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Diurnal salivary cortisol and urinary catecholamines are associated with diabetes mellitus: the Multi-Ethnic Study of Atherosclerosis
Journal article   Open access   Peer reviewed

Diurnal salivary cortisol and urinary catecholamines are associated with diabetes mellitus: the Multi-Ethnic Study of Atherosclerosis

Shivam Champaneri, Xiaoqiang Xu, Mercedes R. Carnethon, Alain G. Bertoni, Teresa Seeman, Ana Diez Roux and Sherita Hill Golden
Metabolism, clinical and experimental, v 61(7), pp 986-995
01 Jul 2012
PMID: 22209664
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc3319636View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Endocrinology & Metabolism Life Sciences & Biomedicine Science & Technology
The objective was to examine the cross-sectional association of diurnal salivary cortisol curve components and urinary catecholamines with diabetes status. Up to 18 salivary cortisol samples over 3 days and overnight urinary catecholamines were collected from 1002 participants in the Multi-Ethnic Study of Atherosclerosis. Diabetes was defined as a fasting blood glucose of at least 126 mg/dL or medication use. Cortisol curve measures included awakening cortisol, cortisol awakening response, early decline, late decline, and cortisol area under the curve (AUC). Urinary catecholamines included epinephrine, norepinephrine, and dopamine. Participants with diabetes had significantly lower cortisol awakening response (beta = -0.19; 95% confidence interval [CI], -0.34 to -0.04) than those without diabetes in multivariable models. Whereas men with diabetes had a nonsignificant trend toward lower total AUC (beta = -1.56; 95% CI, -3.93 to 0.80), women with diabetes had significantly higher total AUC (beta = 2.62; 95% CI, 0.72 to 4.51) (P = .02 for interaction) compared with those without diabetes. Men but not women with diabetes had significantly lower urinary catecholamines compared with those without diabetes (P < .05). Diabetes is associated with neuroendocrine dysregulation, which may differ by sex. Further studies are needed to determine the role of the neuroendocrine system in the pathophysiology of diabetes. (c) 2012 Elsevier Inc. All rights reserved.

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Endocrinology & Metabolism
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