The Relationship between Diabetic Autonomic Neuropathy and Diabetic Risk Factors in a Taiwanese Population-Reference-Cited by-同舟云学术

The Relationship between Diabetic Autonomic Neuropathy and Diabetic Risk Factors in a Taiwanese Population

Published:2011-08 Issue:4 Volume:39 Page:1155-1162
ISSN:0300-0605
Container-title:Journal of International Medical Research
language:en
Short-container-title:J Int Med Res

Author:

Hsiao J-Y¹²³,Tien K-J⁴,Hsiao C-T⁵,Weng H-H⁶⁷⁸,Chung T-C⁹,Hsieh M-C¹⁰

Affiliation:

1. Division of Endocrinology and Metabolism, Ture Generation Hospital, Kaohsiung, Taiwan

2. General Education Centre, Meiho University, PingTung, Taiwan

3. Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

4. Division of Endocrinology and Metabolism, Department of Internal Medicine, Chi-Mei Medical Centre, Tainan, Taiwan

5. Department of Emergency Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Chiayi, Taiwan

6. Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Chiayi, Taiwan

7. Department of Respiratory Care, Chang Gung Institute of Technology, Chiayi, Taiwan

8. Graduate Institute of Occupational Health and Safety, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan

9. Graduate Institute of Health Care, Meiho University, PingTung, Taiwan

10. Division of Endocrinology and Metabolism, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan

Abstract

This study looked at spectral analysis of heart rate variability (HRV) between patients with type 2 diabetes mellitus (DM) and healthy controls. The association between diabetic autonomic neuropathy (DAN) with HRV parameter changes and DM risk factors (including nephropathy) was investigated. HRV parameters were compared between 271 patients with DM and 160 controls. A statistically significant difference was found between the two groups for each parameter. Patients with DM were then divided into three groups by the levels of individual risk factors: body mass index, total cholesterol, 2-h postprandial plasma glucose concentration, glycosylated haemoglobin, duration of DM and the albumin—creatinine ratio. HRV parameters decreased significantly in patients with DM as the risk factor level progressed. This study identified previously known and new potential risk factors for the development of DAN, which may be important for the development of risk reduction strategies.

Publisher

SAGE Publications

Subject

Biochemistry, medical,Cell Biology,Biochemistry,General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/147323001103900403

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