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Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes...

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Zeitschriftentitel: Journal of Diabetes Investigation
Personen und Körperschaften: Sugimoto, Ken, Tabara, Yasuharu, Ikegami, Hiroshi, Takata, Yasunori, Kamide, Kei, Ikezoe, Tome, Kiyoshige, Eri, Makutani, Yukako, Onuma, Hiroshi, Gondo, Yasuyuki, Ikebe, Kazunori, Ichihashi, Noriaki, Tsuboyama, Tadao, Matsuda, Fumihiko, Kohara, Katsuhiko, Kabayama, Mai, Fukuda, Masahiro, Katsuya, Tomohiro, Osawa, Haruhiko, Hiromine, Yoshihisa, Rakugi, Hiromi
In: Journal of Diabetes Investigation, 10, 2019, 6, S. 1471-1479
Format: E-Article
Sprache: Englisch
veröffentlicht:
Wiley
Schlagwörter:
author_facet Sugimoto, Ken
Tabara, Yasuharu
Ikegami, Hiroshi
Takata, Yasunori
Kamide, Kei
Ikezoe, Tome
Kiyoshige, Eri
Makutani, Yukako
Onuma, Hiroshi
Gondo, Yasuyuki
Ikebe, Kazunori
Ichihashi, Noriaki
Tsuboyama, Tadao
Matsuda, Fumihiko
Kohara, Katsuhiko
Kabayama, Mai
Fukuda, Masahiro
Katsuya, Tomohiro
Osawa, Haruhiko
Hiromine, Yoshihisa
Rakugi, Hiromi
Sugimoto, Ken
Tabara, Yasuharu
Ikegami, Hiroshi
Takata, Yasunori
Kamide, Kei
Ikezoe, Tome
Kiyoshige, Eri
Makutani, Yukako
Onuma, Hiroshi
Gondo, Yasuyuki
Ikebe, Kazunori
Ichihashi, Noriaki
Tsuboyama, Tadao
Matsuda, Fumihiko
Kohara, Katsuhiko
Kabayama, Mai
Fukuda, Masahiro
Katsuya, Tomohiro
Osawa, Haruhiko
Hiromine, Yoshihisa
Rakugi, Hiromi
author Sugimoto, Ken
Tabara, Yasuharu
Ikegami, Hiroshi
Takata, Yasunori
Kamide, Kei
Ikezoe, Tome
Kiyoshige, Eri
Makutani, Yukako
Onuma, Hiroshi
Gondo, Yasuyuki
Ikebe, Kazunori
Ichihashi, Noriaki
Tsuboyama, Tadao
Matsuda, Fumihiko
Kohara, Katsuhiko
Kabayama, Mai
Fukuda, Masahiro
Katsuya, Tomohiro
Osawa, Haruhiko
Hiromine, Yoshihisa
Rakugi, Hiromi
spellingShingle Sugimoto, Ken
Tabara, Yasuharu
Ikegami, Hiroshi
Takata, Yasunori
Kamide, Kei
Ikezoe, Tome
Kiyoshige, Eri
Makutani, Yukako
Onuma, Hiroshi
Gondo, Yasuyuki
Ikebe, Kazunori
Ichihashi, Noriaki
Tsuboyama, Tadao
Matsuda, Fumihiko
Kohara, Katsuhiko
Kabayama, Mai
Fukuda, Masahiro
Katsuya, Tomohiro
Osawa, Haruhiko
Hiromine, Yoshihisa
Rakugi, Hiromi
Journal of Diabetes Investigation
Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
General Medicine
Endocrinology, Diabetes and Metabolism
Internal Medicine
author_sort sugimoto, ken
spelling Sugimoto, Ken Tabara, Yasuharu Ikegami, Hiroshi Takata, Yasunori Kamide, Kei Ikezoe, Tome Kiyoshige, Eri Makutani, Yukako Onuma, Hiroshi Gondo, Yasuyuki Ikebe, Kazunori Ichihashi, Noriaki Tsuboyama, Tadao Matsuda, Fumihiko Kohara, Katsuhiko Kabayama, Mai Fukuda, Masahiro Katsuya, Tomohiro Osawa, Haruhiko Hiromine, Yoshihisa Rakugi, Hiromi 2040-1116 2040-1124 Wiley General Medicine Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.1111/jdi.13070 <jats:title>Abstract</jats:title><jats:sec><jats:title>Aims/Introduction</jats:title><jats:p>Hyperglycemia is a risk factor for sarcopenia when comparing individuals with and without diabetes. However, no studies have investigated whether the findings could be extrapolated to patients with diabetes with relatively higher glycemic levels. Here, we aimed to clarify whether glycemic control was associated with sarcopenia in patients with type 2 diabetes.</jats:p></jats:sec><jats:sec><jats:title>Materials and Methods</jats:title><jats:p>Study participants consisted of patients with type 2 diabetes (<jats:italic>n</jats:italic> = 746, the average age was 69.9 years) and an older general population (<jats:italic>n</jats:italic> = 2,067, the average age was 68.2 years). Sarcopenia was defined as weak grip strength or slow usual gait speed and low skeletal mass index.