The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysis

BackgroundBody mass index (BMI) and fasting plasma glucose (FPG) are known risk factors for type 2 diabetes mellitus (T2DM), but data on the prospective association of the combination of BMI and FPG with T2DM are limited. This study sought to characterize the association of the combination of BMI an...

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Main Authors: Xiaofang Zhao, Tianci Yao, Bei Song, Haohui Fan, Ting Liu, Guangyu Gao, Kun Wang, Weilin Lu, Chengyun Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2024.1355180/full
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author Xiaofang Zhao
Tianci Yao
Bei Song
Haohui Fan
Ting Liu
Guangyu Gao
Kun Wang
Weilin Lu
Chengyun Liu
author_facet Xiaofang Zhao
Tianci Yao
Bei Song
Haohui Fan
Ting Liu
Guangyu Gao
Kun Wang
Weilin Lu
Chengyun Liu
author_sort Xiaofang Zhao
collection DOAJ
description BackgroundBody mass index (BMI) and fasting plasma glucose (FPG) are known risk factors for type 2 diabetes mellitus (T2DM), but data on the prospective association of the combination of BMI and FPG with T2DM are limited. This study sought to characterize the association of the combination of BMI and FPG (ByG) with T2DM.MethodsThe current study used the NAGALA database. We categorized participants by tertiles of ByG. The association of ByG with T2DM was expressed with hazard ratios (HRs) with 95% confidence intervals (CIs) after adjustment for potential risk factors.ResultsDuring a median follow-up of 6.19 years in the normoglycemia cohort and 5.58 years in the prediabetes cohort, the incidence of T2DM was 0.75% and 7.79%, respectively. Following multivariable adjustments, there were stepwise increases in T2DM with increasing tertiles of ByG. After a similar multivariable adjustment, the risk of T2DM was 2.57 (95% CI 2.26 - 2.92), 1.97 (95% CI 1.53 - 2.54) and 1.50 (95% CI 1.30 - 1.74) for a per-SD change in ByG in all populations, the normoglycemia cohort and the prediabetes cohort, respectively.ConclusionByG was associated with an increased risk of T2DM in Japan. The result reinforced the importance of the combination of BMI and FPG in assessing T2DM risk.
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spelling doaj.art-08e52f0ceeed4344b2ca9a7633fdec262024-02-14T04:53:23ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922024-02-011510.3389/fendo.2024.13551801355180The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysisXiaofang ZhaoTianci YaoBei SongHaohui FanTing LiuGuangyu GaoKun WangWeilin LuChengyun LiuBackgroundBody mass index (BMI) and fasting plasma glucose (FPG) are known risk factors for type 2 diabetes mellitus (T2DM), but data on the prospective association of the combination of BMI and FPG with T2DM are limited. This study sought to characterize the association of the combination of BMI and FPG (ByG) with T2DM.MethodsThe current study used the NAGALA database. We categorized participants by tertiles of ByG. The association of ByG with T2DM was expressed with hazard ratios (HRs) with 95% confidence intervals (CIs) after adjustment for potential risk factors.ResultsDuring a median follow-up of 6.19 years in the normoglycemia cohort and 5.58 years in the prediabetes cohort, the incidence of T2DM was 0.75% and 7.79%, respectively. Following multivariable adjustments, there were stepwise increases in T2DM with increasing tertiles of ByG. After a similar multivariable adjustment, the risk of T2DM was 2.57 (95% CI 2.26 - 2.92), 1.97 (95% CI 1.53 - 2.54) and 1.50 (95% CI 1.30 - 1.74) for a per-SD change in ByG in all populations, the normoglycemia cohort and the prediabetes cohort, respectively.ConclusionByG was associated with an increased risk of T2DM in Japan. The result reinforced the importance of the combination of BMI and FPG in assessing T2DM risk.https://www.frontiersin.org/articles/10.3389/fendo.2024.1355180/fulltype 2 diabetes mellitusbody mass indexfasting plasma glucoseinsulin resistanceJapan
spellingShingle Xiaofang Zhao
Tianci Yao
Bei Song
Haohui Fan
Ting Liu
Guangyu Gao
Kun Wang
Weilin Lu
Chengyun Liu
The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysis
Frontiers in Endocrinology
type 2 diabetes mellitus
body mass index
fasting plasma glucose
insulin resistance
Japan
title The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysis
title_full The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysis
title_fullStr The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysis
title_full_unstemmed The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysis
title_short The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysis
title_sort combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in japan a secondary retrospective analysis
topic type 2 diabetes mellitus
body mass index
fasting plasma glucose
insulin resistance
Japan
url https://www.frontiersin.org/articles/10.3389/fendo.2024.1355180/full
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