PMID- 31390138 OWN - NLM STAT- MEDLINE DCOM- 20201111 LR - 20221207 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 12 IP - 2 DP - 2020 Feb TI - Early life exposure to 1959-1961 Chinese famine exacerbates association between diabetes and cardiovascular disease. PG - 134-141 LID - 10.1111/1753-0407.12975 [doi] AB - BACKGROUND: We aimed to assess whether early life exposure to the Chinese famine (1959-1961) modifies the association between type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) in adulthood. METHODS: Data from 4247 adults born between 1954 and 1964 from the 2011 and 2015 China Health and Retirement Longitudinal Study (CHARLS) were analyzed. CVD in 2011 and 2015 was based on self-reported doctor's diagnosis of cardiac events (heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems) and stroke. Diabetes in 2011 was defined by fasting blood glucose, HbA1C, or known diabetes. RESULTS: Diabetes in 2011 was cross-sectionally associated with an increase of CVD risk in 2011 (OR 1.91, 95%CI 1.53-2.40, P < 0.001) after adjusting for age and gender. Famine exposure changed the association between diabetes and CVD in areas severely affected by famine. The odds ratios (OR) of diabetes in 2011 for CVD in 2015 were 1.24 (95%CI 0.73-2.10), 1.27 (95%CI 0.72-2.24), 2.25 (95%CI 1.29-3.91), 4.31 (95%CI 2.07-8.97) and 1.72 (95%CI 0.84-3.51) among adults in late childhood-, mid-childhood-, early childhood-, fetal-, and nonexposed cohorts in severe famine areas, respectively. CONCLUSION: T2DM is associated with the risk of CVD among Chinese adults. Fetal and early childhood exposure to the Chinese famine exacerbated the associated risk. CI - (c) 2019 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Shi, Zumin AU - Shi Z AUID- ORCID: 0000-0002-3099-3299 AD - Human Nutrition Department, College of Health Science, QU Health, Qatar University, Doha, Qatar. FAU - Ji, Linong AU - Ji L AUID- ORCID: 0000-0002-3262-2168 AD - Peking University Diabetes Center, Director of Department of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, China. FAU - Ma, Ronald C W AU - Ma RCW AD - Division of Endocrinology & Diabetes, Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. FAU - Zimmet, Paul AU - Zimmet P AD - Department of Diabetes, Central Clinical School, Monash University, Melbourne, Australia. LA - eng PT - Journal Article DEP - 20190828 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 SB - IM MH - Adverse Childhood Experiences MH - Asian People MH - Cardiovascular Diseases/complications/*epidemiology MH - China/epidemiology MH - Diabetes Mellitus, Type 2/complications/*epidemiology MH - *Famine MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged OTO - NOTNLM OT - 2型糖尿病。 OT - Chinese OT - adults OT - cardiovascular disease OT - famine OT - type 2 diabetes OT - 中国人 OT - 心血管疾病 OT - 成人 OT - 饥荒 EDAT- 2019/08/08 06:00 MHDA- 2020/11/12 06:00 CRDT- 2019/08/08 06:00 PHST- 2019/05/21 00:00 [received] PHST- 2019/07/15 00:00 [revised] PHST- 2019/08/02 00:00 [accepted] PHST- 2019/08/08 06:00 [pubmed] PHST- 2020/11/12 06:00 [medline] PHST- 2019/08/08 06:00 [entrez] AID - 10.1111/1753-0407.12975 [doi] PST - ppublish SO - J Diabetes. 2020 Feb;12(2):134-141. doi: 10.1111/1753-0407.12975. Epub 2019 Aug 28.