Source:http://linkedlifedata.com/resource/pubmed/id/10354125
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1999-7-21
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pubmed:abstractText |
The relationship between haematological factors and peripheral arterial disease (PAD) among diabetics has not been widely examined. 1592 men and women aged 55-74 years were selected from the general population. They underwent an assessment for PAD and a glucose tolerance test. 288 subjects (18.7%) were identified as having diabetes or impaired glucose tolerance (IGT). Among the diabetes/IGT group, median levels of fibrinogen, von Willebrand factor (VWF), tissue plasminogen activator (t-PA), fibrin D-dimer and plasma viscosity were higher in subjects with PAD than those without PAD (P </= 0.05). The prevalence of PAD was higher in those with diabetes/IGT (20.6%) compared to those with normal glucose tolerance (12.5%) (odds ratio 1.64; 95% CI 1.17, 2.31). After separate adjustment for fibrinogen, VWF, t-PA, fibrin D-dimer, leucocyte elastase, plasma viscosity and haematocrit, those with diabetes/IGT no longer had a significantly higher risk of PAD compared to those with a normal glucose tolerance test. Simultaneous adjustment for the first four of these haematological factors reduced the risk of PAD among subjects with diabetes/IGT to 1.11 (95% CI 0.76, 1.63). Increased levels of haemostatic factors may partly explain the higher prevalence of PAD in diabetic/IGT subjects compared to normal glucose-tolerant subjects. Future randomized controlled trials involving the indirect lowering of levels of haematological factors should help to explain whether the associations reported here are of causal significance.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
105
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
648-54
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10354125-Aged,
pubmed-meshheading:10354125-Blood Coagulation Factors,
pubmed-meshheading:10354125-Blood Viscosity,
pubmed-meshheading:10354125-Cross-Sectional Studies,
pubmed-meshheading:10354125-Diabetic Angiopathies,
pubmed-meshheading:10354125-Female,
pubmed-meshheading:10354125-Glucose Intolerance,
pubmed-meshheading:10354125-Humans,
pubmed-meshheading:10354125-Male,
pubmed-meshheading:10354125-Middle Aged,
pubmed-meshheading:10354125-Peripheral Vascular Diseases,
pubmed-meshheading:10354125-Risk Factors
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pubmed:year |
1999
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pubmed:articleTitle |
The role of haematological factors in diabetic peripheral arterial disease: the Edinburgh artery study.
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pubmed:affiliation |
Wolfson Unit for Prevention of Peripheral Vascular Diseases, Department of Public Health Sciences, University of Edinburgh, Edinburgh.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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