The Association between Trajectories of Anthropometric Variables and Risk of Diabetes among Prediabetic Chinese

In order to explore the association between trajectories of body mass index (BMI) and mid-upper arm circumference (MUAC) and diabetes and to assess the effectiveness of the models to predict diabetes among Chinese prediabetic people, we conducted this study. Using a national longitudinal study, 1529...

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Main Authors: Fang Li, Lizhang Chen
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/12/4356
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author Fang Li
Lizhang Chen
author_facet Fang Li
Lizhang Chen
author_sort Fang Li
collection DOAJ
description In order to explore the association between trajectories of body mass index (BMI) and mid-upper arm circumference (MUAC) and diabetes and to assess the effectiveness of the models to predict diabetes among Chinese prediabetic people, we conducted this study. Using a national longitudinal study, 1529 cases were involved for analyzing the association between diabetes and BMI trajectories or MUAC trajectories. Growth mixture modeling was conducted among the prediabetic Chinese population to explore the trajectories of BMI and MUAC, and logistic regression was applied to evaluate the association between these trajectories and the risk of diabetes. The receiver operating characteristic curve (ROC) and the area under the curve (AUC) were applied to assess the feasibility of prediction. BMI and MUAC were categorized into 4-class trajectories, respectively. Statistically significant associations were observed between diabetes in certain BMI and MUAC trajectories. The AUC for trajectories of BMI and MUAC to predict diabetes was 0.752 (95% CI: 0.690–0.814). A simple cross-validation using logistic regression indicated an acceptable efficiency of the prediction. Diabetes prevention programs should emphasize the significance of body weight control and maintaining skeletal muscle mass and resistance training should be recommended for prediabetes.
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spelling doaj.art-0bbdd228d47046e0b8c5a842a82da6472023-11-23T09:56:35ZengMDPI AGNutrients2072-66432021-12-011312435610.3390/nu13124356The Association between Trajectories of Anthropometric Variables and Risk of Diabetes among Prediabetic ChineseFang Li0Lizhang Chen1Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, ChinaIn order to explore the association between trajectories of body mass index (BMI) and mid-upper arm circumference (MUAC) and diabetes and to assess the effectiveness of the models to predict diabetes among Chinese prediabetic people, we conducted this study. Using a national longitudinal study, 1529 cases were involved for analyzing the association between diabetes and BMI trajectories or MUAC trajectories. Growth mixture modeling was conducted among the prediabetic Chinese population to explore the trajectories of BMI and MUAC, and logistic regression was applied to evaluate the association between these trajectories and the risk of diabetes. The receiver operating characteristic curve (ROC) and the area under the curve (AUC) were applied to assess the feasibility of prediction. BMI and MUAC were categorized into 4-class trajectories, respectively. Statistically significant associations were observed between diabetes in certain BMI and MUAC trajectories. The AUC for trajectories of BMI and MUAC to predict diabetes was 0.752 (95% CI: 0.690–0.814). A simple cross-validation using logistic regression indicated an acceptable efficiency of the prediction. Diabetes prevention programs should emphasize the significance of body weight control and maintaining skeletal muscle mass and resistance training should be recommended for prediabetes.https://www.mdpi.com/2072-6643/13/12/4356prediabetesdiabetestrajectories of body mass indextrajectories of mid-upper arm circumferencegrowth mixture modelingcohort study
spellingShingle Fang Li
Lizhang Chen
The Association between Trajectories of Anthropometric Variables and Risk of Diabetes among Prediabetic Chinese
Nutrients
prediabetes
diabetes
trajectories of body mass index
trajectories of mid-upper arm circumference
growth mixture modeling
cohort study
title The Association between Trajectories of Anthropometric Variables and Risk of Diabetes among Prediabetic Chinese
title_full The Association between Trajectories of Anthropometric Variables and Risk of Diabetes among Prediabetic Chinese
title_fullStr The Association between Trajectories of Anthropometric Variables and Risk of Diabetes among Prediabetic Chinese
title_full_unstemmed The Association between Trajectories of Anthropometric Variables and Risk of Diabetes among Prediabetic Chinese
title_short The Association between Trajectories of Anthropometric Variables and Risk of Diabetes among Prediabetic Chinese
title_sort association between trajectories of anthropometric variables and risk of diabetes among prediabetic chinese
topic prediabetes
diabetes
trajectories of body mass index
trajectories of mid-upper arm circumference
growth mixture modeling
cohort study
url https://www.mdpi.com/2072-6643/13/12/4356
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