PMID- 30477970 OWN - NLM STAT- MEDLINE DCOM- 20190528 LR - 20190528 IS - 1878-0210 (Electronic) IS - 1878-0210 (Linking) VI - 13 IP - 1 DP - 2019 Feb TI - Predicting risk of type 2 diabetes mellitus in Korean adults aged 40-69 by integrating clinical and genetic factors. PG - 3-10 LID - S1751-9918(18)30197-9 [pii] LID - 10.1016/j.pcd.2018.07.004 [doi] AB - AIMS: The purpose of our investigation was to identify the genetic and clinical risk factors of type 2 diabetes mellitus (T2DM) and to predict the incidence of T2DM in Korean adults aged 40-69 at follow-up intervals of 5, 7, and 10years. METHODS: Korean Genome and Epidemiology Study (KoGES) cohort data (n=10,030) were used to develop T2DM prediction models. Both clinical-only and integrated (clinical factors+genetic factors) models were derived using the Cox proportional hazards model. Internal validation was performed to evaluate the prediction capabilities of the clinical and integrated models. RESULTS: The clinical model included 10 selected clinical risk factors. The selected SNPs for the integrated model were rs9311835 in PTPRG, rs10975266 in RIC1, rs11057302 in TMED2, rs17154562 in ADAM12, and rs8038172 in CGNL1. For the clinical model, validated c-indices with time points of 5, 7, and 10 years were 0.744, 0.732, and 0.732, respectively. Slightly higher validated c-indices were observed for the integrated model at 0.747, 0.736, and 0.738, respectively. The p-values of the survival net reclassification improvement (NRI) for the SNP point-based score were statistically significant. CONCLUSIONS: Clinical and integrated models can be effectively used to predict the incidence of T2DM in Koreans. CI - Copyright (c) 2018. Published by Elsevier Ltd. FAU - Kim, Soo-Hwan AU - Kim SH AD - Bio-Age Medical Research Institute, Bio-Age Inc., 644, Bongeunsa-ro, Gangnam-gu, Seoul, 06170, Republic of Korea. Electronic address: kim.soohwan@daewoong.co.kr. FAU - Lee, Eun-Sol AU - Lee ES AD - Bio-Age Medical Research Institute, Bio-Age Inc., 644, Bongeunsa-ro, Gangnam-gu, Seoul, 06170, Republic of Korea. Electronic address: ilikerefill@daewoong.co.kr. FAU - Yoo, Jinho AU - Yoo J AD - YooJinBioSoft Inc., 24, Jeongbalsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, 10403, Republic of Korea. Electronic address: jino12@yoojinbiosoft.com. FAU - Kim, Yangseok AU - Kim Y AD - Bio-Age Medical Research Institute, Bio-Age Inc., 644, Bongeunsa-ro, Gangnam-gu, Seoul, 06170, Republic of Korea; College of Korean Medicine, Kyung Hee University, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, Republic of Korea. Electronic address: yskim1158@khu.ac.kr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181123 PL - England TA - Prim Care Diabetes JT - Primary care diabetes JID - 101463825 RN - 0 (Genetic Markers) SB - IM MH - Adult MH - Aged MH - Diabetes Mellitus, Type 2/diagnosis/*epidemiology/*genetics MH - Female MH - Genetic Markers MH - Genetic Predisposition to Disease MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Models, Genetic MH - Phenotype MH - *Polymorphism, Single Nucleotide MH - Prognosis MH - Republic of Korea/epidemiology MH - Risk Assessment MH - Risk Factors MH - Time Factors OTO - NOTNLM OT - Genetic risk score OT - Risk factor OT - Risk prediction OT - Single-nucleotide polymorphism EDAT- 2018/11/28 06:00 MHDA- 2019/05/29 06:00 CRDT- 2018/11/28 06:00 PHST- 2018/01/28 00:00 [received] PHST- 2018/05/23 00:00 [revised] PHST- 2018/07/01 00:00 [accepted] PHST- 2018/11/28 06:00 [pubmed] PHST- 2019/05/29 06:00 [medline] PHST- 2018/11/28 06:00 [entrez] AID - S1751-9918(18)30197-9 [pii] AID - 10.1016/j.pcd.2018.07.004 [doi] PST - ppublish SO - Prim Care Diabetes. 2019 Feb;13(1):3-10. doi: 10.1016/j.pcd.2018.07.004. Epub 2018 Nov 23.