Elevated fasting glucose and albuminuria may be a marker for all-cause mortality in Indigenous adults in North Queensland: a follow up study, 1998-2006
Date
2017
Authors
Li, M.
McDermott, R.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Journal of Diabetes and its Complications, 2017; 31(4):708-714
Statement of Responsibility
Conference Name
Abstract
Aims: To document risk factors of all-cause mortality in a cohort of indigenous Australians from 23 communities of North Queensland during 1998–2006.
Methods: Among 2787 indigenous adults, baseline weight, waist circumference, blood pressure, fasting glucose, lipids, gamma-glutamyl transferase, urine albumin creatinine ratio, smoking, alcohol intake and physical activity were measured in 1998–2000. Deaths were ascertained from State Registry of Deaths, hospitalization and clinical records till 2006. Mortality risk factors were assessed using a Cox proportional-hazards model.
Results: The standardized all-cause mortality rate was 23.2/1000 person–years (95% CI 20.3–26.3/1000 pys). After adjusting for age, sex, and ethnicity, baseline plasm fasting glucose > = 5.5 mmol/L was associated with a 50% increased risk of death (HR 1.5, 95% CI 1.2–2.0). Albuminuria was associated with all-cause mortality with a hazards ratio of 1.4 for microalbuminuria (95% CI 1.0–1.9) and 2.6 (95% CI 1.8–3.7) for macroalbuminuria. Gamma-glutamyl transferase > = 50 IU was associated with an increased risk of all-cause mortality by 40% (95% CI 1.04–1.8).
Conclusions: Fasting glycaemia, albuminuria, and gamma-glutamyl transferase, may be a marker for all-cause mortality within this cohort.
School/Discipline
Dissertation Note
Provenance
Description
Access Status
Rights
Copyright 2017 Elsevier Inc