Articles producció científica> Medicina i Cirurgia

Increased serum calcium levels and risk of type 2 diabetes in individuals at high cardiovascular risk

  • Identification data

    Identifier: imarina:2656755
    Authors:
    Becerra-Tomas, NereaEstruch, RamonBullo, MonicaCasas, RosaDiaz-Lopez, AndresBasora, JosepFito, MontserratSerra-Majem, LluisSalas-Salvado, Jordi
    Abstract:
    Insulin resistance and secretion depend on calcium homeostasis. Cross-sectional studies have associated elevated serum calcium levels with markers of impaired glucose metabolism. However, only one prospective cohort study has demonstrated an increased risk of diabetes in individuals with increased serum calcium concentrations. The aim of the current study was to prospectively investigate the association between albumin-adjusted serum calcium concentrations and type 2 diabetes in subjects at high cardiovascular risk.Prospective assessment of participants from two Spanish PREDIMED study centers where serum calcium levels were measured at baseline and yearly during follow-up. Multivariate-adjusted Cox regression models were fitted to assess associations between baseline and changes during follow-up in serum calcium levels and relative risk of diabetes incidence.After a median follow-up of 4.78 years, 77 new cases of type 2 diabetes occurred. An increase in serum calcium levels during follow-up was related to an increased risk of diabetes. In comparison with individuals in the lowest tertile (-0.78 ± 0.29 mg/dL), the hazard ratio (HR) and 95% CI for diabetes incidence in individuals in the higher tertile of change (0.52 ± 0.13 mg/dL) during follow-up was 3.48 (95% CI 1.48-8.17; P for trend = 0.01). When albumin-adjusted serum calcium was analyzed as a continuous variable, per 1 mg/dL increase, the HR of diabetes incidence was 2.87 (95% CI 1.18-6.96; P value = 0.02). These associations remained significant after individuals taking calcium supplements or having calcium levels out of normal range had been excluded.An increase in serum calcium concentrations is associated with an increased risk of type 2 diabetes in individuals at high cardiovascular risk.© 2014 by the American
  • Others:

    Author, as appears in the article.: Becerra-Tomas, Nerea; Estruch, Ramon; Bullo, Monica; Casas, Rosa; Diaz-Lopez, Andres; Basora, Josep; Fito, Montserrat; Serra-Majem, Lluis; Salas-Salvado, Jordi
    Department: Medicina i Cirurgia Bioquímica i Biotecnologia
    URV's Author/s: Basora Gallisa, Josep / Becerra Tomás, Nerea / Bulló Bonet, Mònica / Díaz López, Andres / Salas Salvadó, Jorge
    Keywords: Hashtag Etiqueta «#» @uroweb @residentesaeu @infoAeu
    Abstract: Insulin resistance and secretion depend on calcium homeostasis. Cross-sectional studies have associated elevated serum calcium levels with markers of impaired glucose metabolism. However, only one prospective cohort study has demonstrated an increased risk of diabetes in individuals with increased serum calcium concentrations. The aim of the current study was to prospectively investigate the association between albumin-adjusted serum calcium concentrations and type 2 diabetes in subjects at high cardiovascular risk.Prospective assessment of participants from two Spanish PREDIMED study centers where serum calcium levels were measured at baseline and yearly during follow-up. Multivariate-adjusted Cox regression models were fitted to assess associations between baseline and changes during follow-up in serum calcium levels and relative risk of diabetes incidence.After a median follow-up of 4.78 years, 77 new cases of type 2 diabetes occurred. An increase in serum calcium levels during follow-up was related to an increased risk of diabetes. In comparison with individuals in the lowest tertile (-0.78 ± 0.29 mg/dL), the hazard ratio (HR) and 95% CI for diabetes incidence in individuals in the higher tertile of change (0.52 ± 0.13 mg/dL) during follow-up was 3.48 (95% CI 1.48-8.17; P for trend = 0.01). When albumin-adjusted serum calcium was analyzed as a continuous variable, per 1 mg/dL increase, the HR of diabetes incidence was 2.87 (95% CI 1.18-6.96; P value = 0.02). These associations remained significant after individuals taking calcium supplements or having calcium levels out of normal range had been excluded.An increase in serum calcium concentrations is associated with an increased risk of type 2 diabetes in individuals at high cardiovascular risk.© 2014 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.
    Thematic Areas: Saúde coletiva Odontología Nutrição Medicina iii Medicina ii Medicina i Internal medicine Interdisciplinar General medicine Engenharias iv Enfermagem Endocrinology, diabetes and metabolism Endocrinology & metabolism Ciências biológicas ii Ciências biológicas i Biotecnología Antropologia / arqueologia Advanced and specialized nursing
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 01495992
    Author's mail: josep.basora@urv.cat andres.diaz@urv.cat nerea.becerra@urv.cat monica.bullo@urv.cat josep.basora@urv.cat jordi.salas@urv.cat
    Author identifier: 0000-0002-7500-5629 0000-0002-4429-6507 0000-0002-0218-7046 0000-0003-2700-7459
    Record's date: 2024-10-12
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://diabetesjournals.org/care/article/37/11/3084/29080/Increased-Serum-Calcium-Levels-and-Risk-of-Type-2
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Diabetes Care. 37 (11): 3084-3091
    APA: Becerra-Tomas, Nerea; Estruch, Ramon; Bullo, Monica; Casas, Rosa; Diaz-Lopez, Andres; Basora, Josep; Fito, Montserrat; Serra-Majem, Lluis; Salas-Salva (2014). Increased serum calcium levels and risk of type 2 diabetes in individuals at high cardiovascular risk. Diabetes Care, 37(11), 3084-3091. DOI: 10.2337/dc14-0898
    Article's DOI: 10.2337/dc14-0898
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2014
    Publication Type: Journal Publications
  • Keywords:

    Advanced and Specialized Nursing,Endocrinology & Metabolism,Endocrinology, Diabetes and Metabolism,Internal Medicine
    Saúde coletiva
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Internal medicine
    Interdisciplinar
    General medicine
    Engenharias iv
    Enfermagem
    Endocrinology, diabetes and metabolism
    Endocrinology & metabolism
    Ciências biológicas ii
    Ciências biológicas i
    Biotecnología
    Antropologia / arqueologia
    Advanced and specialized nursing
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