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Among patients with type 2 diabetes, 52 were diagnosed as having sarcopenia. The frequency of sarcopenia increased linearly with glycated hemoglobin (HbA1c) level, particularly in lean individuals (HbA1c &lt;6.5%, 7.0%, ≥6.5% and &lt;7.0%: 18.5%; HbA1c ≥7.0% and &lt;8.0%: 20.3%; HbA1c ≥8.0%: 26.7%). The linear association was independent of major covariates, including anthropometric factors and duration of diabetes (HbA1c &lt;6.5%: reference; ≥6.5% and &lt;7.0%: odds ratio [<jats:styled-content style="fixed-case">OR</jats:styled-content>] 4.38, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.030; HbA1c ≥7.0% and &lt;8.0%: 4.29, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.024; HbA1c ≥8.0%: 7.82, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.003). HbA1c level was specifically associated with low skeletal mass index (HbA1c ≥8.0%: <jats:styled-content style="fixed-case">OR</jats:styled-content> 5.42, <jats:italic>P </jats:italic>&lt;<jats:italic> </jats:italic>0.001) rather than weak grip strength (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.89, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.058) or slow gait speed (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.13, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.672). No significant association was observed in the general population with a better glycemic profile.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Poor glycemic control in patients with diabetes was associated with low muscle mass.</jats:p></jats:sec> Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus Journal of Diabetes Investigation
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publisher Wiley
recordtype ai
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series Journal of Diabetes Investigation
source_id 49
title Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_unstemmed Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_full Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_fullStr Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_full_unstemmed Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_short Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_sort hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: the multicenter study for clarifying evidence for sarcopenia in patients with diabetes mellitus
topic General Medicine
Endocrinology, Diabetes and Metabolism
Internal Medicine
url http://dx.doi.org/10.1111/jdi.13070
publishDate 2019
physical 1471-1479
description <jats:title>Abstract</jats:title><jats:sec><jats:title>Aims/Introduction</jats:title><jats:p>Hyperglycemia is a risk factor for sarcopenia when comparing individuals with and without diabetes. However, no studies have investigated whether the findings could be extrapolated to patients with diabetes with relatively higher glycemic levels. Here, we aimed to clarify whether glycemic control was associated with sarcopenia in patients with type 2 diabetes.</jats:p></jats:sec><jats:sec><jats:title>Materials and Methods</jats:title><jats:p>Study participants consisted of patients with type 2 diabetes (<jats:italic>n</jats:italic> = 746, the average age was 69.9 years) and an older general population (<jats:italic>n</jats:italic> = 2,067, the average age was 68.2 years). Sarcopenia was defined as weak grip strength or slow usual gait speed and low skeletal mass index.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Among patients with type 2 diabetes, 52 were diagnosed as having sarcopenia. The frequency of sarcopenia increased linearly with glycated hemoglobin (HbA1c) level, particularly in lean individuals (HbA1c &lt;6.5%, 7.0%, ≥6.5% and &lt;7.0%: 18.5%; HbA1c ≥7.0% and &lt;8.0%: 20.3%; HbA1c ≥8.0%: 26.7%). The linear association was independent of major covariates, including anthropometric factors and duration of diabetes (HbA1c &lt;6.5%: reference; ≥6.5% and &lt;7.0%: odds ratio [<jats:styled-content style="fixed-case">OR</jats:styled-content>] 4.38, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.030; HbA1c ≥7.0% and &lt;8.0%: 4.29, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.024; HbA1c ≥8.0%: 7.82, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.003). HbA1c level was specifically associated with low skeletal mass index (HbA1c ≥8.0%: <jats:styled-content style="fixed-case">OR</jats:styled-content> 5.42, <jats:italic>P </jats:italic>&lt;<jats:italic> </jats:italic>0.001) rather than weak grip strength (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.89, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.058) or slow gait speed (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.13, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.672). No significant association was observed in the general population with a better glycemic profile.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Poor glycemic control in patients with diabetes was associated with low muscle mass.</jats:p></jats:sec>
