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Table 1 Characteristics of studies included in the meta-analysis

From: Sex differences in the association between diabetes and risk of cardiovascular disease, cancer, and all-cause and cause-specific mortality: a systematic review and meta-analysis of 5,162,654 participants

Author

Study location

Study name

Mean baseline age (years)

No. of participants

No. of diabetes

Ascertainment of diabetes

Outcome

Mean follow-up years

Maximum adjustment available

Jousilahti et al. 1999 [17]

Finland

Pekka et al-Finnish

44.4

14,786

NA

Self-reported

CHD mortality

NA

Age, study year, area, smoking, HDL, HDL/cholesterol ratio, SBP, BMI

Oba et al. 2008 [18]

Japan

Takayama study

54.6

29,079

1217

Self-reported

All-cause mortality, cancer mortality, CVD mortality, CHD mortality, stroke mortality

7

Age, smoking, BMI, physical activity, length of education in years, history of hypertension, total energy intake, intake of vegetables, fat, and alcohol

Hu et al. 2005 [19]

Finland

Kuopio and North Karelia study

44.3

50,281

962

Self-reported

All-cause mortality, CVD mortality, CHD mortality, stroke mortality

17.2

Age, study year, BMI, SBP, TC, smoking

Madssen et al. 2012 [20]

Norway

HUNT 1 study

74.6

47,586

2421

Self-reported, measured

CHD mortality

NA

Age, BMI, hypertension, CVD, smoking, physical activity

DECODE Study Group 2001 [21]

Europe

DECODE Study

53.2

22,514

1807

Self-reported, measured

All-cause mortality, CVD mortality, CHD mortality, stroke mortality

8.8

Age, center, TC, BMI, SBP, smoking

Keli et al. 1993 [22]

USA

Charleston Heart Study

50

2181

NA

Self-reported

All-cause mortality, CHD mortality

30

Age, SBP, serum cholesterol, smoking, BMI, years of education, history of diabetes

Friberg et al. 2004 [23]

Denmark

Copenhagen City Heart Study

58.4

29,310

1072

Self-reported, measured

CVD mortality

4.7

Age, AF, arterial hypertension, SBP, MI, ELVH, smoking, FEV2

VR et al. 1996 [24]

Pacific island nation of Fiji

NA

50.5

2546

2638

Self-reported, measured

All-cause mortality, CVD mortality, CHD mortality, stroke mortality

11

Age, SBP, BMI, TC, smoking, survey area

Bozorgmanesh et al. 2011 [25]

Iran

Tehran Lipid and Glucose Study

47

6331

897

Self-reported, measured

All-cause mortality

8.6

Age, smoking, SBP, WC, TC, TG, HDL-C, non-HDL-C, CVD, intervention

Kleinman et al. 1988 [26]

USA

First National Health and Nutrition Examination Survey

58.1

7381

407

Self-reported, measured

All-cause mortality, CVD mortality, CHD mortality

10

Age, SBP, serum cholesterol, BMI, smoking

Magliano et al. 2010 [27]

Mauritius

NA

40.9

9559

NA

Self-reported, measured

All-cause mortality, CVD mortality

15

Age, WC, HIP, smoking, hypertension, ethnicity, CVD, education, HDL-C, TG, TC

Elizabeth et al. 1991 [28]

USA

The Rancho Bernardo Study

61.9

2471

334

Self-reported, measured

CHD mortality

14.4

Age, SBP, cholesterol, BMI, smoking

Fraser et al. 1992 [29]

USA

The Adventist Health Study

52.8

27,658

NA

Self-reported

CHD mortality

6

Age, hypertension, smoking, physical activity, BMI

Sievers et al. 1992 [30]

India

NA

49.5

5131

1266

Measured

All-cause mortality, cancer mortality, IHD mortality, stroke mortality, infections mortality

10

Age

Seeman et al. 1993 [31]

USA

The New Haven EPESE cohort

NA

2812

386

Self-reported

CHD mortality

6

Age, education, BMI, smoking, alcohol, vegetable intake, red meat intake, physical activity, aspirin use

Campbell et al. 2012 [6]

USA

Cancer Prevention Study-II

NA

1,053,831

52,655

Self-reported

All-cause mortality, cancer mortality, CVD mortality, CHD mortality, stroke mortality, respiratory system mortality, infections mortality

26

Age, high blood pressure, BMI, smoking, elevated serum cholesterol, elevated serum triglycerides, elevated serum uric acid, IGT, obesity, hyperuricemia

Wang et al. 2012 [32]

Taiwan

Taiwan Survey of Hypertension, Hyperglycemia, and Hyperlipidemia

45.6

4289

335

Measured

All-cause mortality, CVD mortality

7.7

Age, education, marital status, housing tenure, car ownership

Natarajan et al. 2003 [33]

