Diabetes Metab J.  2012 Oct;36(5):350-356. 10.4093/dmj.2012.36.5.350.

The Association of Self-Reported Coronary Heart Disease with Diabetes Duration in Korea

• Kang HM
• Lee YJ
• Kim DJ

• KMID: 2174393
• DOI: http://doi.org/10.4093/dmj.2012.36.5.350

Abstract

BACKGROUND
This study aimed to investigate the association of diabetes duration with self-reported coronary heart disease (CHD) in Korea.
METHODS
Among data from 34,145 persons compiled in the third Korean National Health and Nutrition Examination Survey in 2005, laboratory test and nutritional survey data from 5,531 persons were examined. The participants were asked to recall a physician's diagnosis of CHD (angina or myocardial infarction).
RESULTS
Age- and sex-adjusted relative risk for CHD was 1.51 (95% confidence interval [CI], 0.64 to 3.59; not significant) for diabetes with duration of <1 year, 2.27 (95% CI, 1.14 to 4.54; P=0.020) for diabetes with a duration of 1 to 5 years, and 3.29 (95% CI, 1.78 to 6.08; P<0.001) for diabetes with a duration >5 years, compared with non-diabetes as a control. Even after adjusting for age, sex, current smoking status, waist circumference, hypertension, triglycerides, high density lipoprotein cholesterol, and fasting plasma glucose, relative risk for CHD was 2.87 (95% CI, 1.01 to 8.11; P=0.047) in diabetes with a duration of 6 to 10 years and 4.07 (95% CI, 1.73 to 9.63; P=0.001) in diabetes with duration of >10 years with non-diabetes as a control.
CONCLUSION
CHD prevalence increased with an increase in diabetes duration in Korean men and women. Recently detected diabetes (duration <1 year) was not significantly associated with CHD prevalence compared to non-diabetes. However, diabetes of a duration of >5 years was associated with an increase in CHD compared to non-diabetics after adjusting for several CHD risk factors.

Keyword

Coronary disease; Diabetes mellitus; Duration

MeSH Terms

Cholesterol
Cholesterol, HDL
Coronary Disease
Diabetes Mellitus
Fasting
Female
Glucose
Humans
Hypertension
Korea
Lipoproteins
Male
Nutrition Surveys
Plasma
Prevalence
Risk Factors
Smoke
Smoking
Triglycerides
Waist Circumference
Cholesterol
Cholesterol, HDL
Glucose
Lipoproteins
Smoke
Triglycerides

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