases
  • Insulin
  • Insulin - therapeutic use
  • Life Style
  • Medical Record Linkage
  • Medical research
  • Medical sciences
  • Medicine
  • Medicine & Public Health
  • Medicine, Experimental
  • Middle Aged
  • Miscellaneous
  • Oncology
  • Proportional Hazards Models
  • Prospective Studies
  • Public Health
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • Risk Factors
  • Smoking - adverse effects
  • Smoking - epidemiology
  • Stroke - complications
  • Stroke - epidemiology
  • Strokes
  • Surveys and Questionnaires
  • Tobacco, tobacco smoking
  • Toxicology
  • Type 1 diabetes mellitus
  • Type 2 diabetes mellitus
  • United Kingdom - epidemiology
  • Womens health
ispartof: European journal of epidemiology, 2008, Vol.23 (12), p.793-799
description: To compare the effect of potentially modifiable lifestyle factors on the incidence of vascular disease in women with and without diabetes. In 1996-2001 over one million middle-aged women in the UK joined a prospective study, providing medical history, lifestyle and sociodemographic information. All participants were followed for hospital admissions and deaths using electronic recordlinkage. Adjusted relative risks (RRs) and incidence rates were calculated to compare the incidence of coronary heart disease and stroke in women with and without diabetes and by lifestyle factors. At recruitment 25,915 women (2.1% of 1,242,338) reported current treatment for diabetes. During a mean follow-up of 6.1 years per woman, 21,928 had a first hospital admission or death from coronary heart disease ( RR for women with versus without diabetes = 3.30, 95% CI 3.14-3.47) and 7,087 had a first stroke (RR = 2.47, 95% CI 2.24- 2.74). Adjusted incidence rates of these conditions in women with diabetes increased with duration of diabetes, obesity, inactivity and smoking. The 5-year adjusted incidence rates for cardiovascular disease were 4.6 (95% CI 4.4-4.9) per 100 women aged 50-69 in non-smokers with diabetes, 5.9 (95% CI 4.6- 7.6) in smokers with diabetes not using insulin and 11.0 (95% CI 8.3- 14.7) in smokers with diabetes using insulin. Nonsmoking women with diabetes who were not overweight or inactive still had threefold increased rate for coronary disease or stroke compared with women without diabetes. Of the modifiable factors examined in middle aged women with diabetes, smoking causes the greatest increase in cardiovascular disease, especially in those with insulin treated diabetes.
language: eng
source:
identifier: ISSN: 0393-2990
fulltext: no_fulltext
issn:
  • 0393-2990
  • 1573-7284
url: Link


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titleDiabetes and Modifiable Risk Factors for Cardiovascular Disease: The Prospective Million Women Study
creatorSpencer, Elizabeth A ; Pirie, Kirstin L ; Stevens, Richard J ; Beral, Valerie ; Brown, Anna ; Liu, Bette ; Green, Jane ; Reeves, Gillian K
creatorcontribSpencer, Elizabeth A ; Pirie, Kirstin L ; Stevens, Richard J ; Beral, Valerie ; Brown, Anna ; Liu, Bette ; Green, Jane ; Reeves, Gillian K ; Million Women Study Collaborators
descriptionTo compare the effect of potentially modifiable lifestyle factors on the incidence of vascular disease in women with and without diabetes. In 1996-2001 over one million middle-aged women in the UK joined a prospective study, providing medical history, lifestyle and sociodemographic information. All participants were followed for hospital admissions and deaths using electronic recordlinkage. Adjusted relative risks (RRs) and incidence rates were calculated to compare the incidence of coronary heart disease and stroke in women with and without diabetes and by lifestyle factors. At recruitment 25,915 women (2.1% of 1,242,338) reported current treatment for diabetes. During a mean follow-up of 6.1 years per woman, 21,928 had a first hospital admission or death from coronary heart disease ( RR for women with versus without diabetes = 3.30, 95% CI 3.14-3.47) and 7,087 had a first stroke (RR = 2.47, 95% CI 2.24- 2.74). Adjusted incidence rates of these conditions in women with diabetes increased with duration of diabetes, obesity, inactivity and smoking. The 5-year adjusted incidence rates for cardiovascular disease were 4.6 (95% CI 4.4-4.9) per 100 women aged 50-69 in non-smokers with diabetes, 5.9 (95% CI 4.6- 7.6) in smokers with diabetes not using insulin and 11.0 (95% CI 8.3- 14.7) in smokers with diabetes using insulin. Nonsmoking women with diabetes who were not overweight or inactive still had threefold increased rate for coronary disease or stroke compared with women without diabetes. Of the modifiable factors examined in middle aged women with diabetes, smoking causes the greatest increase in cardiovascular disease, especially in those with insulin treated diabetes.
