PMID- 30302961 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200225 IS - 2233-6079 (Print) IS - 2233-6087 (Electronic) IS - 2233-6079 (Linking) VI - 42 IP - 6 DP - 2018 Dec TI - Association of Thigh Muscle Mass with Insulin Resistance and Incident Type 2 Diabetes Mellitus in Japanese Americans. PG - 488-495 LID - 10.4093/dmj.2018.0022 [doi] AB - BACKGROUND: Skeletal muscle plays a major role in glucose metabolism. We investigated the association between thigh muscle mass, insulin resistance, and incident type 2 diabetes mellitus (T2DM) risk. In addition, we examined the role of body mass index (BMI) as a potential effect modifier in this association. METHODS: This prospective study included 399 Japanese Americans without diabetes (mean age 51.6 years) who at baseline had an estimation of thigh muscle mass by computed tomography and at baseline and after 10 years of follow-up a 75-g oral glucose tolerance test and determination of homeostasis model assessment of insulin resistance (HOMA-IR). We fit regression models to examine the association between thigh muscle area and incidence of T2DM and change in HOMA-IR, both measured over 10 years. RESULTS: Thigh muscle area was inversely associated with future HOMA-IR after adjustment for age, sex, BMI, HOMA-IR, fasting plasma glucose, total abdominal fat area, and thigh subcutaneous fat area at baseline (P=0.033). The 10-year cumulative incidence of T2DM was 22.1%. A statistically significant interaction between thigh muscle area and BMI was observed, i.e., greater thigh muscle area was associated with lower risk of incident T2DM for subjects at lower levels of BMI, but this association diminished at higher BMI levels. CONCLUSION: Thigh muscle mass area was inversely associated with future insulin resistance. Greater thigh muscle area predicts a lower risk of incident T2DM for leaner Japanese Americans. CI - Copyright (c) 2018 Korean Diabetes Association. FAU - Han, Seung Jin AU - Han SJ AUID- ORCID: 0000-0003-4783-6799 AD - Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea. AD - Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, WA, USA. hsj@ajou.ac.kr. FAU - Boyko, Edward J AU - Boyko EJ AD - Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, WA, USA. AD - Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. FAU - Kim, Soo Kyung AU - Kim SK AD - Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea. FAU - Fujimoto, Wilfred Y AU - Fujimoto WY AD - Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. FAU - Kahn, Steven E AU - Kahn SE AD - Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. AD - Hospital and Specialty Medicine Service, VA Puget Sound Health Care System, Seattle, WA, USA. FAU - Leonetti, Donna L AU - Leonetti DL AD - Department of Anthropology, University of Washington, Seattle, WA, USA. LA - eng GR - HL-49293/National Institutes of Health/ GR - DK-31170/National Institutes of Health/ GR - M01 RR000037/RR/NCRR NIH HHS/United States GR - RR-000037/General Clinical Research Center/ GR - R01 DK031170/DK/NIDDK NIH HHS/United States GR - P30 DK035816/DK/NIDDK NIH HHS/United States GR - DK-035816/Clinical Nutrition Research Unit/ GR - R01 HL049293/HL/NHLBI NIH HHS/United States GR - DK-017047/Diabetes Research Center/ GR - P30 DK017047/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20180905 PL - Korea (South) TA - Diabetes Metab J JT - Diabetes & metabolism journal JID - 101556588 CIN - Diabetes Metab J. 2019 Feb;43(1):123-124. PMID: 30793553 CIN - Diabetes Metab J. 2019 Feb;43(1):125-126. PMID: 30793554 PMC - PMC6300439 OTO - NOTNLM OT - Body mass index OT - Diabetes mellitus OT - Insulin resistance OT - Muscle, skeletal OT - Thigh COIS- No potential conflict of interest relevant to this article was reported. EDAT- 2018/10/12 06:00 MHDA- 2018/10/12 06:01 PMCR- 2018/12/01 CRDT- 2018/10/11 06:00 PHST- 2018/01/31 00:00 [received] PHST- 2018/05/17 00:00 [accepted] PHST- 2018/10/12 06:00 [pubmed] PHST- 2018/10/12 06:01 [medline] PHST- 2018/10/11 06:00 [entrez] PHST- 2018/12/01 00:00 [pmc-release] AID - 42.e31 [pii] AID - 10.4093/dmj.2018.0022 [doi] PST - ppublish SO - Diabetes Metab J. 2018 Dec;42(6):488-495. doi: 10.4093/dmj.2018.0022. Epub 2018 Sep 5.