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September 24, 1983BMJOpen Access

Mortality from coronary heart disease and stroke in relation to degree of glycaemia: the Whitehall study.

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Key result

Glucose intolerance (5.4-11.0 mmol/l) and diabetes (≥11.1 mmol/l) were associated with a significantly increased 10-year risk of mortality from coronary heart disease and stroke.

Why the study?

Does the degree of glycaemia predict 10-year mortality from coronary heart disease and stroke in middle-aged men?

Population

18,403 male civil servants aged 40-64 years

Comparison

Degree of glycaemia vs Normoglycaemia

Design

Cohort

Follow-up

10 years

Authors

JFJ. H. FullerUniversity College LondonMSM ShipleyUniversity College LondonGRG RoseUniversity of Saskatchewan

Discussion

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Implication

Correlates glucose levels with cardiovascular mortality risk; leaves open whether intervention alters outcomes in middle-aged men.

Key Points

  • This research investigates the relationship between blood glucose levels and mortality from coronary heart disease and stroke.
  • Analyzed data from the Whitehall study involving 18,403 male civil servants aged 40-64 years.
  • Evaluated 10-year mortality rates in relation to two-hour blood glucose values.
  • Performed multiple logistic analysis to assess the impact of risk factors on mortality.
  • Glucose intolerant subjects showed significantly increased mortality risk with blood glucose above the 95th centile (5.4-11.0 mmol/l).
  • Diabetic individuals had greater mortality risk with glucose levels greater than or equal to 11.1 mmol/l.
  • Between half and three quarters of the relative risks for mortality were unexplained by traditional risk factors, highlighting hypertension as critical in glucose intolerant and diabetic groups.

Study Design

Type

Cohort (n=18,403)

Structured PICO

Does the degree of glycaemia predict 10-year mortality from coronary heart disease and stroke in middle-aged men?

P
Population
18,403 male civil servants aged 40-64 years
I
Intervention
Degree of glycaemia (two hour blood glucose values)
C
Comparator
Normoglycaemia (blood glucose below the 95th centile)
O
Outcome
10 year mortality from coronary heart disease and strokehard clinical

Glucose intolerance and diabetes are significant, independent risk factors for 10-year mortality from coronary heart disease and stroke, highlighting the importance of managing concurrent risk factors like hypertension in these groups.

Cite This Study

Fuller et al. (1983) conducted a cohort in Glucose intolerance and diabetes (n=18,403). Degree of glycaemia (glucose intolerance and diabetes) vs. Lower blood glucose values was evaluated on Mortality from coronary heart disease and stroke. Glucose intolerance (5.4-11.0 mmol/l) and diabetes (≥11.1 mmol/l) were associated with a significantly increased 10-year risk of mortality from coronary heart disease and stroke.

synapsesocial.com/papers/6a0fed09b6f5ee0401601a23https://doi.org/10.1136/bmj.287.6396.867
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Also Consider

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