USA

Framingham Heart Study and the Framingham Offspring Study

52.2

5243

229

Measured

CHD mortality

20

Age, chest pain on exertion, BP, use of anti-hypertensive medication, smoking, BMI

Vilbergsson et al. 1998 [34]

Iceland

The Reykjavik Study

52.8

18,912

477

Self-reported, measured

All-cause mortality, CVD mortality

17

Age strata, CAD, stroke, BMI, alcohol, smoking, betel nut chewing, physical activity, income

Qvist et al. 1996 [35]

Sweden

NA

59.1

5306

NA

Self-reported

CVD mortality, stroke mortality

10

Age, smoking, hypertension, TC, HDL-C, BMI

Tunstall-Pedoe et al. 1997 [36]

England

Edinburgh and north Glasgow MONICA population surveys

49.5

11,629

NA

Self-reported

All-cause mortality, CHD mortality

7.6

Age, smoking, BMI, hypertension, TC, TG, calendar year

Nilsson et al. 1998 [37]

Sweden

Swedish Annual Level-of-Living Survey

NA

39,055

776

Self-reported

All-cause mortality, CVD mortality, CHD mortality, stroke mortality

16

Age

Imazu et al. 2002 [38]

USA

The Hawaii-Los Angeles-Hiroshima study

60.9

927

169

Measured

CVD mortality, CHD mortality

14

Age, BMI, serum uric acid, TC, TG, hypertension, ECG (abnormal Q), ECG (ST-T changes), smoking

Hart et al. 1999 [39]

England

The Renfrew/Paisley general population study

NA

15,406

NA

Self-reported

Stroke mortality

20

Age, DBP, smoking, FEV1, height, BMI, diabetes, preexisting CHD

Bragg et al. 2014 [40]

China

The China Kadoorie Biobank

51.5

512,869

512,869

Self-reported Measured

All-cause mortality, cancer mortality, IHD mortality, stroke mortality, respiratory disease mortality, infections mortality

7

Age, geographic area, education, smoking, alcohol, physical activity, BMI.

Kato et al. 2015 [41]

Japan

Japan Public Health Center-based prospective study

50.2

99,584

4286

Self-reported

All-cause mortality, cancer mortality, IHD mortality, stroke mortality

20

Age, BMI, alcohol, smoking, hypertension, physical activity, area

Johansen et al. 1987 [42]

Canada

The Nutrition Canada survey

NA

8094

NA

Self-reported

All-cause mortality

10

Age, respondent status, smoking, DBP, history of diabetes or presence of glucose in the urine, BMI, serum cholesterol level, alcohol consumption

Suemoto et al. 2014 [43]

Brazil

The SABE Study

71

1882

312

Self-reported

All-cause mortality

7

Age, race, marital status, years of education, childhood socioeconomic status, occupation, income, heart disease, lung disease, stroke, arthritis, depressive symptoms, alcohol, smoking, BMI, physical activity, frailty, nutritional status, year of entry in the study

Jee et al. 2005 [44]

Korea

The National Health Insurance Corp

46.9

1,298,358

62,924

Self-reported, measured

All-cause mortality, all-cancer mortality

10

Age, age squared, smoking, alcohol

Fraser et al. 1997 [45]

Spain

Non-Hispanic white Seventh-Day Adventists from California

NA

603

NA

Self-reported

All-cause mortality, CHD mortality

12

Age, smoking, physical activity, nuts per week, fruit per day, bread, sweet desserts per week, beef per week, fish per week

Moe et al. 2013 [46]

Norway

HUNT 2

46.5

53,587

1195

Self-reported, measured

CVD mortality

12

Age, physical activity, smoking, alcohol, education, BMI, SBP, TC

Liu et al. 2011 [47]

USA

The LSOA II study

80

9246

NA

Self-reported

All-cause mortality

8

Age, marital status, living arrangement, educational attainments, hypertension, CHD, stroke

Vimalananda et al. 2014 [48]

USA

The Cardiovascular Health Study

72.6

4817

681

Self-reported, measured

All-cause mortality

12.5

Age, clinical site, HDL-C, LDL-C, SBP, anti-hypertensive medication use, CRP

Eichner et al. 2010 [49]

USA

The Strong Heart Study

56

4293

265

Self-reported, measured

CVD mortality

17

Age, BMI, LDL-C, HDL-C, physical activity, hypertension, diabetes, macro- and microalbuminuria

Bozorgmanesh et al. 2012 [50]

