Cited by 991Adipokines, Inflammation, and Metabolic DiseasesAdipose Tissue and MetabolismCardiovascular Disease and Adiposity

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Adiponectin Levels and Risk of Type 2 Diabetes: A Systematic Review and Meta-analysis

Li, Shanshan, Shin, Hyun Joon, Ding, Eric L., van Dam, Rob M.·2009·JAMA

DOI 10.1001/jama.2009.976

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Abstract

CONTEXT: The association of obesity with development of type 2 diabetes may be partly mediated by altered secretion of adipokines by adipose tissue. Greater adiposity down-regulates secretion of adiponectin, an adipokine with anti-inflammatory and insulin-sensitizing properties. The strength and consistency of the relation between plasma adiponectin and risk of type 2 diabetes is unclear. OBJECTIVE: To systematically review prospective studies of the association of plasma adiponectin levels and risk of type 2 diabetes. DATA SOURCES: A systematic search of the MEDLINE, EMBASE, and Science Citation Index Expanded databases using adiponectin and diabetes and various synonyms and reference lists of retrieved articles up to April 10, 2009. STUDY SELECTION: We included prospective studies with plasma adiponectin levels as the exposure and incidence of type 2 diabetes as the outcome variable. DATA EXTRACTION: Two reviewers independently extracted data and assessed study quality. Generalized least-squares trend estimation was used to assess dose-response relationships. Pooled relative risks and 95% confidence intervals were calculated using random-effects models to incorporate between-study variation. RESULTS: Thirteen prospective studies with a total of 14 598 participants and 2623 incident cases of type 2 diabetes were included in the meta-analysis. Higher adiponectin levels were monotonically associated with a lower risk of type 2 diabetes. The relative risk of type 2 diabetes was 0.72 (95% confidence interval, 0.67-0.78) per 1-log microg/mL increment in adiponectin levels. This inverse association was consistently observed in whites, East Asians, Asian Indians, African Americans, and Native Americans and did not differ by adiponectin assay, method of diabetes ascertainment, duration of follow-up, or proportion of women. The estimated absolute risk difference (cases per 1000 person-years) per 1-log microg/mL increment in adiponectin levels was 3.9 for elderly Americans and 30.8 for Americans with impaired glucose tolerance. CONCLUSION: Higher adiponectin levels are associated with a lower risk of type 2 diabetes across diverse populations, consistent with a dose-response relationship.

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Authors: Li, S., Shin, H. J., Ding, E. L., & van Dam, R. M.
Affiliations: Harvard University (US)
Brigham and Women's Hospital (US)
ORCID: Li, Shanshan
Shin, Hyun Joon
Ding, Eric L.
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 2009-07-08
Volume: 302
Issue: 2
Pages: 179
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.2009.976
OpenAlex: W2041272089
Cited by: 991
References: 43
Citations by year: 2026: 16 · 2025: 37 · 2024: 48 · 2023: 47 · 2022: 44 · 2021: 43 · 2020: 58 · 2019: 50 · 2018: 60 · 2017: 51 · 2016: 62 · 2015: 77 · 2014: 89 · 2013: 89 · 2012: 82
FWCI: 49.46
Type: journal article
Language: en
Open access: closed
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Diabetes and Digestive and Kidney Diseases (P30 DK4600)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
Keywords: adiponectin, type 2 diabetes, plasma adiponectin levels, adipokines, obesity, insulin sensitivity, anti-inflammatory activity, dose-response relationship, impaired glucose tolerance, ethnic differences, diabetes risk
MeSH terms: Diabetes Mellitus, Type 2, Humans, Risk Factors, Adiponectin

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Adiponectin Levels and Risk of Type 2 Diabetes: A Systematic Review and Meta-analysis

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