Fasting plasma glucose levels are associated with all-cause and cancer mortality: A population-based retrospective cohort study.

Despite a growing body of research indicating a link between fasting glucose levels and mortality, the relationship between fasting glucose and all-cause and cancer mortality remains inconsistent. In this study, we used Cox regression and restricted cubic spline models to analyze the association and...

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Main Authors: Qing Gao, Qi Wang, Zhijuan Gan, Meng Wang, Dafeng Lu, Bingdong Zhan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0311150
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author Qing Gao
Qi Wang
Zhijuan Gan
Meng Wang
Dafeng Lu
Bingdong Zhan
author_facet Qing Gao
Qi Wang
Zhijuan Gan
Meng Wang
Dafeng Lu
Bingdong Zhan
author_sort Qing Gao
collection DOAJ
description Despite a growing body of research indicating a link between fasting glucose levels and mortality, the relationship between fasting glucose and all-cause and cancer mortality remains inconsistent. In this study, we used Cox regression and restricted cubic spline models to analyze the association and dose-response relationship between fasting plasma glucose levels and all-cause and cancer mortality in a retrospective cohort based on data from the 2015 health check-ups of residents in Quzhou City. After a mean follow-up of 5.31 years for 148,755 study participants, 10,345 deaths occurred, with an all-cause mortality density of 131.09/10,000 person-years, of which 2,845 were cancer deaths, with a cancer mortality density of 36.05/10,000 person-years. There was a "J" shaped dose-response relationship between fasting plasma glucose levels and all-cause and cancer mortality. Relative to normal fasting glucose (NFG), the risk of all-cause mortality (HRs and 95% CIs) in the impaired fasting glucose (IFG) and diabetes mellitus (DM) groups was 1.11 (1.06, 1.16) and 1.43 (1.35, 1.52), respectively, and the risk of cancer mortality in the DM group was 1.22 (1.09, 1.37). In this cohort study, we found that fasting plasma glucose levels were significantly associated with the risk of all-cause and cancer mortality.
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spelling doaj-art-94fe8f2f3deb4127a5ee73079c6842d12024-11-23T05:30:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011911e031115010.1371/journal.pone.0311150Fasting plasma glucose levels are associated with all-cause and cancer mortality: A population-based retrospective cohort study.Qing GaoQi WangZhijuan GanMeng WangDafeng LuBingdong ZhanDespite a growing body of research indicating a link between fasting glucose levels and mortality, the relationship between fasting glucose and all-cause and cancer mortality remains inconsistent. In this study, we used Cox regression and restricted cubic spline models to analyze the association and dose-response relationship between fasting plasma glucose levels and all-cause and cancer mortality in a retrospective cohort based on data from the 2015 health check-ups of residents in Quzhou City. After a mean follow-up of 5.31 years for 148,755 study participants, 10,345 deaths occurred, with an all-cause mortality density of 131.09/10,000 person-years, of which 2,845 were cancer deaths, with a cancer mortality density of 36.05/10,000 person-years. There was a "J" shaped dose-response relationship between fasting plasma glucose levels and all-cause and cancer mortality. Relative to normal fasting glucose (NFG), the risk of all-cause mortality (HRs and 95% CIs) in the impaired fasting glucose (IFG) and diabetes mellitus (DM) groups was 1.11 (1.06, 1.16) and 1.43 (1.35, 1.52), respectively, and the risk of cancer mortality in the DM group was 1.22 (1.09, 1.37). In this cohort study, we found that fasting plasma glucose levels were significantly associated with the risk of all-cause and cancer mortality.https://doi.org/10.1371/journal.pone.0311150
spellingShingle Qing Gao
Qi Wang
Zhijuan Gan
Meng Wang
Dafeng Lu
Bingdong Zhan
Fasting plasma glucose levels are associated with all-cause and cancer mortality: A population-based retrospective cohort study.
PLoS ONE
title Fasting plasma glucose levels are associated with all-cause and cancer mortality: A population-based retrospective cohort study.
title_full Fasting plasma glucose levels are associated with all-cause and cancer mortality: A population-based retrospective cohort study.
title_fullStr Fasting plasma glucose levels are associated with all-cause and cancer mortality: A population-based retrospective cohort study.
title_full_unstemmed Fasting plasma glucose levels are associated with all-cause and cancer mortality: A population-based retrospective cohort study.
title_short Fasting plasma glucose levels are associated with all-cause and cancer mortality: A population-based retrospective cohort study.
title_sort fasting plasma glucose levels are associated with all cause and cancer mortality a population based retrospective cohort study
url https://doi.org/10.1371/journal.pone.0311150
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