Iran

The Tehran lipid and glucose study

33.3

8795

1449

Self-reported, measured

All-cause mortality, CVD mortality

9

Age, smoking, SBP, using antihypertensive drugs, TC, HDL-C

Moe et al. 2013 [51]

Norway

HUNT 1 study

47.9

56,170

1105

Self-reported

CVD mortality, IHD mortality

24

Age, birth, smoking, education, alcohol, SBP, BMI, physical activity

Kakehi et al. 2014 [52]

Japan

The Jichi Medical School Cohort Study

55.1

11,998

2706

Measured

All-cause mortality, cancer mortality, CVD mortality, stroke mortality

10.7

Age, BMI, SBP, TC, HDL-C, TC, smoking, alcohol

Shen et al. 2014 [53]

China

Elderly health centers in Hong Kong

69.5

66,820

9225

Self-reported

All-cause mortality, cancer mortality, CVD mortality, IHD mortality, stroke mortality, respiratory disease mortality, infectious disease mortality

12.5

Age, alcohol, smoking, physical activity, education, housing, monthly expenditure

Hiltunen et al. 2005 [54]

Finland

Kempele, Oulunsalo and Hailuoto study

76

379

98

Self-reported, measured

All-cause mortality

9.8

Age, BMI, CVD, hypertension, physical activity, self-rated health

Gordon-Dseagu et al. 2014 [55]

England

The Health Survey for England or Scottish Health Survey

47

204,533

7199

Self-reported

All-cause mortality, cancer mortality, CVD mortality

10

Age, sex, smoking, BMI

Yeh et al. 2012 [56]

USA

The CLUE II (Give Us a Clue to Cancer and Heart Disease) cohort

51.8

18,280

599

Treated diabetes

All-cancer mortality

17

Age, BMI, smoking, education level, hypertension treatment, and high cholesterol treatment, menopausal status, history of use of oral contraceptives, history of use of hormone replacement therapy

Chen et al. 2017 [57]

Asia

The ACC

53.9

771,297

NA

Self-reported

All-cancer mortality

12.7

Age, BMI, smoking, alcohol, educational attainment, urban residence

Zhou et al. 2010 [58]

Europe

The DECODE study

53.4

44,655

NA

Self-reported, measured

All-cancer mortality

21.4

Age, study cohort, BMI, SBP, cholesterol, smoking

Drake et al. 2017 [59]

Sweden

The MDCS

57.9

26,953

21,940

Self-reported

Cancer mortality

17

Age, calendar year of study entry, height, smoking, physical activity, alcohol, educational level, past food habit change, hypertension, use of lipid-age, lowering drugs, family history of cancer, BMI

Preis et al. 2009 [60]

USA

The Framingham Heart Study

58.1

10,333

NA

Self-reported, measured

All-cause mortality, CVD mortality

25

Age

NHIS

USA

NHIS

46.8

339,113

26,039

Self-reported

All-cause mortality, cancer mortality, CVD mortality, stroke mortality

6.6

Age, race, BMI, smoking, drinking, education level, hypertension, physical activity, marital status, CVD, cancer

Natarajan et al. 2005 [61]

USA

National Health and Nutrition Examination Survey Epidemiologic Follow-up Study

52.4

10,871

539

Measured

CHD mortality

NA

Age, race, smoking, hypertension, serum cholesterol level, body mass index

Hirakawa et al. 2017 [62]

Japan

EPOCH-JAPAN study

58.2

38,854

1867

Measured

All-cause mortality, CVD mortality, CHD mortality, stroke mortality

10.3

Age, SBP, serum total cholesterol, BMI, current smoking status, habitual alcohol intake

Alegre-Díaz et al. 2016 [63]

Mexico

Mexico City Study

51.7

146,046

17,411

Self-reported

All-cause mortality

12

Age, smoking, district, education level, height, weight, WC, Hip

  1. Abbreviations: BMI body mass index (Quetelet index), BP blood pressure, SBP systolic blood pressure, DBP diastolic blood pressure, TC total cholesterol, HDL high-density lipoprotein, HDL-C high-density lipoprotein cholesterol, LDL-C low-density lipoprotein cholesterol, TG triglyceride, TG/HDL-C triglyceride-to-high-density lipoprotein cholesterol ratio, ELVF electrocardiographic left ventricular hypertrophy, AF atrial fibrillation, MI myocardial infarction, FEV1 forced expiratory volume in 1 s, FEV2 forced expiratory volume in 2 s, CVD cardiovascular disease (angina, coronary heart disease, stroke, or amputation) (family history of premature CVD), IHD ischemic heart disease, CHD coronary heart disease, WC waist circumference, Hip hip circumference, IGT impaired glucose tolerance, CRP C-reactive protein, NA not available