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한국 성인의 안정시 심박수 및 근지구력과 제2형 당뇨 유병률의 관계

The association of resting heart rate and muscular endurance and prevalence with type 2 diabetes in Korean adults

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초록

PURPOSE: To examine the association of resting heart rate (RHR) and muscular endurance with prevalence of type 2 diabetes in Korean adults. METHODS: A baseline data from a total of 10,704 subjects who participated in the exercise program held at the National Health Promotion Center were analyzed. Participants were divided into tertiles according to their RHR. Participants were further divided into two groups (2-quantile) according to their muscular endurance measured. Statistical methods included frequency analysis, analysis of variance, and logistic regression. RESULTS: Fasting glucose levels were significantly higher among participants with higher RHR. Compared with participants in the first RHR tertile, participants in the third RHR tertile are at 2.35 times (95% confidence interval [CI]: 2.16-3.03) higher odds of having type 2 diabetes. When participants were divided into two groups according to muscular strength, participants in the second quantile (less fit) are at 1.32 times (95% CI:1.13-1.54) higher odds of having type 2 diabetes compared with participants in the first quantile. When joint associations of RHR and muscular endurance were analyzed, participants in the highest tertile of RHR with lower muscular endurance have 3.40 times (95% CI: 2.58-4.47) higher odds of having type 2 diabetes compared with those in the lowest tertile of RHR and high muscular endurance after controlling for age, sex and BMI. CONCLUSIONS: RHR and muscular endurance were significantly associated with the prevalence of type 2 diabetes. In addition, this study shows that RHR and muscular endurance level are important indicators for the prevalence of type 2 diabetes in Korean adults.

Abstract

PURPOSE: To examine the association of resting heart rate (RHR) and muscular endurance with prevalence of type 2 diabetes in Korean adults. METHODS: A baseline data from a total of 10,704 subjects who participated in the exercise program held at the National Health Promotion Center were analyzed. Participants were divided into tertiles according to their RHR. Participants were further divided into two groups (2-quantile) according to their muscular endurance measured. Statistical methods included frequency analysis, analysis of variance, and logistic regression. RESULTS: Fasting glucose levels were significantly higher among participants with higher RHR. Compared with participants in the first RHR tertile, participants in the third RHR tertile are at 2.35 times (95% confidence interval [CI]: 2.16-3.03) higher odds of having type 2 diabetes. When participants were divided into two groups according to muscular strength, participants in the second quantile (less fit) are at 1.32 times (95% CI:1.13-1.54) higher odds of having type 2 diabetes compared with participants in the first quantile. When joint associations of RHR and muscular endurance were analyzed, participants in the highest tertile of RHR with lower muscular endurance have 3.40 times (95% CI: 2.58-4.47) higher odds of having type 2 diabetes compared with those in the lowest tertile of RHR and high muscular endurance after controlling for age, sex and BMI. CONCLUSIONS: RHR and muscular endurance were significantly associated with the prevalence of type 2 diabetes. In addition, this study shows that RHR and muscular endurance level are important indicators for the prevalence of type 2 diabetes in Korean adults.

참고문헌 (45)