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languageeng
publisherDordrecht: Springer
subjectAge Distribution ; Aged ; Biological and medical sciences ; Blood circulation disorders ; Body mass index ; Cardiology ; Cardiovascular Disease ; Cardiovascular Diseases ; Coronary artery disease ; Coronary Disease - complications ; Coronary Disease - epidemiology ; Coronary heart disease ; Diabetes ; Diabetes Complications - epidemiology ; Diabetes Mellitus - drug therapy ; Diabetes Mellitus - epidemiology ; Diabetes. Impaired glucose tolerance ; Diabetic angiopathies ; Diabetics ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Epidemiology ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Health behavior ; Hospital admissions ; Humans ; Hypoglycemic Agents - therapeutic use ; Incidence ; Infectious Diseases ; Insulin ; Insulin - therapeutic use ; Life Style ; Medical Record Linkage ; Medical research ; Medical sciences ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Middle Aged ; Miscellaneous ; Oncology ; Proportional Hazards Models ; Prospective Studies ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; Smoking - adverse effects ; Smoking - epidemiology ; Stroke - complications ; Stroke - epidemiology ; Strokes ; Surveys and Questionnaires ; Tobacco, tobacco smoking ; Toxicology ; Type 1 diabetes mellitus ; Type 2 diabetes mellitus ; United Kingdom - epidemiology ; Womens health
ispartofEuropean journal of epidemiology, 2008, Vol.23 (12), p.793-799
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1Pirie, Kirstin L
2Stevens, Richard J
3Beral, Valerie
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5Liu, Bette
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7Reeves, Gillian K
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1European journal of epidemiology
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descriptionTo compare the effect of potentially modifiable lifestyle factors on the incidence of vascular disease in women with and without diabetes. In 1996-2001 over one million middle-aged women in the UK joined a prospective study, providing medical history, lifestyle and sociodemographic information. All participants were followed for hospital admissions and deaths using electronic recordlinkage. Adjusted relative risks (RRs) and incidence rates were calculated to compare the incidence of coronary heart disease and stroke in women with and without diabetes and by lifestyle factors. At recruitment 25,915 women (2.1% of 1,242,338) reported current treatment for diabetes. During a mean follow-up of 6.1 years per woman, 21,928 had a first hospital admission or death from coronary heart disease ( RR for women with versus without diabetes = 3.30, 95% CI 3.14-3.47) and 7,087 had a first stroke (RR = 2.47, 95% CI 2.24- 2.74). Adjusted incidence rates of these conditions in women with diabetes increased with duration of diabetes, obesity, inactivity and smoking. The 5-year adjusted incidence rates for cardiovascular disease were 4.6 (95% CI 4.4-4.9) per 100 women aged 50-69 in non-smokers with diabetes, 5.9 (95% CI 4.6- 7.6) in smokers with diabetes not using insulin and 11.0 (95% CI 8.3- 14.7) in smokers with diabetes using insulin. Nonsmoking women with diabetes who were not overweight or inactive still had threefold increased rate for coronary disease or stroke compared with women without diabetes. Of the modifiable factors examined in middle aged women with diabetes, smoking causes the greatest increase in cardiovascular disease, especially in those with insulin treated diabetes.