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author Sugimoto, Ken, Tabara, Yasuharu, Ikegami, Hiroshi, Takata, Yasunori, Kamide, Kei, Ikezoe, Tome, Kiyoshige, Eri, Makutani, Yukako, Onuma, Hiroshi, Gondo, Yasuyuki, Ikebe, Kazunori, Ichihashi, Noriaki, Tsuboyama, Tadao, Matsuda, Fumihiko, Kohara, Katsuhiko, Kabayama, Mai, Fukuda, Masahiro, Katsuya, Tomohiro, Osawa, Haruhiko, Hiromine, Yoshihisa, Rakugi, Hiromi
author_facet Sugimoto, Ken, Tabara, Yasuharu, Ikegami, Hiroshi, Takata, Yasunori, Kamide, Kei, Ikezoe, Tome, Kiyoshige, Eri, Makutani, Yukako, Onuma, Hiroshi, Gondo, Yasuyuki, Ikebe, Kazunori, Ichihashi, Noriaki, Tsuboyama, Tadao, Matsuda, Fumihiko, Kohara, Katsuhiko, Kabayama, Mai, Fukuda, Masahiro, Katsuya, Tomohiro, Osawa, Haruhiko, Hiromine, Yoshihisa, Rakugi, Hiromi, Sugimoto, Ken, Tabara, Yasuharu, Ikegami, Hiroshi, Takata, Yasunori, Kamide, Kei, Ikezoe, Tome, Kiyoshige, Eri, Makutani, Yukako, Onuma, Hiroshi, Gondo, Yasuyuki, Ikebe, Kazunori, Ichihashi, Noriaki, Tsuboyama, Tadao, Matsuda, Fumihiko, Kohara, Katsuhiko, Kabayama, Mai, Fukuda, Masahiro, Katsuya, Tomohiro, Osawa, Haruhiko, Hiromine, Yoshihisa, Rakugi, Hiromi
author_sort sugimoto, ken
container_issue 6
container_start_page 1471
container_title Journal of Diabetes Investigation
container_volume 10
description <jats:title>Abstract</jats:title><jats:sec><jats:title>Aims/Introduction</jats:title><jats:p>Hyperglycemia is a risk factor for sarcopenia when comparing individuals with and without diabetes. However, no studies have investigated whether the findings could be extrapolated to patients with diabetes with relatively higher glycemic levels. Here, we aimed to clarify whether glycemic control was associated with sarcopenia in patients with type 2 diabetes.</jats:p></jats:sec><jats:sec><jats:title>Materials and Methods</jats:title><jats:p>Study participants consisted of patients with type 2 diabetes (<jats:italic>n</jats:italic> = 746, the average age was 69.9 years) and an older general population (<jats:italic>n</jats:italic> = 2,067, the average age was 68.2 years). Sarcopenia was defined as weak grip strength or slow usual gait speed and low skeletal mass index.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Among patients with type 2 diabetes, 52 were diagnosed as having sarcopenia. The frequency of sarcopenia increased linearly with glycated hemoglobin (HbA1c) level, particularly in lean individuals (HbA1c &lt;6.5%, 7.0%, ≥6.5% and &lt;7.0%: 18.5%; HbA1c ≥7.0% and &lt;8.0%: 20.3%; HbA1c ≥8.0%: 26.7%). The linear association was independent of major covariates, including anthropometric factors and duration of diabetes (HbA1c &lt;6.5%: reference; ≥6.5% and &lt;7.0%: odds ratio [<jats:styled-content style="fixed-case">OR</jats:styled-content>] 4.38, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.030; HbA1c ≥7.0% and &lt;8.0%: 4.29, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.024; HbA1c ≥8.0%: 7.82, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.003). HbA1c level was specifically associated with low skeletal mass index (HbA1c ≥8.0%: <jats:styled-content style="fixed-case">OR</jats:styled-content> 5.42, <jats:italic>P </jats:italic>&lt;<jats:italic> </jats:italic>0.001) rather than weak grip strength (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.89, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.058) or slow gait speed (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.13, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.672). No significant association was observed in the general population with a better glycemic profile.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Poor glycemic control in patients with diabetes was associated with low muscle mass.</jats:p></jats:sec>
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imprint Wiley, 2019
