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Cumulative increased risk of incident type 2 diabetes mellitus with increasing triglyceride glucose index in normal-weight people: The Rural Chinese Cohort Study
Open accessAbstract
BACKGROUND: Risk of type 2 diabetes mellitus (T2DM) is increased in metabolically obese but normal-weight people. However, we have limited knowledge of how to prevent T2DM in normal-weight people. We aimed to evaluate the association between triglyceride glucose (TyG) index and incident T2DM among normal-weight people in rural China. METHODS: ) without baseline T2DM in a rural Chinese cohort followed for a median of 6.0 years. A Cox proportional-hazard model was used to assess the risk of incident T2DM by quartiles of TyG index and difference in TyG index between follow-up and baseline (TyG-D), estimating hazard ratios (HRs) and 95% confidence intervals (CIs). A generalized additive plot was used to show the nonparametric smoothed exposure-response association between risk of T2DM and TyG index as a continuous variable. TyG was calculated as ln [fasting triglyceride level (mg/dl) × fasting plasma glucose level (mg/dl)/2]. RESULTS: < 0.001 across quartiles of TyG index). Risk of incident T2DM was increased with quartile 4 versus quartile 1 of TyG-D (aHR 3.91 [2.22-6.87]). The results were consistent when analyses were restricted to participants without baseline metabolic syndrome and impaired fasting glucose level. The generalized additive plot showed cumulative increased risk of T2DM with increasing TyG index. CONCLUSIONS: Risk of incident T2DM is increased with increasing TyG index among rural Chinese people, so the index might be an important indicator for identifying people at high risk of T2DM.
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Lee, S. B., Ahn, C. W., Lee, B. K., Kang, S., Nam, J. S., You, J. H., Kim, M. J., Kim, M. K., & Park, J. S. (2018) · Cardiovascular Diabetology · doi:10.1186/s12933-018-0692-1 · Cited by 305
Luo, E., Wang, D., Yan, G., Qiao, Y., Liu, B., Hou, J., & Tang, C. (2019) · Cardiovascular Diabetology · doi:10.1186/s12933-019-0957-3 · Cited by 304
da Silva, A., Caldas, A. P. S., Hermsdorff, H. H. M., Bersch-Ferreira, Â. C., Torreglosa, C. R., Weber, B., & Bressan, J. (2019) · Cardiovascular Diabetology · doi:10.1186/s12933-019-0893-2 · Cited by 299
Ye, X., Kong, W., Zafar, M. I., & Chen, L.-L. (2019) · Cardiovascular Diabetology · doi:10.1186/s12933-019-0851-z · Cited by 138
Zhang, Y., Ding, X., Hua, B., Liu, Q., Gao, H., Chen, H., Zhao, X.-Q., Li, W., & Li, H. (2022) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.61119 · Cited by 78
Metadata
- Authors
- Zhang, M., Wang, B., Liu, Y., Sun, X., Luo, X., Wang, C., Li, L., Zhang, L., Ren, Y., Zhao, Y., Zhou, J., Han, C., Zhao, J., & Hu, D.
- Venue
- Cardiovascular Diabetology
- Published
- 2017-03-01
- Volume
- 16
- Issue
- 1
- Pages
- 30-30
- ISSN
- 1475-2840 (ISSN-L)
- OpenAlex
- W2591710877
- Cited by
- 305
- References
- 55
- FWCI
- 14.85
- Type
- journal article
- Language
- en
- Open access
- gold
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- Zhang, M., Wang, B., Liu, Y., Sun, X., Luo, X., Wang, C., Li, L., Zhang, L., Ren, Y., Zhao, Y., Zhou, J., Han, C., Zhao, J., & Hu, D. (2017). Cumulative increased risk of incident type 2 diabetes mellitus with increasing triglyceride glucose index in normal-weight people: The Rural Chinese Cohort Study. Cardiovascular Diabetology. https://doi.org/10.1186/s12933-017-0514-x
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