1. Helicobacter pyloriinfection is associated with type 2 diabetes among a middle- and old-age Chinese population
- Author
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Tangchun Wu, Handong Yang, Meian He, Bing Liu, Sheng Wei, Jing Wang, Ping Yao, Yaru Li, Yuan Liang, Xiaomin Zhang, Xiaoping Miao, Huan Guo, Xu Han, Youjie Wang, Hua Hu, Xiulou Li, Jing Yuan, and Kun Yang
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Endocrinology, Diabetes and Metabolism ,Urea breath test ,Type 2 diabetes ,Odds ratio ,Overweight ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Internal medicine ,Diabetes mellitus ,Internal Medicine ,medicine ,030211 gastroenterology & hepatology ,030212 general & internal medicine ,Family history ,medicine.symptom ,business ,Body mass index ,Cohort study - Abstract
Background Although the association of Helicobacter pylori (H. pylori) infection with diabetes mellitus has been evaluated, findings are controversial. This study investigated the association in a Chinese population. Methods A cross-sectional study, including a total of 30 810 subjects from the Dongfeng-Tongji Cohort study, was conducted. H. pylori status was measured via 14C urea breath test. Association analysis was performed by logistic regression, with multivariable adjustment for sex, age, body mass index, smoking, alcohol consumption, family history of diabetes, physical activity and the use of antibiotics. Results Among a middle-age and old-age Chinese population, individuals with H. pylori infection also had a higher prevalence of type 2 diabetes (21.3% versus 20.2%, p = 0.026). H. pylori infection was associated with higher risk of type 2 diabetes [odds ratio, 1.08 (95% confidence interval: 1.02โ1.14); p = 0.008] after adjustment for other confounders. The association was significant among women, those who were above 65 years old, not overweight or obese, and those who did not smoke, did not consume alcohol and without family history of diabetes. However, there was no interaction between H. pylori infection and other traditional risk factors on type 2 diabetes risk. Subjects with H. pylori infection had a lower level of high-density lipoprotein cholesterol (p
- Published
- 2015
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