Normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of China
IntroductionHypertriglyceridemia and its derivatives are independent predictors of diabetes mellitus type 2 (T2DM). However, the relationship between triglyceride concentrations within the normal range and the incidence of T2DM remains to be clarified. This study investigated the potential relations...
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2024.1330650/full |
| _version_ | 1797319767259873280 |
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| author | Rubing Guo Rubing Guo Rubing Guo Lianhua Wei Yongtong Cao Wei Zhao |
| author_facet | Rubing Guo Rubing Guo Rubing Guo Lianhua Wei Yongtong Cao Wei Zhao |
| author_sort | Rubing Guo |
| collection | DOAJ |
| description | IntroductionHypertriglyceridemia and its derivatives are independent predictors of diabetes mellitus type 2 (T2DM). However, the relationship between triglyceride concentrations within the normal range and the incidence of T2DM remains to be clarified. This study investigated the potential relationship between variations in plasma triglyceride levels within the normal range and T2DM onset using data from a longitudinal study of health and retirement in China.MethodsBetween, 2010 and, 2016, we conducted a retrospective cohort study involving 36,441 individuals with normal triglyceride levels. Using a Cox proportional hazards regression model, we examined the connection between normal triglyceride levels and T2DM incidence. We employed this method with smooth curve fitting to investigate potential nonlinear associations. Subgroup analyses were performed based on age, sex, body mass index, smoking and drinking status, hypertension, and family history of diabetes.ResultsA significant linear relationship was observed between normal triglyceride levels and the incidence of T2DM. The hazard ratio for T2DM in individuals with normal triglycerides was 1.81 (95% confidence interval: 1.39, 2.36); P<0.001). Kaplan–Meier analysis further demonstrated a prospective association between the higher tertiles of normal triglyceride levels and the development of T2DM (P<0.001). Subgroup analysis revealed a stronger positive correlation between normal triglyceride levels in females and the risk of T2DM.DiscussionAn increase in triglyceride levels within the normal range is related to a continuous increase in the incidence of T2DM in the general population. These findings show that almost everyone can benefit from reducing triglyceride levels, further emphasizing the importance of lifestyle changes in the general population. |
| first_indexed | 2024-03-08T04:12:42Z |
| format | Article |
| id | doaj.art-95f5284a7465471baaec714ffbc17242 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-03-08T04:12:42Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-95f5284a7465471baaec714ffbc172422024-02-08T16:39:44ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922024-02-011510.3389/fendo.2024.13306501330650Normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of ChinaRubing Guo0Rubing Guo1Rubing Guo2Lianhua Wei3Yongtong Cao4Wei Zhao5School of Public Health, Gansu University of Traditional Chinese Medicine, Lanzhou, ChinaDepartment of Clinical Laboratory, Gansu Provincial Hospital, Lanzhou, ChinaDepartment of Clinical Laboratory, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Clinical Laboratory, Gansu Provincial Hospital, Lanzhou, ChinaDepartment of Clinical Laboratory, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Clinical Laboratory, China-Japan Friendship Hospital, Beijing, ChinaIntroductionHypertriglyceridemia and its derivatives are independent predictors of diabetes mellitus type 2 (T2DM). However, the relationship between triglyceride concentrations within the normal range and the incidence of T2DM remains to be clarified. This study investigated the potential relationship between variations in plasma triglyceride levels within the normal range and T2DM onset using data from a longitudinal study of health and retirement in China.MethodsBetween, 2010 and, 2016, we conducted a retrospective cohort study involving 36,441 individuals with normal triglyceride levels. Using a Cox proportional hazards regression model, we examined the connection between normal triglyceride levels and T2DM incidence. We employed this method with smooth curve fitting to investigate potential nonlinear associations. Subgroup analyses were performed based on age, sex, body mass index, smoking and drinking status, hypertension, and family history of diabetes.ResultsA significant linear relationship was observed between normal triglyceride levels and the incidence of T2DM. The hazard ratio for T2DM in individuals with normal triglycerides was 1.81 (95% confidence interval: 1.39, 2.36); P<0.001). Kaplan–Meier analysis further demonstrated a prospective association between the higher tertiles of normal triglyceride levels and the development of T2DM (P<0.001). Subgroup analysis revealed a stronger positive correlation between normal triglyceride levels in females and the risk of T2DM.DiscussionAn increase in triglyceride levels within the normal range is related to a continuous increase in the incidence of T2DM in the general population. These findings show that almost everyone can benefit from reducing triglyceride levels, further emphasizing the importance of lifestyle changes in the general population.https://www.frontiersin.org/articles/10.3389/fendo.2024.1330650/fulltriglyceridesdiabetescohort studydyslipidemiasurvival analysis |
| spellingShingle | Rubing Guo Rubing Guo Rubing Guo Lianhua Wei Yongtong Cao Wei Zhao Normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of China Frontiers in Endocrinology triglycerides diabetes cohort study dyslipidemia survival analysis |
| title | Normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of China |
| title_full | Normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of China |
| title_fullStr | Normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of China |
| title_full_unstemmed | Normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of China |
| title_short | Normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of China |
| title_sort | normal triglyceride concentration and the risk of diabetes mellitus type 2 in the general population of china |
| topic | triglycerides diabetes cohort study dyslipidemia survival analysis |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2024.1330650/full |
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