Loss of the female advantage with cardiovascular disease for women with diabetes

The relative risk of cardiovascular disease (CVD) associated with diabetes is greater for women than men, and diabetic women did not experience temporal declines in CVD mortality observed for the general population and diabetic men. To examine sex differences in CVD risk factors for persons with dia...

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Bibliographic Details
Published in:Lupus 1999-01, Vol.8 (5), p.351-355
Main Author: Leibson, C
Format: Article
Language:English
Subjects:
Adult
Age
Age Factors
Aged
Body mass index
Cardiovascular disease
Cardiovascular Diseases - etiology
Diabetes
Diabetes Complications
Female
Gender differences
Glucose
Health sciences
Humans
Hypertension
Male
Medical records
Middle Aged
Mortality
Multivariate Analysis
Obesity
Risk Factors
Sex Factors
Trends
Womens health
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Summary:The relative risk of cardiovascular disease (CVD) associated with diabetes is greater for women than men, and diabetic women did not experience temporal declines in CVD mortality observed for the general population and diabetic men. To examine sex differences in CVD risk factors for persons with diabetes over time. Population-based historical cohort study. The provider-linked medical records of all Rochester, MN, residents assigned a clinical diagnosis of diabetes were reviewed to confirm case status and assign diagnosis date. Data on fasting glucose, obesity, persistent proteinuria, smoking, hypertension, and dyslipidemia were obtained at diagnosis for confirmed incidence cases. There were 1330 diabetes cases 1970- 1989. Compared to men, women at diagnosis were older and more likely hypertensive, had similar levels of fasting glucose and persistent proteinuria, and less likely to smoke. Among persons diagnosed at younger ages, women were more likely than men to be obese. Comparison with published data for the Rochester population revealed the excess obesity and hypertension associated with diabetes were highest for women < age 55 y. Temporal trends in CVD risk factors did not differ between diabetic men and women.
ISSN:0961-2033
1477-0962
DOI:10.1177/096120339900800504