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Table 2 Mortality rate and risk of death according to HbA1c levels at baseline or over time

From: Association between haemoglobin A1c and all-cause and cause-specific mortality in middle-aged and older Koreans: a prospective cohort study

 

HbA1c in participants without known diabetes

Known diabetes

< 5.0%

5.0–5.4%

5.5–5.9%

6.0–6.4%

≥ 6.5%

HbA1c at baseline, n

303

2962

3930

1038

457

604

Person-years of follow-up

4542

44,966

59,625

15,458

6771

8598

All-cause death, n

28

228

337

139

69

143

 Mortality (per 1000 person-years)

6.2

5.1

5.7

9.0

10.2

16.6

 Adjusted HR (95% CI)*

1.74 (1.18–2.57)

1.20 (1.01–1.42)

Ref

1.50 (1.23–1.83)

1.62 (1.24–2.11)

2.30 (1.88–2.81)

CVD death, n

3

33

68

30

15

36

 Mortality (per 1000 person-years)

0.7

0.7

1.1

1.9

2.2

4.2

 Adjusted HR (95% CI)*

1.07 (0.33–3.46)

0.99 (0.65–1.51)

Ref

1.38 (0.89–2.14)

1.41 (0.80–2.48)

2.32 (1.51–3.56)

Cancer death, n

12

107

126

52

27

35

 Mortality (per 1000 person-years)

2.6

2.4

2.1

3.4

4.0

4.1

 Adjusted HR (95% CI)*

1.81 (0.99–3.30)

1.44 (1.11–1.87)

Ref

1.43 (1.03–1.99)

1.65 (1.08–2.52)

1.41 (0.97–2.06)

Death from external causes, n

3

38

50

19

6

9

 Mortality (per 1000 person-years)

0.7

0.8

0.8

1.2

0.9

1.0

 Adjusted HR (95% CI)*

0.94 (0.29–3.08)

1.13 (0.74–1.74)

Ref

1.36 (0.79–2.34)

1.03 (0.43–2.48)

1.01 (0.49–2.06)

HbA1c over time, adjusted HR (95% CI)*

  

0

   

All-cause death,

1.84 (1.35–2.51)

1.13 (0.95–1.34)

Ref

1.30 (1.04–1.62)

1.37 (0.97–1.93)

2.03 (1.70–2.44)

CVD death

1.53 (0.65–3.61)

1.17 (0.76–1.80)

Ref

1.43 (0.87–2.36)

2.39 (1.27–4.48)

2.29 (1.52–3.45)

Cancer death

2.21 (1.42–3.44)

1.23 (0.94–1.60)

Ref

1.07 (0.74–1.56)

0.71 (0.34–1.46)

1.60 (1.18–2.15)

Death from external causes

0.69 (0.21–2.24)

1.22 (0.79–1.90)

Ref

1.57 (0.89–2.76)

0.77 (0.24–2.53)

1.31 (0.74–2.32)

  1. Known diabetes was defined as a history of physician-diagnosed diabetes or under treatment with oral antidiabetic agents or insulin
  2. A standard Cox proportional hazards model was tested using HbA1c at baseline and a time-dependent Cox proportional hazards model was tested using HbA1c over time
  3. *Adjusted for age (years), sex, residential area (Ansung or Ansan), body mass index (kg/m2), smoking (current, past, or never), alcohol use (current, past, or never), regular exercise (yes or no), education (above or below university), hypertension (yes or no), and dyslipidaemia (yes or no)