Diabetes and Cardiovascular Disease in Older Adults: Current Status and Future Directions
Open accessAbstract
The prevalence of diabetes increases with age, driven in part by an absolute increase in incidence among adults aged 65 years and older. Individuals with diabetes are at higher risk for cardiovascular disease, and age strongly predicts cardiovascular complications. Inflammation and oxidative stress appear to play some role in the mechanisms underlying aging, diabetes, cardiovascular disease, and other complications of diabetes. However, the mechanisms underlying the age-associated increase in risk for diabetes and diabetes-related cardiovascular disease remain poorly understood. Moreover, because of the heterogeneity of the older population, a lack of understanding of the biology of aging, and inadequate study of the effects of treatments on traditional complications and geriatric conditions associated with diabetes, no consensus exists on the optimal interventions for older diabetic adults. The Association of Specialty Professors, along with the National Institute on Aging, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Heart, Lung, and Blood Institute, and the American Diabetes Association, held a workshop, summarized in this Perspective, to discuss current knowledge regarding diabetes and cardiovascular disease in older adults, identify gaps, and propose questions to guide future research.
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Type 2 diabetes is a strong risk factor for cardiovascular disease, and both CVD mortality and the effect of diabetes on CVD risk increase with older age and frailty.
“Type 2 diabetes is a strong risk factor for CVD, and both CVD mortality and the effect of diabetes on the risk of CVD increase sharply with older age and frailty status”
From Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty (2018) · cites this paper as [176]
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- Authors
- Halter, J. B., Musi, N., McFarland Horne, F., Crandall, J. P., Goldberg, A., Harkless, L., Hazzard, W. R., Huang, E. S., Kirkman, M. S., Plutzky, J., Schmader, K. E., Zieman, S., & High, K. P.
- Affiliations
- University of Michigan (US)
- The University of Texas at San Antonio Health Science Center (US)
- Association of Specialty Professors, Alexandria, VA
- Albert Einstein College of Medicine (US)
- University of Maryland, Baltimore (US)
- Western University of Health Sciences (US)
- University of Washington (US)
- University of Chicago (US)
- University of North Carolina at Chapel Hill (US)
- Brigham and Women's Hospital (US)
- Duke University (US)
- National Institutes of Health (US)
- Wake Forest University Health Sciences (US)
- Corresponding author
- Halter, Jeffrey B.
- Musi, Nicolas
- ORCID
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2014-07-17
- Volume
- 63
- Issue
- 8
- Pages
- 2578-2589
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- PMC
- PMC4113072
- OpenAlex
- W2158639332
- Cited by
- 255
- References
- 58
- Citations by year
- 2026: 11 · 2025: 13 · 2024: 29 · 2023: 28 · 2022: 28 · 2021: 20 · 2020: 28 · 2019: 19 · 2018: 27 · 2017: 25 · 2016: 13 · 2015: 12 · 2014: 2
- FWCI
- 13.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institutes of Health (UL1TR001073)
- Wake Forest School of Medicine
- National Institute on Aging (U13AG040938, P30AG028716)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092949, P30DK020572)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Keywords
- cardiovascular disease, older adults, aging, inflammation, oxidative stress, diabetes complications, geriatric conditions, research priorities
- MeSH terms
- Adult, Aged, Aging, Blood Glucose, Cardiovascular Diseases, Humans, Hyperglycemia, Middle Aged, United States, Diabetes Complications, Young Adult
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