Higher postchallenge plasma glucose levels were inversely related to FEV1 in nondiabetic adults, with a difference of -144.7 ml (95% CI -231.9 to -57.4) between the highest and lowest quintiles.
Cross-Sectional
Yes
Is impaired glucose autoregulation associated with impaired lung function in adults?
Impaired glucose autoregulation and diagnosed diabetes are associated with reduced lung function, specifically lower FEV1 and FVC.
Effect estimate: Difference -144.7 ml (95% CI -231.9, -57.4)
Although people with diabetes have decreased lung function, the dose-response relation between measures of glucose control and lung function in nondiabetic people is not known. The authors used data from the Third National Health and Nutrition Examination Survey (1988-1994) to investigate the relation between glucose tolerance test response and other measures of glucose homeostasis and lung function in an adult population without a clinical diagnosis of diabetes. Plasma glucose level 2 hours after oral administration of 75 g of glucose was inversely related to forced expiratory volume in 1 second (FEV(1)), with a difference of -144.7 ml (95% confidence interval: -231.9, -57.4) for persons in the highest quintile of postchallenge glucose compared with the lowest. Similar inverse associations with FEV(1) were found for other measures of glucose autoregulation. Lung function did not appear to be related to fasting glucose level. Similar associations were seen for forced vital capacity (FVC) but not for the FEV(1):FVC ratio. In the total study population, persons with previously diagnosed diabetes had an FEV(1) 119.1 ml (95% confidence interval: -161.5, -76.6) lower than persons without diabetes. This effect was greater in those with poorly controlled diabetes. These findings suggest that impaired glucose autoregulation is associated with impaired lung function.
McKeever et al. (2005) conducted a cross-sectional in Impaired glucose autoregulation. Postchallenge plasma glucose level (highest quintile) vs. Lowest quintile of postchallenge glucose was evaluated on Forced expiratory volume in 1 second (FEV1) (Difference -144.7 ml, 95% CI -231.9, -57.4). Higher postchallenge plasma glucose levels were inversely related to FEV1 in nondiabetic adults, with a difference of -144.7 ml (95% CI -231.9 to -57.4) between the highest and lowest quintiles.