PMID- 23856414 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130722 LR - 20211021 IS - 1758-5996 (Print) IS - 1758-5996 (Electronic) IS - 1758-5996 (Linking) VI - 5 IP - 1 DP - 2013 Jul 15 TI - Predictive models for type 2 diabetes onset in middle-aged subjects with the metabolic syndrome. PG - 36 LID - 10.1186/1758-5996-5-36 [doi] AB - OBJECTIVE: To investigate the predictive value of different biomarkers for the incidence of type 2 diabetes mellitus (T2DM) in subjects with metabolic syndrome. METHODS: A prospective study of 525 non-diabetic, middle-aged Lithuanian men and women with metabolic syndrome but without overt atherosclerotic diseases during a follow-up period of two to four years. We used logistic regression to develop predictive models for incident cases and to investigate the association between various markers and the onset of T2DM. RESULTS: Fasting plasma glucose (FPG), body mass index (BMI), and glycosylated haemoglobin can be used to predict diabetes onset with a high level of accuracy and each was shown to have a cumulative predictive value. The estimated area under the receiver-operating characteristic curve (AUC) for this combination was 0.92. The oral glucose tolerance test (OGTT) did not show cumulative predictive value. Additionally, progression to diabetes was associated with high values of aortic pulse-wave velocity (aPWV). CONCLUSION: T2DM onset in middle-aged metabolic syndrome subjects can be predicted with remarkable accuracy using the combination of FPG, BMI, and HbA1c, and is related to elevated aPWV measurements. FAU - Ozery-Flato, Michal AU - Ozery-Flato M AD - Machine Learning and Data Mining group, IBM Research - Haifa, Mount Carmel, Haifa 3498825, Israel. ozery@il.ibm.com. FAU - Parush, Naama AU - Parush N FAU - El-Hay, Tal AU - El-Hay T FAU - Visockiene, Zydrune AU - Visockiene Z FAU - Ryliskyte, Ligita AU - Ryliskyte L FAU - Badariene, Jolita AU - Badariene J FAU - Solovjova, Svetlana AU - Solovjova S FAU - Kovaite, Milda AU - Kovaite M FAU - Navickas, Rokas AU - Navickas R FAU - Laucevicius, Aleksandras AU - Laucevicius A LA - eng PT - Journal Article DEP - 20130715 PL - England TA - Diabetol Metab Syndr JT - Diabetology & metabolic syndrome JID - 101488958 PMC - PMC3717122 EDAT- 2013/07/17 06:00 MHDA- 2013/07/17 06:01 PMCR- 2013/07/15 CRDT- 2013/07/17 06:00 PHST- 2013/03/19 00:00 [received] PHST- 2013/07/04 00:00 [accepted] PHST- 2013/07/17 06:00 [entrez] PHST- 2013/07/17 06:00 [pubmed] PHST- 2013/07/17 06:01 [medline] PHST- 2013/07/15 00:00 [pmc-release] AID - 1758-5996-5-36 [pii] AID - 10.1186/1758-5996-5-36 [doi] PST - epublish SO - Diabetol Metab Syndr. 2013 Jul 15;5(1):36. doi: 10.1186/1758-5996-5-36.