Prevalence and risk factors of somatic and autonomic neuropathy in prediabetic and diabetic patients

Wei Chih Hsu, Amy Ming Fang Yen, Horng Huei Liou, Han Cheng Wang, Tony Hsiu Hsi Chen

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Aims/Hypothesis: To investigate the prevalence and correlates of somatic and autonomic neuropathies concurrently in prediabetic and diabetic subjects in the general population. Subjects and Methods: Nerve conduction and heart rate variability studies were used for detecting both types of diabetic neuropathy. Of 1,576 inhabitants, 143 persons were identified as prediabetic or having diabetic mellitus. One hundred and thirty-three persons completed a nerve conduction test and 118 persons a valid heart rate variability test. Significant correlates responsible for diabetic neuropathies were also collected. Results: The prevalence rates of definite, probable and no somatic neuropathy were 9.0% (12/133), 20.3% (27/133) and 70.7% (94/133), respectively. The corresponding figures for autonomic neuropathy were 14.4% (17/118), 54.2% (64/118) and 31.4% (37/118). The prevalence rate for the presence of both neuropathies was 16.9%. In a univariate analysis, age, renal insufficiency, HbA1c and fasting glucose level were significantly associated with somatic neuropathy whereas only systolic blood pressure was statistically significantly associated with autonomic neuropathy. In a multivariate analysis, systolic blood pressure and fasting glucose level were positively associated with somatic neuropathy and systolic blood pressure remained statistically significant for autonomic neuropathy. Conclusions: The prevalence of autonomic neuropathy is twofold compared with somatic neuropathy. Concurrence of the two kinds of neuropathy was approximately half of sole somatic neuropathy and a quarter of sole autonomic neuropathy. Systolic blood pressure and fasting glucose level were related to somatic neuropathy whereas only systolic blood pressure was correlated with autonomic neuropathy.

Original languageEnglish
Pages (from-to)344-349
Number of pages6
JournalNeuroepidemiology
Volume33
Issue number4
DOIs
Publication statusPublished - Dec 2009
Externally publishedYes

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Blood Pressure
Fasting
Diabetic Neuropathies
Neural Conduction
Glucose
Heart Rate
Renal Insufficiency
Multivariate Analysis
Population

Keywords

  • Autonomic neuropathy
  • Diabetic neuropathy
  • Heart rate variability
  • Nerve conduction study
  • Somatic neuropathy

ASJC Scopus subject areas

  • Epidemiology
  • Clinical Neurology

Cite this

Prevalence and risk factors of somatic and autonomic neuropathy in prediabetic and diabetic patients. / Hsu, Wei Chih; Yen, Amy Ming Fang; Liou, Horng Huei; Wang, Han Cheng; Chen, Tony Hsiu Hsi.

In: Neuroepidemiology, Vol. 33, No. 4, 12.2009, p. 344-349.

Research output: Contribution to journalArticle

Hsu, Wei Chih ; Yen, Amy Ming Fang ; Liou, Horng Huei ; Wang, Han Cheng ; Chen, Tony Hsiu Hsi. / Prevalence and risk factors of somatic and autonomic neuropathy in prediabetic and diabetic patients. In: Neuroepidemiology. 2009 ; Vol. 33, No. 4. pp. 344-349.
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N2 - Aims/Hypothesis: To investigate the prevalence and correlates of somatic and autonomic neuropathies concurrently in prediabetic and diabetic subjects in the general population. Subjects and Methods: Nerve conduction and heart rate variability studies were used for detecting both types of diabetic neuropathy. Of 1,576 inhabitants, 143 persons were identified as prediabetic or having diabetic mellitus. One hundred and thirty-three persons completed a nerve conduction test and 118 persons a valid heart rate variability test. Significant correlates responsible for diabetic neuropathies were also collected. Results: The prevalence rates of definite, probable and no somatic neuropathy were 9.0% (12/133), 20.3% (27/133) and 70.7% (94/133), respectively. The corresponding figures for autonomic neuropathy were 14.4% (17/118), 54.2% (64/118) and 31.4% (37/118). The prevalence rate for the presence of both neuropathies was 16.9%. In a univariate analysis, age, renal insufficiency, HbA1c and fasting glucose level were significantly associated with somatic neuropathy whereas only systolic blood pressure was statistically significantly associated with autonomic neuropathy. In a multivariate analysis, systolic blood pressure and fasting glucose level were positively associated with somatic neuropathy and systolic blood pressure remained statistically significant for autonomic neuropathy. Conclusions: The prevalence of autonomic neuropathy is twofold compared with somatic neuropathy. Concurrence of the two kinds of neuropathy was approximately half of sole somatic neuropathy and a quarter of sole autonomic neuropathy. Systolic blood pressure and fasting glucose level were related to somatic neuropathy whereas only systolic blood pressure was correlated with autonomic neuropathy.

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