PMID- 33490240 OWN - NLM STAT- MEDLINE DCOM- 20210517 LR - 20210517 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2020 DP - 2020 TI - Association between Triglyceride-Glucose Index and Type 2 Diabetes Mellitus in the Japanese Population: A Secondary Analysis of a Retrospective Cohort Study. PG - 2947067 LID - 10.1155/2020/2947067 [doi] LID - 2947067 AB - Triglyceride-glucose index (TyG index) is associated with type 2 diabetes mellitus (T2DM), but research on this relationship is limited in Japan. The purpose of this study was to evaluate the correlation between TyG index and the risk of T2DM in the Japanese population. Here, 12732 participants were selected from the NAGALA study (NAfld in the Gifu Area, Longitudinal Analysis) conducted between 2004 and 2015 for a retrospective cohort analysis. The association between TyG index and T2DM was assessed using the Cox proportional-hazard model. Subgroup analyses were conducted according to age, sex, smoking status, alcohol consumption, waist circumference, BMI, and follow-up duration. The formula for TyG index was expressed as ln [fasting triglyceride level (mg/dL) x fasting plasma glucose level (mg/dL)/2]. After follow-up, 150 (1.18%) patients developed T2DM. After adjusting for potential confounders, a linear relationship was observed between TyG and the risk of T2DM. After adjusting for age, sex, BMI, waist circumference, HDL-cholesterol, total cholesterol, systolic blood pressure, regular exercise, smoking status, and alcohol consumption, TyG index, as a continuous variable, was associated with an increased risk of T2DM (adjusted hazard ratio (aHR), 1.79; 95% confidence interval (95% CI), 1.25-2.57). Compared with the first quartile of TyG index, subjects in the fourth quartile were 2.33-fold more likely to develop T2DM (aHR 2.33, 95% CI 1.09-4.96; P for trend 0.0224). Subgroup analyses showed that the association between TyG index and incident T2DM stably existed in different subgroups according to the variables tested. Therefore, TyG index was linearly related to the risk of incident T2DM in the Japanese population and may be used as a monitoring tool. CI - Copyright (c) 2020 En-qian Liu et al. FAU - Liu, En-Qian AU - Liu EQ AUID- ORCID: 0000-0002-1611-8965 AD - Department of Cardiology, Lishui Hospital, Zhejiang University School of Medicine, Lishui, 323000 Zhejiang, China. FAU - Weng, Ya-Ping AU - Weng YP AD - Department of Gastroenterology, Lishui Hospital, Zhejiang University School of Medicine, Lishui, 323000 Zhejiang, China. FAU - Zhou, Ai-Ming AU - Zhou AM AD - Department of Critical Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000 Zhejiang, China. FAU - Zeng, Chun-Lai AU - Zeng CL AUID- ORCID: 0000-0001-5674-1447 AD - Department of Cardiology, Lishui Hospital, Zhejiang University School of Medicine, Lishui, 323000 Zhejiang, China. LA - eng SI - Dryad/10.5061/dryad.8q0p192 PT - Journal Article DEP - 20201211 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Triglycerides) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Adult MH - Diabetes Mellitus, Type 2/*blood/*epidemiology MH - Female MH - Glucose/*analysis MH - Humans MH - Japan/epidemiology MH - Male MH - Middle Aged MH - Retrospective Studies MH - Risk Factors MH - Triglycerides/*blood PMC - PMC7787715 COIS- All authors report that they have no conflicts of interest. EDAT- 2021/01/26 06:00 MHDA- 2021/05/18 06:00 PMCR- 2020/12/11 CRDT- 2021/01/25 05:45 PHST- 2020/08/01 00:00 [received] PHST- 2020/12/01 00:00 [revised] PHST- 2020/12/02 00:00 [accepted] PHST- 2021/01/25 05:45 [entrez] PHST- 2021/01/26 06:00 [pubmed] PHST- 2021/05/18 06:00 [medline] PHST- 2020/12/11 00:00 [pmc-release] AID - 10.1155/2020/2947067 [doi] PST - epublish SO - Biomed Res Int. 2020 Dec 11;2020:2947067. doi: 10.1155/2020/2947067. eCollection 2020.