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CA 19-9 Levels Were in Relation to Different Glucose Regulation Status in a Middle-aged and Elderly Chinese Population.
MedLine Citation:
PMID:  22176810     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective:  To investigate carbohydrate antigen (CA) 19-9 levels in subjects with different glucose regulation status and assess the relationship between CA 19-9 and glucose regulation status in a Chinese population aged 40 years and older. Methods:  A total of 2792 participants aged 40 or older without history of diabetes were enrolled in the present study from Songnan region, Shanghai, China. Each participant received a two-point (0 and 2h) 75-g oral glucose tolerance test (OGTT) and measurements of hemoglobin A1c (HbA1c) and CA 19-9. Results:  CA19-9 levels increased gradually from normal glucose regulation (NGR), impaired glucose regulation (IGR) to new-onset diabetic patients (8.81, 9.84 and 11.08 U/mL, P for trend <0.0001). In new-onset diabetic patients, CA 19-9 levels were positively and significantly associated with FPG (r=0.20, P<0.0001), PPG (r=0.17, P=0.0007) and HbA1c (r=0.19, P=0.0001). Meanwhile, patients with new-onset diabetes had 3.31-fold (OR, 4.31; 95% CI, 2.00-9.32) increased higher odds ratio of elevated CA 19-9 as compared with those with NGR after adjustments for confounders. Conclusion:  CA 19-9 levels were significantly higher in diabetic and IGR patients as compared with subjects with NGR. Diabetic status was independently associated with elevated CA 19-9. These results imply that CA19-9 might also relate to endocrine function of pancreas.
Authors:
Yun Huang; Yu Xu; Yufang Bi; Min Xu; Jieli Lu; Tiange Wang; Mian Li; Yuhong Chen; Yu Liu; Fei Huang; Baihui Xu; Jie Zhang; Weiqing Wang; Guang Ning
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-18
Journal Detail:
Title:  Journal of diabetes     Volume:  -     ISSN:  1753-0407     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101504326     Medline TA:  J Diabetes     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Ruijin Hospital and Blackwell Publishing Asia Pty Ltd.
Affiliation:
Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai, 200025 China Shanghai Clinical Center for Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Department of Endocrinology and Metabolism, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, 200025 China.
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