PMID- 23713008 OWN - NLM STAT- MEDLINE DCOM- 20140324 LR - 20130823 IS - 1930-739X (Electronic) IS - 1930-7381 (Linking) VI - 21 IP - 8 DP - 2013 Aug TI - Longitudinal dynamics of body weight change in the development of type 2 diabetes. PG - 1643-9 LID - 10.1002/oby.20292 [doi] AB - OBJECTIVE: The aim of this study was to test the obesity-type 2 diabetes mellitus (T2DM) link in the context of longitudinal changes in body weight during the progression to diabetes in mature adult nonhuman primates (NHP). DESIGN AND METHODS: A colony of 245 adult rhesus monkeys aged 8-41 years with 179 males were used to define overweight in males as a body weight: >/=13.5 kg or body fat (BF) >/=18% and obesity as >/=16.5 kg or BF >/=27%, and overweight in nonpregnant females was identified as a body weight >8.5 kg or BF >21% and obesity as >/=10.5 kg or BF >/=30%. A subgroup of 48 males (24 T2DM and 24 age-matched non-T2DM) males were studied before and following the onset of overt T2DM for the effects of changes in body weight and obesity in inducing this conversion to overt T2DM. RESULTS: Three years before overt T2DM, mean body weight was 18.4 +/- 3.3 kg. The DM-destined group body weight was 3.2 +/- 1.1 kg greater and had a longer duration and greater severity of obesity, with peak body weight reached at 3.2 +/- 1.8 years before overt T2DM. At DM onset the two groups did not differ significantly in body weight or adiposity. CONCLUSIONS: The natural progression from pre-DM to overt T2DM is caused neither by the amount of excess body weight at DM onset nor by the proximate increases in body weight/adiposity during the pre-DM period of impaired glucose tolerance. Obesity was, however, essential preceding all NHP cases that developed T2DM. CI - Copyright (c) 2013 The Obesity Society. FAU - Hansen, Barbara C AU - Hansen BC AD - Obesity, Diabetes and Aging Research Center, College of Medicine, University of South Florida, Tampa, Florida, USA. bchansen@aol.com FAU - Newcomb, Jennifer D AU - Newcomb JD FAU - Chen, Ren AU - Chen R FAU - Linden, Ellen H AU - Linden EH LA - eng GR - HHSN2532008002C/PHS HHS/United States GR - N01AG31012/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20130525 PL - United States TA - Obesity (Silver Spring) JT - Obesity (Silver Spring, Md.) JID - 101264860 SB - IM MH - Absorptiometry, Photon MH - Adipose Tissue/physiopathology MH - Adiposity MH - Animals MH - *Body Weight MH - Diabetes Mellitus, Type 2/etiology/*physiopathology MH - Female MH - Glucose Intolerance MH - Linear Models MH - Macaca MH - Male MH - Obesity/complications/*physiopathology EDAT- 2013/05/29 06:00 MHDA- 2014/03/25 06:00 CRDT- 2013/05/29 06:00 PHST- 2011/07/22 00:00 [received] PHST- 2012/11/26 00:00 [accepted] PHST- 2013/05/29 06:00 [entrez] PHST- 2013/05/29 06:00 [pubmed] PHST- 2014/03/25 06:00 [medline] AID - 10.1002/oby.20292 [doi] PST - ppublish SO - Obesity (Silver Spring). 2013 Aug;21(8):1643-9. doi: 10.1002/oby.20292. Epub 2013 May 25.