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spelling Sugimoto, Ken Tabara, Yasuharu Ikegami, Hiroshi Takata, Yasunori Kamide, Kei Ikezoe, Tome Kiyoshige, Eri Makutani, Yukako Onuma, Hiroshi Gondo, Yasuyuki Ikebe, Kazunori Ichihashi, Noriaki Tsuboyama, Tadao Matsuda, Fumihiko Kohara, Katsuhiko Kabayama, Mai Fukuda, Masahiro Katsuya, Tomohiro Osawa, Haruhiko Hiromine, Yoshihisa Rakugi, Hiromi 2040-1116 2040-1124 Wiley General Medicine Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.1111/jdi.13070 <jats:title>Abstract</jats:title><jats:sec><jats:title>Aims/Introduction</jats:title><jats:p>Hyperglycemia is a risk factor for sarcopenia when comparing individuals with and without diabetes. However, no studies have investigated whether the findings could be extrapolated to patients with diabetes with relatively higher glycemic levels. Here, we aimed to clarify whether glycemic control was associated with sarcopenia in patients with type 2 diabetes.</jats:p></jats:sec><jats:sec><jats:title>Materials and Methods</jats:title><jats:p>Study participants consisted of patients with type 2 diabetes (<jats:italic>n</jats:italic> = 746, the average age was 69.9 years) and an older general population (<jats:italic>n</jats:italic> = 2,067, the average age was 68.2 years). Sarcopenia was defined as weak grip strength or slow usual gait speed and low skeletal mass index.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Among patients with type 2 diabetes, 52 were diagnosed as having sarcopenia. The frequency of sarcopenia increased linearly with glycated hemoglobin (HbA1c) level, particularly in lean individuals (HbA1c &lt;6.5%, 7.0%, ≥6.5% and &lt;7.0%: 18.5%; HbA1c ≥7.0% and &lt;8.0%: 20.3%; HbA1c ≥8.0%: 26.7%). The linear association was independent of major covariates, including anthropometric factors and duration of diabetes (HbA1c &lt;6.5%: reference; ≥6.5% and &lt;7.0%: odds ratio [<jats:styled-content style="fixed-case">OR</jats:styled-content>] 4.38, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.030; HbA1c ≥7.0% and &lt;8.0%: 4.29, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.024; HbA1c ≥8.0%: 7.82, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.003). HbA1c level was specifically associated with low skeletal mass index (HbA1c ≥8.0%: <jats:styled-content style="fixed-case">OR</jats:styled-content> 5.42, <jats:italic>P </jats:italic>&lt;<jats:italic> </jats:italic>0.001) rather than weak grip strength (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.89, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.058) or slow gait speed (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.13, <jats:italic>P </jats:italic>=<jats:italic> </jats:italic>0.672). No significant association was observed in the general population with a better glycemic profile.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Poor glycemic control in patients with diabetes was associated with low muscle mass.</jats:p></jats:sec> Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus Journal of Diabetes Investigation
spellingShingle Sugimoto, Ken, Tabara, Yasuharu, Ikegami, Hiroshi, Takata, Yasunori, Kamide, Kei, Ikezoe, Tome, Kiyoshige, Eri, Makutani, Yukako, Onuma, Hiroshi, Gondo, Yasuyuki, Ikebe, Kazunori, Ichihashi, Noriaki, Tsuboyama, Tadao, Matsuda, Fumihiko, Kohara, Katsuhiko, Kabayama, Mai, Fukuda, Masahiro, Katsuya, Tomohiro, Osawa, Haruhiko, Hiromine, Yoshihisa, Rakugi, Hiromi, Journal of Diabetes Investigation, Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus, General Medicine, Endocrinology, Diabetes and Metabolism, Internal Medicine
title Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_full Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_fullStr Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_full_unstemmed Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_short Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
title_sort hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: the multicenter study for clarifying evidence for sarcopenia in patients with diabetes mellitus
title_unstemmed Hyperglycemia in non‐obese patients with type 2 diabetes is associated with low muscle mass: The Multicenter Study for Clarifying Evidence for Sarcopenia in Patients with Diabetes Mellitus
topic General Medicine, Endocrinology, Diabetes and Metabolism, Internal Medicine
url http://dx.doi.org/10.1111/jdi.13070