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Published on: January 23, 2018
Elevated heart rate predicts β cell function in non-diabetic individuals: the RISC cohort
Fabrice Bonnet1, Jean-Philippe Empana2, Andrea Natali2
1Service Endocrinologie-DiabétologieCHU Rennes, Université Rennes 1, Rennes, FranceInserm Centre for research in Epidemiology and Population Health (CESP) U1018Villejuif, FranceParis Cardiovascular Research Centre (PARCC)INSERM UMRS 970, Paris, FranceDepartment of Internal MedicineUniversity of Pisa, Pisa, ItalyDepartment of Internal MedicineCardio-Diabetes and Core Lab, Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, ItalyService d'enseignement thérapeutique pour maladies chroniquesHôpitaux Universitaires de Genève, Geneva, SwitzerlandFaculty of Medicine University of BelgradeClinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade, SerbiaDepartment of Epidemiology and BiostatisticsEMGO Institute for Health and Care Research, Amsterdam, The NetherlandsC N R Institute of NeurosciencePadova, Italy Service Endocrinologie-DiabétologieCHU Rennes, Université Rennes 1, Rennes, FranceInserm Centre for research in Epidemiology and Population Health (CESP) U1018Villejuif, FranceParis Cardiovascular Research Centre (PARCC)INSERM UMRS 970, Paris, FranceDepartment of Internal MedicineUniversity of Pisa, Pisa, ItalyDepartment of Internal MedicineCardio-Diabetes and Core Lab, Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, ItalyService d'enseignement thérapeutique pour maladies chroniquesHôpitaux Universitaires de Genève, Geneva, SwitzerlandFaculty of Medicine University of BelgradeClinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade, SerbiaDepartment of Epidemiology and BiostatisticsEMGO Institute for Health and Care Research, Amsterdam, The NetherlandsC N R Institute of NeurosciencePadova, Italy fabrice.bonnet@chu-rennes.fr.
Higher resting heart rate in non-diabetic adults predicts future impaired glucose regulation and reduced beta-cell function, independent of insulin sensitivity. This suggests a potential role for the sympathetic nervous system in beta-cell dysfunction.
Area of Science:
- Endocrinology
- Metabolic Health
- Cardiovascular Physiology
Background:
- Elevated heart rate is linked to insulin resistance and type 2 diabetes.
- The relationship between heart rate and pancreatic beta-cell function remains unclear.
Purpose of the Study:
- To investigate the association between baseline heart rate and beta-cell function.
- To determine if heart rate predicts future hyperglycemia in non-diabetic individuals.
Main Methods:
- Prospective cohort study (RISC) of 1005 non-diabetic individuals.
- Oral glucose tolerance tests (OGTT) at baseline and 3-year follow-up.
- Assessment of insulin sensitivity (OGIS), insulin secretion, and beta-cell glucose sensitivity.
Main Results:
- Higher baseline heart rate correlated with increased fasting and 2-hour glucose levels at 3 years.
- Resting heart rate predicted impaired glucose regulation at 3 years, independent of baseline insulin sensitivity.
- Baseline heart rate was associated with decreased insulin sensitivity, beta-cell glucose sensitivity, and basal insulin secretion over 3 years.
Conclusions:
- Resting heart rate is a predictor of future beta-cell dysfunction and impaired glucose regulation in non-diabetic individuals.
- Findings suggest a potential role for sympathetic nervous system activity in beta-cell dysfunction.
- Further research is warranted to explore the mechanisms linking heart rate and beta-cell function.
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