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Titolo:
Diabetic groups as defined by ADA and NDDG criteria have a similar aerobiccapacity, blood pressure and body composition
Autore:
Hickner, RC; Brunson, MA; McCammon, M; Mahar, MT; Garry, JP; Houmard, JA;
Indirizzi:
E Carolina Univ, Human Performance Lab, Dept Exercise & Sport Sci, Greenville, NC 27858 USA E Carolina Univ Greenville NC USA 27858 ort Sci, Greenville, NC 27858 USA E Carolina Univ, Dept Physiol, Greenville, NC 27858 USA E Carolina Univ Greenville NC USA 27858 Physiol, Greenville, NC 27858 USA E Carolina Univ, Dept Family Med, Greenville, NC 27858 USA E Carolina Univ Greenville NC USA 27858 ily Med, Greenville, NC 27858 USA
Titolo Testata:
DIABETOLOGIA
fascicolo: 1, volume: 44, anno: 2001,
pagine: 26 - 32
SICI:
0012-186X(200101)44:1<26:DGADBA>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMPAIRED FASTING GLUCOSE; ARTERIOSCLEROSIS OBLITERANS; CARDIORESPIRATORY FITNESS; DIAGNOSTIC-CRITERIA; INSULIN SENSITIVITY; PHYSICAL-FITNESS; RISK-FACTORS; ASSOCIATION; MEN; TOLERANCE;
Keywords:
cholesterol; exercise; glucose; hypertension; insulin;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Hickner, RC E Carolina Univ, Human Performance Lab, Dept Exercise & Sport Sci, 371 Ward Sports Med Bldg, Greenville, NC 27858 USA E Carolina Univ 371Ward Sports Med Bldg Greenville NC USA 27858
Citazione:
R.C. Hickner et al., "Diabetic groups as defined by ADA and NDDG criteria have a similar aerobiccapacity, blood pressure and body composition", DIABETOLOG, 44(1), 2001, pp. 26-32

Abstract

Aims/hypothesis. In 1997 the American Diabetes Association (ADA) publishednew categories for diabetes based on fasting plasma glucose that classified diabetes as a plasma glucose of 7.0 mmol/l, or more, rather than one of 7.8 mmol/l or more, as published previously by the National Diabetes Data Group (NDDG) in 1979. We compared the cardiovascular disease risk factors of subjects classified as having Type II (non-insulin-dependent) diabetes mellitus under the NDDG and ADA criteria. Methods. We examined a database of approximately 3700 men (40.4 +/- 11.5years old) and distributed them into four categories: normal fasting plasma glucose (NFG) of less than 6.1 mmol/l, impaired (IFG) 6.1 to 7.0 mmol/l, ADAdiabetic 7.0 to 7.8 mmol/l and NDDG diabetic of 7.8 mmol/l or more. Results. Fasting glucose was 5.2 +/- 0.5, 6.4 +/- 0.2, 7.3 +/- 0.2 and 11.2 +/- 2.9 mmol/l for the subjects of the NFG, IFG, ADA and NDDG groups, respectively. Estimated treadmill VO2max was 41.4 +/- 8.0, 36.0 +/- 7.8, 32.2 /- 7.6, 30.6 +/- 7.0 ml.kg(-1) min(-1) in the NFG, IFG, ADA, and NDDG groups, respectively (NFG and IFG > ADA and NDDG: p < 0.05). The ADA and NDDG groups were also similar for resting and exercise blood pressure and body composition. Triglycerides and total: HDL cholesterol ratios were higher and LDL cholesterol concentration was lower, in the NDDG group than in all other groups (P < 0.05). Total and LDL cholesterol in the ADA and NDDG groups were similar. Conclusion/interpretation. The similarities in the aerobic capacities, blood pressure and body composition of the ADA and NDDG groups indicate that the decision to lower the cut-off from 7.8 mmol/l to 7.0 mmol/l blood glucose for the clinical classification of diabetes was appropriate. The ADA and NDDG groups, however, might not have identical risks for cardiovascular disease because of differences between total:HDL cholesterol ratios, circulating HDL cholesterol and triglyceride concentrations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/12/20 alle ore 05:39:28