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Cited by 289Diabetes, Cardiovascular Risks, and LipoproteinsPhysical Activity and HealthDiet, Metabolism, and Disease

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Age as Independent Determinant of Glucose Tolerance

Shimokata, Hiroshi, Muller, Denis C, Fleg, Jerome L, Sorkin, John, Ziemba, Andrzej W, Andres, Reubin·1991·Diabetes
DOI 10.2337/diab.40.1.44
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Abstract

It has been proposed that the decline in glucose tolerance with age is not a primary aging effect but is secondary to a combination of other age-associated characteristics, i.e., disease, medication, obesity, central and upper-body fat deposition, and inactivity. To test this hypothesis, we first eliminated from analysis the Baltimore Longitudinal Study of Aging participants with identifiable diseases or medications known to influence glucose tolerance. Seven hundred forty-three men and women, aged 17–92 yr, remained for analysis. As indices of fatness, body mass index and percent body fat were determined. As indices of body fat distribution, waist-hip ratio and subscapular triceps skin-fold ratio were calculated. As indices of fitness, physical activity level, determined by detailed questionnaire, and maximum 02 consumption were calculated. We tested whether the effect of age on glucose tolerance remains when data were adjusted for fatness, fitness, and fat distribution; 2-h glucose values were 6.61, 6.78, and 7.83 mM for young (17–39 yr), middle-aged (40–59 yr), and old (60–92 yr) men and 6.22, 6.22, and 7.28 mM for the three groups of women, respectively. The differences between the young and middle-aged groups were not significant, but the old groups had significantly higher values than young or middle-aged groups. Fatness, fitness, and fat distribution can account for the decline in glucose tolerance from the young adult to the middle-aged years. However, age remains a significant determinant of the further decline in glucose tolerance of healthy old subjects.

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Metadata

Authors
Shimokata, H., Muller, D. C., Fleg, J. L., Sorkin, J., Ziemba, A. W., & Andres, R.
Affiliations
National Institutes of Health (US)
ORCID
Venue
Diabetes
Publisher
American Diabetes Association
Published
1991-01-01
Volume
40
Issue
1
Pages
44-51
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
DOI
10.2337/diab.40.1.44
OpenAlex
W2047397124
Cited by
289
References
0
Citations by year
2026: 5 · 2025: 3 · 2024: 8 · 2023: 5 · 2022: 11 · 2021: 8 · 2020: 11 · 2019: 8 · 2018: 11 · 2017: 4 · 2016: 7 · 2015: 7 · 2014: 6 · 2013: 10 · 2012: 3
FWCI
7.50
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetes (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
Keywords
glucose tolerance, aging, age-related decline, fat mass, body composition, waist-to-hip ratio, physical activity, fitness, VO2max, body mass index, skinfold thickness, healthy older adults, sex differences
MeSH terms
Adipose Tissue, Adult, Age Factors, Aged, Aged, 80 and over, Aging, Blood Glucose, Female, Glucose Tolerance Test, Humans, Longitudinal Studies, Male, Middle Aged, Oxygen Consumption, Physical Fitness, Surveys and Questionnaires, Regression Analysis, Sex Characteristics, Body Mass Index

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