  1. Herman WH, "The global burden of diabetes: an overview. Diabetes Mellitus in Developing Countries and Underserved Communities", pp.1~5 (2017), Springer International Publishing
  2. "The Korea National Health and Nutrition Examination Survey" (2013)[URL]
  3. Statistics Korea, "Statistics of mortality cause in 2015", ~ (2016)
  4. Health Insurance Review and Assessment Service, "Health insurance and medical benefit evaluation in 2014", ~ (2014)
  5. Vazquez G, "Comparison of body mass index, waist circumference, and waist", hip ratio in predicting incident diabetes : a meta-analysis, 2017, pp.29(1), 115~128
  6. Leite SA, "Low cardiorespiratory fitness in people at risk for type 2 diabetes : early marker for insulin resistance", Diabetology and Metabolic Syndrome, 1(1), pp.8~ (2009)
  7. Wei M, "Low cardiorespiratory fitness and physical inactivity as predictors of mortality in men with type 2 diabetes", Annals of Internal Medicine, 132(8), pp.605~611 (2000)
  8. Jurca R, "Assessing cardiorespiratory fitness without performing exercise testing", American Journal of Preventive Medicine, 29(3), pp.185~193 (2005)
  9. Kenney WL, "Parasympathetic control of resting heart rate : relationship to aerobic power", Medicine and Science in Sports and Exercise, 17(4), pp.451~455 (1985)
  10. Nauman J, "A prospective population study of resting heart rate and peak oxygen uptake (the HUNT Study, Norway)", Plos One, 7(9), pp.e45021~ (2012)
  11. Shigetoh Y, "Higher heart rate may predispose to obesity and diabetes mellitus : 20-year prospective study in a general population", American Journal of Hypertension, 22(2), pp.151~155 (2009)
  12. Kim DI, "The association between resting heart rate and type 2 diabetes and hypertension in Korean adults", Heart, 102(21), pp.1757~1762 (2016)
  13. Yang HI, "The association of resting heart rate with diabetes, hypertension, and metabolic syndrome in the Korean adult population : the fifth Korea national health and nutrition examination survey", Clinica Chimica Acta, 455, pp.195~200 (2016)
  14. Stettler C, "QTc interval and resting heart rate as long-term predictors of mortality in type 1 and type 2 diabetes mellitus : a 23-year follow-up", Diabetologia, 50(1), pp.186~194 (2007)
  15. Palatini P, "Elevated heart rate: a major risk factor for cardiovascular disease", Clinical Experimenta Hypertension, 26(7-8), pp.637~644 (2004)
  16. Jamerson KA, "Reflex sympathetic activation induces acute insulin resistance in the human forearm", Hypertension, 21(5), pp.618~623 (1993)
  17. Emdin M, "Hyperinsulinemia and autonomic nervous system dysfunction in obesity : effects of weight loss", Circulation, 103(4), pp.513~519 (2001)
  18. Julius S, "The interconnection between sympathetics, microcirculation, and insulin resistance in hypertension", pp.9~19 (1992), Blood Press
  19. Bemelmans RH, "Risk of elevated resting heart rate on the development of type 2 diabetes in patients with clinically manifest vascular diseases", European Journal of Endocrinology, 166(4), pp.717~725 (2012)
  20. Fox K, "Resting heart rate in cardiovascular disease", Journal of the American College of Cardiology, 50(9), pp.823~830 (2007)
  21. Böhm M, "Resting heart rate : risk indicator and emerging risk factor in cardiovascular disease", The American Journal of Medicine, 128(3), pp.219~228 (2015)
  22. Liu X, "Resting heart rate and risk of metabolic syndrome in adults : a dose-response meta-analysis of observational studies", Acta Diabetologica, 54(3), pp.223~235 (2016)
  23. 이초애, "한국 성인들의 안정 시 심박수와 대사증후군 위험요인과의 관계", Journal of Obesity & Metabolic Syndrome, 22(4), pp.222~230 (2013), 대한비만학회
  24. Andersen H, "Muscle strength in type 2 diabetes", Diabetes, 53(6), pp.1543~1548 (2004)
  25. Katzmarzyk PT, "Adiposity, physical fitness and incident diabetes : the physical activity longitudinal study", Diabetologia, 50(3), pp.538~544 (2007)
  26. Hamer M, "Association of C-reactive protein and muscle strength in english longitudinal study", American Aging Association, 31(3), pp.171~177 (2009)
  27. Holten MK, "Strength training increases insulin-mediated glucose uptake, GLUT4content, and insulin signaling in skeletal muscle in patients with type 2diabetes", Diabetes, 53(2), pp.294~305 (2004)
  28. American Diabetes Association., "Standardes of Medical Care in Diabetes-2015", Diabetes Care, 38(10), pp.e175~ (2015)
  29. Newman AB, "Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort", Journal of Gerontology Applied Biology Science, 61(1), pp.72~77 (2006)
  30. Aune D, "Resting heart rate and the risk of type 2 diabetes : a systematic review and dose-response meta-analysis of cohort studies", Nutrition, Metabolism and Cardiovascular Diseases, 25(6), pp.526~534 (2015)
  31. Aspenes S, "Physical activity as a long-term predictor of peak oxygen uptake: the HUNT Study", Medicine and Science in Sports and Exercise, 43(9), pp.1675~1679 (2011)
  32. Sajadieh A, "Increased heart rate and reduced heart-rate variability are associated with subclinical inflammation in middle-aged and elderly subjects with no apparent heart disease", European Heart Journal, 25(5), pp.363~370 (2004)
  33. Shibao C, "Autonomic contribution to blood pressure and metabolism in obesity", Journal of Hypertension, 49(1), pp.27~33 (2007)
  34. Flanagan DE, "The autonomic control of heart rate and insulin resistance in young adults", Journal of Clinical Endocrinology and Metabolism, 84(4), pp.1263~1267 (1999)
  35. Mancia G, "The sympathetic nervous system and the metabolic syndrome", Journal of Hypertension, 25(5), pp.909~920 (2007)
  36. Ogihara T, "Angiotensin II-induced insulin resistance is associated with enhanced insulin signaling", Hypertension, 40(6), pp.872~879 (2002)
  37. Perin PC, "Sympathetic nervous system, diabetes, and hypertension", Clincal and Experimental Hypertension, 23(1-2), pp.45~55 (2001)
  38. Sawada SS, "Muscular and performance fitness and the incidence of type 2 diabetes : prospective study of Japanese men", Journal of Physical Activity and Health, 7(5), pp.627~632 (2010)
  39. Colberg SR, "American college of sports medicine; American diabetes association. exercise and type 2 diabetes: the american College of Sports Medicine and the american diabetes association: joint position statement", Diabetes Care, 42(12), pp.2282~2303 (2010)
  40. Dunstan DW, "High-intensity resistance training improves glycemic control in older patients with type 2 diabetes", Diabetes Care, 25(10), pp.1729~1736 (2002)
  41. Lambers, S, "Influence of combined exercise training on indices of obesity, diabetes and cardiovascular risk in type 2 diabetes patients", Clinical Rehabilitation, 22(6), pp.483~492 (2008)
  42. Sigal RJ, "Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes : a randomized trial", Annual Internal Medicine, 147(6), pp.357~369 (2007)
  43. Golden SH, "Endogenous sex hormones and glucose tolerance status in postmenopausal women", The Journal of Clinical Endocrinology and Metabolism, 92(4), pp.1289~1295 (2007)
  44. Oh JY, "Endogenous sex hormones and the development of type 2 diabetes in older men and women : the rancho Bernardo study", Diabetes Care, 25(1), pp.55~60 (2002)
  45. Soriguer F, "Type 2 diabetes mellitus and other cardiovascular risk factors are no more common during menopause : longitudinal study", Menopause, 16(4), pp.817~821 (2009)

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