ArticleThe Journal of clinical endocrinology and metabolism2020
The Association Between Heart Rate and Glycemic Status in the National Health and Nutrition Examination Surveys.
Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Dysglycaemia and Autonomic Dysfunction: The Diabetes Prevention Program Outcomes Study.Diabetes, obesity & metabolism · 2026Article
- Chronic Non-Communicable Disease Burden among Recently Arrived Refugees in Syracuse, New York.Annals of global health · 2026Article
- The association between resting heart rate and HbA1c-assessed glycemic control in patients with type 2 diabetes in Eastern China.Frontiers in endocrinology · 2025Article
- Assessment of heart rate measurements by commercial wearable fitness trackers for early identification of metabolic syndrome risk.Scientific reports · 2024Article
- Association between initial in-hospital heart rate and glycemic control in patients with acute ischemic stroke and diabetes mellitus.BMC endocrine disorders · 2023Article
- Heart rate thresholds for cardiovascular risk and sympathetic activation in the metabolic syndrome.Acta diabetologica · 2022Article
- Association between heart rate and cardiovascular death in patients with coronary heart disease: A NHANES-based cohort study.Clinical cardiology · 2022Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
Abstract
contextEvidence suggests that heart rate (HR) is a prognostic factor for cardiovascular disease (CVD), for which persons with diabetes are at increased risk.
objectiveThe objective of this article is to determine the association between HR and glycemic status in a nationally representative sample of US adults, and, among adults with diagnosed diabetes, the association between HR and hemoglobin A1c (HbA1c) level.
designA cross-sectional study was conducted.
settingThe setting of this study is the National Health and Nutrition Examination Surveys, 2011 to 2016.
participantsUS general adult (age ≥ 20 years) population who had information on glycemic status based on self-report, HbA1c, and fasting plasma glucose (N = 8562).
interventionThere was no intervention.
main outcome measureThe main outcome measure of this study was mean HR (beats per minute).
resultsAfter adjustment for examination time, age, other demographic characteristics, health insurance, health behaviors, body mass index, CVD and kidney disease, and taking antihypertensive medications, mean HR was significantly higher for those with diagnosed (75 bpm), undiagnosed diabetes (75 bpm), and prediabetes (73 bpm) compared to those with normoglycemia (71 bpm, P < .05 for all); this association was robust both for men and women. Mean HR increased with increasing HbA1c level among individuals with diagnosed diabetes independent of other risk factors (HbA1c < 7.0% [< 53 mmol/mol], 73 bpm vs A1c ≥ 11.0% [≥ 97mmol/mol], 79 bpm, P < .001); this association was most pronounced for women.
conclusionsAdjusted mean HR was higher among individuals with diabetes and increased glycemia, which may reflect underlying autonomic and/or myocardial dysfunction among those with diabetes.
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