Tung TH, Ho HM, Shih HC, Chou P, Liu JH, Chen VT, Chan DC, Liu CM. A population-based follow-up study on gallstone disease among type 2 diabetics in Kinmen, Taiwan. World J Gastroenterol 2006; 12(28): 4536-4540 [PMID: 16874867 DOI: 10.3748/wjg.v12.i28.4536]
Corresponding Author of This Article
Dr Chi-Ming Liu, Cheng Hsin Rehabilitation Medical Center, Taipei, Taiwan, China. ch2783@chgh.org.tw
Article-Type of This Article
Clinical Research
Open-Access Policy of This Article
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World J Gastroenterol. Jul 28, 2006; 12(28): 4536-4540 Published online Jul 28, 2006. doi: 10.3748/wjg.v12.i28.4536
Table 1 Attendance rate of gallstone disease screening among type 2 diabetics in Kinmen
Variable
Eligible population
Screened population
Attendance rate
n
n
(%)
Sex
Male
167
121
72.5
Female
210
160
76.2
Age (yr)
40-49
43
33
76.7
50-59
87
56
64.4
60-69
134
111
82.8
70+
113
81
71.7
Total
377
281
74.5
Table 2 Sex- and age-specific incidence of gallstone disease among type 2 diabetics in Kinmen
Variable
Incidence of any gallstone disease
No. of no GSD at first screening
New cases
Incidence density (% per year) (95%CI)
Sex
Male
121
2
1.65
(0.03-5.10)
Female
160
8
5
(2.29-9.31)
P-value
0.12
Age (yr)
40-49
33
0
0
(-)
50-59
56
2
3.57
(0.06-11.03)
60-69
111
4
3.6
(1.12-8.37)
70+
81
4
4.94
(1.53-11.47)
P-value
0.04
Total
281
10
3.56
(1.78-6.24)
Table 3 Univariate analysis of risk factors for the development of gallstone disease among type 2 diabetics in Kinmen
Variables
Development of gallstone disease
Yes
No
P value
Definitions of
Mean ± SD
Mean ± SD
for t test
disease condition
Age (yr)
69.90 ± 8.79
63.11 ± 10.72
0.04
-
Duration of diabetes (yr)
9.60 ± 0.84
9.44 ± 1.59
0.59
-
Fasting plasma glucose (mg/dL)
148.50 ± 18.45
144.94 ± 39.35
0.58
≥ 126 mg/dL
HbA1c (%)
8.19 ± 0.93
8.33 ± 2.05
0.69
≥ 7%
Systolic blood pressure(mmHg)
152.49 ± 13.91
145.08 ± 16.35
0.16
≥ 140 mmHg
Diastolic blood pressure (mmHg)
89.55 ± 9.40
86.74 ± 9.52
0.36
≥ 90 mmHg
Body mass index (Kg/m2)
26.57 ± 1.07
25.36 ± 2.87
0.01
≥ 27 kg/m2
Waist circumference (cm)
89.74 ± 7.95
85.23 ± 7.52
0.000
≥ 90 cm for males or ≥ 80 cm for females
Total cholesterol (mg/dL)
220.09 ± 20.57
210.99 ± 26.82
0.000
≥ 200 mg/dL
Triglyceride (mg/dL)
178.50 ± 38.95
144.28 ± 66.72
0.11
≥ 200 mg/dL
AST (U/L)
25.40 ± 6.95
22.40 ± 8.15
0.01
≥ 40 U/L
ALT (U/L)
31.36 ± 9.34
22.39 ± 10.28
0.01
≥ 40 U/L
Uric acid (mg/dL)
6.07 ± 1.20
5.94 ± 1.29
0.76
≥ 7 mg/dL for males or ≥ 6 mg/dL for females
Table 4 Cox regression model of risk factors associated with the development of gallstone disease among type 2 diabetics in Kinmen
Variables
Development of gallstone disease (yes vs no)
Relative risk
(95% CI)
Sex (female vs male)
2.60
0.52-13.11
Age (yr)
1.07
1.00-1.14
Body mass index (Kg/m2)
1.03
0.57-1.34
Waist circumference (cm)
1.12
1.01-1.29
Total cholesterol (mg/dL)
1.01
0.98-1.03
AST (U/L)
0.91
0.77-1.07
ALT (U/L)
1.13
1.01-1.26
Citation: Tung TH, Ho HM, Shih HC, Chou P, Liu JH, Chen VT, Chan DC, Liu CM. A population-based follow-up study on gallstone disease among type 2 diabetics in Kinmen, Taiwan. World J Gastroenterol 2006; 12(28): 4536-4540