Type 2 & other diabetes

Sex hormone-binding globulin and heart failure hospitalizations in patients with dysglycemia: Experiences from the outcome reduction with an Initial Glargine Intervention trial

Diabetes Res Clin PractPublished Secondary analysis of the ORIGIN randomised trial

Authors' conclusion

In patients with dysglycemia and high cardiovascular risk, increasing SHBG was associated with greater risk of HF hospitalizations independent of testosterone concentrations in men but not in women, suggesting the effects could be mediated through androgen-independent pathways.

Study context

Population
Dysglycemic participants at high cardiovascular risk in the Outcome Reduction with an Initial Glargine Intervention trial
Participants
8,401 participants
Comparison
Sex hormone-binding globulin (SHBG) per 1 SD increase, men vs women
  • Menn = 5,553
  • Womenn = 2,848
Primary endpoint
HF hospitalizations; HR per 1 SD increase in SHBG, adjusted for age, comorbidities, biochemical data (incl. testosterone) and pharmacological treatment
Follow-up
Median 6.2 years

Primary result

As reported in the abstract

HF hospitalizations per 1 SD increase in SHBG
GroupValueHR per 1 SD SHBG
Men6.3 %1.15 (95 % CI 1.03-1.28; p = 0.011)
Women4.3 %1.15 (95 % CI 0.96-1.39; p = 0.14)

Value

Men6.3 %
Women4.3 %

HR per 1 SD SHBG

Men1.15 (95 % CI 1.03-1.28; p = 0.011)
Women1.15 (95 % CI 0.96-1.39; p = 0.14)

Original publication

Sex hormone-binding globulin and heart failure hospitalizations in patients with dysglycemia: Experiences from the outcome reduction with an Initial Glargine Intervention trial. Diabetes Res Clin Pract. Published 11 November 2023. doi:10.1016/j.diabres.2023.111010

Composed by AI from the published abstract and checked against it. How Briefs are made →

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