PMID- 24306157 OWN - NLM STAT- MEDLINE DCOM- 20140728 LR - 20131205 IS - 1871-403X (Print) IS - 1871-403X (Linking) VI - 7 IP - 4 DP - 2013 Jul-Aug TI - 2 years change of waist circumference and body mass index and associations with type 2 diabetes mellitus in cohort populations. PG - e290-6 LID - S1871-403X(12)00014-2 [pii] LID - 10.1016/j.orcp.2012.02.005 [doi] AB - OBJECTIVE: Compare the association between 2 years change of waist circumference (WC) or body mass index (BMI) and incident type 2 diabetes mellitus (T2DM) in cohort populations. METHODS: Prospective cohort study, based on a baseline investigation from 1999, we conducted the first follow-up for subjects whose follow time met 2 years, and the second follow-up for subjects whose follow time met 5 years. Two years change of WC or BMI was measured by the D-value between baseline and the first follow up values. The association between 2 years change of WC or BMI and incident T2DM were analyzed by using Poisson regression model. RESULTS: Among 3461 participants without T2DM at baseline, 160 subjects developed T2DM during follow up period. Across quartiles of WC D-value, hazards ratio (HR) of incident T2DM increased, but there was no significant dose response relationship was found between BMI D-value and incident T2DM. Compared with subjects whose both WC and BMI were modified, there was no significant increase for T2DM risk in subjects whose WC was modified but BMI was not modified [HR(95%CI) = 1.66(0.70-3.97)], but the T2DM risk was significantly higher in subjects whose WC was not modified but BMI was modified [HR(95%CI) = 1.73(1.17-2.54)]. CONCLUSIONS: WC change was a better predictor for incident T2DM than BMI change. Intervention programs designed to reduce WC through lifestyle modification, including physical activity and diet, may have significant public health significance in preventing incident T2DM. CI - A(c) 2013 Asian Oceanian Association for the Study of Obesity . Published by Elsevier Ltd. All rights reserved. FAU - Luo, Wenshu AU - Luo W AD - Department of Radiology & Public Health, Soochow University, SuZhou, JiangSu 215123, China. FAU - Guo, Zhirong AU - Guo Z FAU - Hu, Xiaoshu AU - Hu X FAU - Zhou, Zhengyuan AU - Zhou Z FAU - Wu, Ming AU - Wu M FAU - Zhang, Lijun AU - Zhang L FAU - Liu, Jingchao AU - Liu J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Obes Res Clin Pract JT - Obesity research & clinical practice JID - 101303911 SB - IM MH - Adult MH - *Body Mass Index MH - China/epidemiology MH - Diabetes Mellitus, Type 2/*epidemiology MH - Female MH - Follow-Up Studies MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Obesity/epidemiology MH - Prospective Studies MH - Regression Analysis MH - Risk Factors MH - *Waist Circumference EDAT- 2013/12/07 06:00 MHDA- 2014/07/30 06:00 CRDT- 2013/12/06 06:00 PHST- 2011/09/04 00:00 [received] PHST- 2012/02/05 00:00 [revised] PHST- 2012/02/08 00:00 [accepted] PHST- 2013/12/06 06:00 [entrez] PHST- 2013/12/07 06:00 [pubmed] PHST- 2014/07/30 06:00 [medline] AID - S1871-403X(12)00014-2 [pii] AID - 10.1016/j.orcp.2012.02.005 [doi] PST - ppublish SO - Obes Res Clin Pract. 2013 Jul-Aug;7(4):e290-6. doi: 10.1016/j.orcp.2012.02.005.