PMID- 29337020 OWN - NLM STAT- MEDLINE DCOM- 20190314 LR - 20221207 IS - 1590-3729 (Electronic) IS - 0939-4753 (Linking) VI - 28 IP - 3 DP - 2018 Mar TI - Inverse association between plasma homocysteine concentrations and type 2 diabetes mellitus among a middle-aged and elderly Chinese population. PG - 278-284 LID - S0939-4753(17)30297-1 [pii] LID - 10.1016/j.numecd.2017.11.009 [doi] AB - BACKGROUND AND AIMS: Plasma homocysteine concentrations have been reported to be associated with type 2 diabetes mellitus (T2DM) with controversial findings. The aim of the present study was to investigate the association between plasma homocysteine concentrations and T2DM. METHODS AND RESULTS: A cross-sectional study including 19,085 eligible participants derived from the Dongfeng-Tongji cohort was conducted. Plasma homocysteine concentrations were measured by Abbott Architect i2000 Automatic analyzer and T2DM was defined according to American Diabetes Association criteria. Logistic regression model was used to explore the association between plasma homocysteine concentrations and T2DM. The prevalence of T2DM was 19.0% in the whole population (mean age 62.9 years), 21.8% in males, and 17.1% in females. In the multivariable logistic regression analyses, compared with those in the lowest quintile, the OR (95% CI) of T2DM was 1.05 (0.92-1.21), 0.99 (0.86-1.14), 0.90 (0.78-1.05), and 0.77 (0.66-0.90) for quintile 2 to quintile 5 of homocysteine concentrations after adjustment for potential confounders (P for trend < 0.0001). Homocysteine concentrations were associated with decreased T2DM prevalence risk (OR = 0.88 per SD increase of homocysteine concentration; 95% CI: 0.84-0.93). A significant interaction between homocysteine concentrations and drinking status on T2DM prevalence risk was observed (P for interaction = 0.03). The inverse association of plasma homocysteine concentrations with T2DM prevalence risk was observed in non-drinkers but not in current drinkers. CONCLUSION: Plasma homocysteine concentrations were inversely correlated with T2DM among a middle-aged and elderly Chinese population. CI - Copyright (c) 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved. FAU - Yu, C AU - Yu C AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Wang, J AU - Wang J AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Wang, F AU - Wang F AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Han, X AU - Han X AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Hu, H AU - Hu H AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Yuan, J AU - Yuan J AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Miao, X AU - Miao X AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Yao, P AU - Yao P AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Wei, S AU - Wei S AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Wang, Y AU - Wang Y AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Liang, Y AU - Liang Y AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Chen, W AU - Chen W AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Zhang, X AU - Zhang X AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Guo, H AU - Guo H AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Yang, H AU - Yang H AD - Dongfeng Central Hospital, Dongfeng Motor Corporation and Hubei University of Medicine, Shiyan, Hubei, China. FAU - Tang, Y AU - Tang Y AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Zheng, D AU - Zheng D AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Wu, T AU - Wu T AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - He, M AU - He M AD - Department of Occupational and Environmental Health and State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. Electronic address: hemeian@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171207 PL - Netherlands TA - Nutr Metab Cardiovasc Dis JT - Nutrition, metabolism, and cardiovascular diseases : NMCD JID - 9111474 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Alcohol Drinking/adverse effects/blood/epidemiology MH - Biomarkers/blood MH - Blood Glucose/metabolism MH - China/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*blood/diagnosis/epidemiology MH - Female MH - Glycated Hemoglobin/metabolism MH - Homocysteine/*blood MH - Humans MH - Hyperhomocysteinemia/*blood/diagnosis/epidemiology MH - Male MH - Middle Aged MH - Prevalence MH - Risk Assessment MH - Risk Factors OTO - NOTNLM OT - Glycated haemoglobin OT - Homocysteine OT - Hyperglycemia OT - Impaired fasting glucose OT - Type 2 diabetes mellitus EDAT- 2018/01/18 06:00 MHDA- 2019/03/15 06:00 CRDT- 2018/01/17 06:00 PHST- 2017/06/20 00:00 [received] PHST- 2017/11/16 00:00 [revised] PHST- 2017/11/27 00:00 [accepted] PHST- 2018/01/18 06:00 [pubmed] PHST- 2019/03/15 06:00 [medline] PHST- 2018/01/17 06:00 [entrez] AID - S0939-4753(17)30297-1 [pii] AID - 10.1016/j.numecd.2017.11.009 [doi] PST - ppublish SO - Nutr Metab Cardiovasc Dis. 2018 Mar;28(3):278-284. doi: 10.1016/j.numecd.2017.11.009. Epub 2017 Dec 7.