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3Blood circulation disorders
4Body mass index
5Cardiology
6Cardiovascular Disease
7Cardiovascular Diseases
8Coronary artery disease
9Coronary Disease - complications
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11Coronary heart disease
12Diabetes
13Diabetes Complications - epidemiology
14Diabetes Mellitus - drug therapy
15Diabetes Mellitus - epidemiology
16Diabetes. Impaired glucose tolerance
17Diabetic angiopathies
18Diabetics
19Endocrine pancreas. Apud cells (diseases)
20Endocrinopathies
21Epidemiology
22Etiopathogenesis. Screening. Investigations. Target tissue resistance
23Female
24Health behavior
25Hospital admissions
26Humans
27Hypoglycemic Agents - therapeutic use
28Incidence
29Infectious Diseases
30Insulin
31Insulin - therapeutic use
32Life Style
33Medical Record Linkage
34Medical research
35Medical sciences
36Medicine
37Medicine & Public Health
38Medicine, Experimental
39Middle Aged
40Miscellaneous
41Oncology
42Proportional Hazards Models
43Prospective Studies
44Public Health
45Public health. Hygiene
46Public health. Hygiene-occupational medicine
47Risk Factors
48Smoking - adverse effects
49Smoking - epidemiology
50Stroke - complications
51Stroke - epidemiology
52Strokes
53Surveys and Questionnaires
54Tobacco, tobacco smoking
55Toxicology
56Type 1 diabetes mellitus
57Type 2 diabetes mellitus
58United Kingdom - epidemiology
59Womens health
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titleDiabetes and Modifiable Risk Factors for Cardiovascular Disease: The Prospective Million Women Study
authorSpencer, Elizabeth A ; Pirie, Kirstin L ; Stevens, Richard J ; Beral, Valerie ; Brown, Anna ; Liu, Bette ; Green, Jane ; Reeves, Gillian K
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2Biological and medical sciences
3Blood circulation disorders
4Body mass index
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8Coronary artery disease
9Coronary Disease - complications
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13Diabetes Complications - epidemiology
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15Diabetes Mellitus - epidemiology
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19Endocrine pancreas. Apud cells (diseases)
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22Etiopathogenesis. Screening. Investigations. Target tissue resistance
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24Health behavior
25Hospital admissions
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28Incidence
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37Medicine & Public Health
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49Smoking - epidemiology
50Stroke - complications
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52Strokes
53Surveys and Questionnaires
54Tobacco, tobacco smoking
55Toxicology
56Type 1 diabetes mellitus
57Type 2 diabetes mellitus
58United Kingdom - epidemiology
59Womens health
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abstractTo compare the effect of potentially modifiable lifestyle factors on the incidence of vascular disease in women with and without diabetes. In 1996-2001 over one million middle-aged women in the UK joined a prospective study, providing medical history, lifestyle and sociodemographic information. All participants were followed for hospital admissions and deaths using electronic recordlinkage. Adjusted relative risks (RRs) and incidence rates were calculated to compare the incidence of coronary heart disease and stroke in women with and without diabetes and by lifestyle factors. At recruitment 25,915 women (2.1% of 1,242,338) reported current treatment for diabetes. During a mean follow-up of 6.1 years per woman, 21,928 had a first hospital admission or death from coronary heart disease ( RR for women with versus without diabetes = 3.30, 95% CI 3.14-3.47) and 7,087 had a first stroke (RR = 2.47, 95% CI 2.24- 2.74). Adjusted incidence rates of these conditions in women with diabetes increased with duration of diabetes, obesity, inactivity and smoking. The 5-year adjusted incidence rates for cardiovascular disease were 4.6 (95% CI 4.4-4.9) per 100 women aged 50-69 in non-smokers with diabetes, 5.9 (95% CI 4.6- 7.6) in smokers with diabetes not using insulin and 11.0 (95% CI 8.3- 14.7) in smokers with diabetes using insulin. Nonsmoking women with diabetes who were not overweight or inactive still had threefold increased rate for coronary disease or stroke compared with women without diabetes. Of the modifiable factors examined in middle aged women with diabetes, smoking causes the greatest increase in cardiovascular disease, especially in those with insulin treated diabetes.
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