A Newly Developed Diabetes Risk Index, Based on Lipoprotein Subfractions and Branched Chain Amino Acids, is Associated with Incident Type 2 Diabetes Mellitus in the PREVEND Cohort
| العنوان: | A Newly Developed Diabetes Risk Index, Based on Lipoprotein Subfractions and Branched Chain Amino Acids, is Associated with Incident Type 2 Diabetes Mellitus in the PREVEND Cohort |
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| المؤلفون: | Robin P. F. Dullaart, Margery A. Connelly, Stephan J. L. Bakker, Eke G. Gruppen, James D. Otvos, Jose L. Flores-Guerrero, Erwin Garcia, Irina Shalaurova |
| المساهمون: | Groningen Institute for Organ Transplantation (GIOT), Lifestyle Medicine (LM), Groningen Kidney Center (GKC) |
| المصدر: | Journal of Clinical Medicine, Vol 9, Iss 2781, p 2781 (2020) Journal of Clinical Medicine Volume 9 Issue 9 Journal of Clinical Medicine, 9(9):2781. MDPI AG |
| بيانات النشر: | MDPI AG, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Diabetes risk, endocrine system diseases, PREDICTION, lcsh:Medicine, 030209 endocrinology & metabolism, Type 2 diabetes, 030204 cardiovascular system & hematology, Gastroenterology, Article, 03 medical and health sciences, 0302 clinical medicine, Insulin resistance, Internal medicine, insulin resistance, medicine, branched chain amino acids, INSULIN-RESISTANCE, business.industry, Hazard ratio, lcsh:R, Type 2 Diabetes Mellitus, nutritional and metabolic diseases, biomarkers, General Medicine, LP-IR, medicine.disease, Confidence interval, Quartile, LIFE-STYLE INTERVENTION, OBESITY, DRI, type 2 diabetes, business, Body mass index |
| الوصف: | Objective: Evaluate the ability of a newly developed diabetes risk score, the Diabetes Risk Index (DRI), to predict incident type 2 diabetes mellitus (T2D) in a large adult population. Methods: The DRI was developed by combining the Lipoprotein Insulin Resistance Index (LP-IR), calculated from 6 lipoprotein subspecies and size parameters, and the branched chain amino acids, valine and leucine, all of which have been shown previously to be associated with future T2D. DRI scores were calculated in a total of 6134 nondiabetic men and women in the Prevention of Renal and Vascular End-Stage Disease (PREVEND) Study. Cox proportional hazards regression was used to evaluate the association of DRI scores with incident T2D. Results: During a median follow-up of 8.5 years, 306 new T2D cases were ascertained. In analyses adjusted for age and sex, there was a significant association between DRI scores and incident T2D with the hazard ratio (HR) for the highest versus lowest quartile being 12.07 (95% confidence interval: 6.97&ndash 20.89, p < 0.001). After additional adjustment for body mass index (BMI), family history of T2D, alcohol consumption, diastolic blood pressure, total cholesterol, triglycerides, HDL cholesterol and HOMA-IR, the HR was attenuated but remained significant (HR 3.20 (1.73&ndash 5.95), p = 0.001). Similar results were obtained when DRI was analyzed as HR per 1 SD increase (HR 1.37 (1.14&ndash 1.65), p < 0.001). The Kaplan&ndash Meier plot demonstrated that patients in the highest quartile of DRI scores presented at higher risk (p-value for log-rank test < 0.001). Conclusions: Higher DRI scores are associated with an increased risk of T2D. The association is independent of clinical risk factors for T2D including HOMA-IR, BMI and conventional lipids. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2077-0383 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8624e09e866b820bc0d804e021210b9aTest https://www.mdpi.com/2077-0383/9/9/2781Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8624e09e866b820bc0d804e021210b9a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20770383 |
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