| アブストラクト | INTRODUCTION: The aim of this study was to clarify whether the association of gait speed with the incidence of cardiovascular disease depends on baseline glycemic status. METHODS: This retrospective observational cohort study used the Japan Medical Data Center Claims Database between 2005 and 2021 and analyzed 3,090,048 participants without a cardiovascular disease history. The median (IQR) age was 44 (37-53) years, and 1,755,205 of the participants (56.8%) were men. Information on gait speed was obtained from self-reported questionnaires in health checkups. Study participants were categorized according to HbA1c levels (<5.7%, 5.7-6.4%, and >/=6.5%). The primary endpoint was defined as a composite cardiovascular disease outcome that consists of heart failure, myocardial infarction, angina pectoris, and stroke. RESULTS: During the mean follow-up period of 1,120+/-857 days, 116,678 composite cardiovascular disease outcomes were documented. Self-reported fast gait speed was related to a lower risk of developing cardiovascular disease; this relationship was more pronounced with increasing HbA1c levels. Compared with slow gait speed, the hazard ratio (95% CI) of self-reported fast gait speed for cardiovascular disease was 0.935 (0.921-0.949) in participants with an HbA1c <5.7%, 0.911 (0.891-0.932) in participants with an HbA1c of 5.7-6.4%, and 0.846 (0.811-0.883) in participants with HbA1c >/=6.5% (p-value for interaction<0.001). CONCLUSIONS: The relationship of subjective gait speed with the risk of cardiovascular disease was amplified in individuals with prediabetes or diabetes mellitus, suggesting that maintaining exercise capacity could be more important in individuals with impaired glucose tolerance for preventing cardiovascular disease. |
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| ジャーナル名 | American journal of preventive medicine |
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| 投稿日 | 2023/2/10 |
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| 投稿者 | Ueno, Kensuke; Kaneko, Hidehiro; Kamiya, Kentaro; Okada, Akira; Suzuki, Yuta; Fujiu, Katsuhito; Matsuoka, Satoshi; Michihata, Nobuaki; Takeda, Norifumi; Jo, Taisuke; Morita, Hiroyuki; Ako, Junya; Node, Koichi; Yasunaga, Hideo; Komuro, Issei |
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| 組織名 | Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan;;Department of Rehabilitation Sciences, Graduate School of Medical Sciences,;Kitasato University, Kanagawa, Japan.;Department of Advanced Cardiology, The University of Tokyo, Tokyo, Japan.;Electronic address: kanekohidehiro@gmail.com.;Department of Rehabilitation, School of Allied Health Sciences, Kitasato;University, Kanagawa, Japan.;Department of Prevention of Diabetes and Lifestyle-Related Diseases, Graduate;School of Medicine, The University of Tokyo, Tokyo, Japan.;Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.;Department of Cardiology, New Tokyo Hospital, Matsudo, Japan.;Department of Health Services Research, The University of Tokyo, Tokyo, Japan.;Department of Cardiovascular Medicine, Kitasato University School of Medicine,;Kanagawa, Japan.;Department of Cardiovascular Medicine, Saga University, Saga, Japan.;Department of Clinical Epidemiology and Health Economics, School of Public;Health, The University of Tokyo, Tokyo, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/36759226/ |
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