Lung function measurements in the prediabetes stage: data from the ILERVAS Project

Enric Sánchez, Liliana Gutiérrez-Carrasquilla, Ferrán Barbé, Àngels Betriu, Carolina López-Cano, Anna Michela Gaeta, Francesc Purroy, Reinald Pamplona, Marta Ortega, Elvira Fernández, Cristina Hernández, Albert Lecube, Rafael Simó, Ferran Rius, Marta Hernández, José Manuel Valdivielso, Marcelino Bermúdez-López, Montserrat Martínez-Alonso, Manuel Sánchez-de-la-Torre, Dinora PolancoGerard Torres, Guillermo Suárez, Laura Colàs-Campàs, Ikram Benabdelhak, Manuel Portero-Otin, Mariona Jové, Eva Miquel, Cristina Farràs

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3 Citations (Scopus)

Abstract

© 2019, Springer-Verlag Italia S.r.l., part of Springer Nature. Aims: Patients with type 2 diabetes have been considered a susceptible group for pulmonary dysfunction. Our aim was to assess pulmonary function on the prediabetes stage. Methods: Pulmonary function was assessed in 4,459 non-diabetic subjects, aged between 45 and 70 years, without cardiovascular disease or chronic pulmonary obstructive disease from the ongoing study ILERVAS. A “restrictive spirometric pattern”, an “abnormal FEV1” and an “obstructive ventilatory defect” were assessed. Prediabetes was defined by glycosylated hemoglobin (HbA1c) between 5.7 and 6.4% according to the American Diabetes Association criteria. Results: Population was composed of 52.1% women, aged 57 [53;63] years, a BMI of 28.6 [25.8;31.8] kg/m2, and with a prevalence of prediabetes of 29.9% (n = 1392). Subjects with prediabetes had lower forced vital capacity (FVC: 93 [82;105] vs. 96 [84;106], p < 0.001) and lower forced expired volume in the first second (FEV1: 94 [82;107] vs. 96 [84;108], p = 0.011), as well as a higher percentage of the restrictive spirometric pattern (16.5% vs. 13.6%, p = 0.015) and FEV1 < 80% (20.3% vs. 17.2%, p = 0.017) compared to non-prediabetes group. In the prediabetes group, HbA1c was negatively correlated with both pulmonary parameters (FVC: r = − 0.113, p < 0.001; FEV1: r = − 0.079, p = 0.003). The multivariable logistic regression model in the whole population showed that there was a significant and independent association between HbA1c with both restrictive spirometric pattern [OR = 1.42 (1.10–1.83), p = 0.008] and FEV1 < 80% [OR = 1.50 (1.19–1.90), p = 0.001]. Conclusions: The deleterious effect of type 2 diabetes on pulmonary function appears to be initiated in prediabetes, and it is related to metabolic control. Trial registration ClinicalTrials.gov: NCT03228459.
Original languageEnglish
Pages (from-to)1005-1012
JournalActa Diabetologica
Volume56
DOIs
Publication statusPublished - 1 Sep 2019

Keywords

  • Forced expiratory volume in the first second
  • Forced vital capacity
  • Prediabetes
  • Pulmonary dysfunction
  • Restrictive spirometric pattern

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