PMID- 29322661 OWN - NLM STAT- MEDLINE DCOM- 20181211 LR - 20221207 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 10 IP - 8 DP - 2018 Aug TI - Utility of three novel insulin resistance-related lipid indices for predicting type 2 diabetes mellitus among people with normal fasting glucose in rural China. PG - 641-652 LID - 10.1111/1753-0407.12642 [doi] AB - BACKGROUND: Inexpensive and easily measured indices are needed for the early prediction of type 2 diabetes mellitus (T2DM) in rural areas of China. The aim of this study was to compare triglyceride glucose (TyG), visceral adiposity (VAI), and lipid accumulation product (LAP) with traditional individual measures and their ratios for predicting T2DM. METHODS: Data for 11 113 people with baseline normal fasting glucose in a rural Chinese cohort were followed for a median of 6.0 years. Cox proportional hazards regression was used to calculate covariate-adjusted hazard ratios (aHRs) and 95% confidence intervals (95% CIs) and receiver operating characteristic analysis was used to compare the ability of traditional measures and TyG, VAI, and LAP at baseline to predict T2DM at follow-up. RESULTS: Among individual measures, fasting plasma glucose (FPG) and waist circumference (WC) were strongly associated with T2DM. Of all lipid ratios, an elevated triglycerides (TG) to high-density lipoprotein cholesterol (HDL-C) ratio was associated the most with T2DM. Compared with the first quartiles of TyG, VAI, and LAP, their fourth quartiles were associated with T2DM for men (aHR 3.54 [95% CI 2.08-6.03], 2.89 [1.72-4.87], and 5.02 [2.85-8.85], respectively) and women (6.15 [3.48-10.85], 4.40 [2.61-7.42], and 6.49 [3.48-12.12], respectively). For predicting T2DM risk, TyG, VAI, and LAP were mostly superior to the TG: HDL-C ratio, but did not differ from FPG and WC. CONCLUSIONS: Prediction of T2DM was not improved by TyG, VAI, and LAP versus FPG or WC alone. Therefore, TyG, VAI, and LAP may not be inexpensive tools for predicting T2DM in rural Chinese people. CI - (c) 2018 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Wang, Bingyuan AU - Wang B AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Zhang, Ming AU - Zhang M AD - Department of Preventive Medicine, Shenzhen University Health Science Center, Shenzhen, China. FAU - Liu, Yu AU - Liu Y AD - The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Sun, Xizhuo AU - Sun X AD - The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Zhang, Lu AU - Zhang L AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Wang, Chongjian AU - Wang C AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Li, Linlin AU - Li L AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Ren, Yongcheng AU - Ren Y AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. AD - Department of Preventive Medicine, Shenzhen University Health Science Center, Shenzhen, China. AD - The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Han, Chengyi AU - Han C AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. AD - Department of Preventive Medicine, Shenzhen University Health Science Center, Shenzhen, China. AD - The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Zhao, Yang AU - Zhao Y AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. AD - Department of Preventive Medicine, Shenzhen University Health Science Center, Shenzhen, China. AD - The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Zhou, Junmei AU - Zhou J AD - Department of Preventive Medicine, Shenzhen University Health Science Center, Shenzhen, China. AD - The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Pang, Chao AU - Pang C AD - Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou, China. FAU - Yin, Lei AU - Yin L AD - Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou, China. FAU - Feng, Tianping AU - Feng T AD - Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou, China. FAU - Zhao, Jingzhi AU - Zhao J AD - Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou, China. FAU - Hu, Dongsheng AU - Hu D AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. LA - eng PT - Journal Article DEP - 20180209 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 RN - 0 (Blood Glucose) RN - 0 (Cholesterol, HDL) RN - 0 (Triglycerides) SB - IM MH - Adiposity MH - Adult MH - Asian People MH - Blood Glucose/analysis MH - China MH - Cholesterol, HDL/blood MH - Diabetes Mellitus, Type 2/*blood/*diagnosis/ethnology MH - Fasting/*blood MH - Female MH - Follow-Up Studies MH - Humans MH - Insulin Resistance MH - Intra-Abdominal Fat/metabolism MH - Lipid Accumulation Product MH - Male MH - Middle Aged MH - Rural Population/*statistics & numerical data MH - Triglycerides/blood OTO - NOTNLM OT - cohort study OT - diabetes OT - fat accumulation OT - insulin resistance OT - lipid index OT - 糖尿病 OT - 胰岛素抵抗 OT - 脂肪堆积 OT - 血脂指数 OT - 队列研究 EDAT- 2018/01/13 06:00 MHDA- 2018/12/12 06:00 CRDT- 2018/01/12 06:00 PHST- 2017/07/10 00:00 [received] PHST- 2017/12/17 00:00 [revised] PHST- 2018/01/07 00:00 [accepted] PHST- 2018/01/13 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] PHST- 2018/01/12 06:00 [entrez] AID - 10.1111/1753-0407.12642 [doi] PST - ppublish SO - J Diabetes. 2018 Aug;10(8):641-652. doi: 10.1111/1753-0407.12642. Epub 2018 Feb 9.