PMID- 33644990 OWN - NLM STAT- MEDLINE DCOM- 20220105 LR - 20220105 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 13 IP - 9 DP - 2021 Sep TI - Association of metabolic score for insulin resistance and its 6-year change with incident type 2 diabetes mellitus. PG - 725-734 LID - 10.1111/1753-0407.13161 [doi] AB - BACKGROUND: The evidence for the association between metabolic score for insulin resistance (METS-IR) and type 2 diabetes mellitus (T2DM) is limited. We aimed to explore the association of METS-IR and its 6-year change with risk of incident T2DM in a rural Chinese population. METHODS: We analyzed data for 12 107 participants (mean age 50.48 years). A Cox proportional-hazard model was used to estimate the association of METS-IR with incident T2DM by using hazard ratios (HRs) and 95% confidence intervals (CIs); a logistic regression model was used to assess the association of 6-year METS-IR change with incident T2DM by using odds ratios (ORs) and 95% CIs. We used subgroup analyses of the association of METS-IR and its 6-year change with incident T2DM by sex, age, and baseline fasting plasma glucose (FPG) level as well as restricted cubic splines to describe the dose-response association. RESULTS: The association of METS-IR and 6-year METS-IR change with incident T2DM was significant (per SD unit increase: HR = 1.80, 95% CI: 1.60-2.02 for METS-IR, OR = 1.42, 95% CI: 1.28-1.57 and OR = 1.59, 95% CI: 1.44-1.76 for relative and absolute METS-IR change). The significant association remained on subgroup analyses by sex, age, and baseline FPG level. Dose-response analysis demonstrated that the probability of incident T2DM was significantly increased with increasing METS-IR and 6-year METS-IR change. CONCLUSIONS: Increased METS-IR and 6-year METS-IR change were positively associated with risk of incident T2DM in a rural Chinese population. METS-IR may be a vital indicator for identifying T2DM. CI - (c) 2021 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Zhang, Ming AU - Zhang M AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. FAU - Liu, Dechen AU - Liu D AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. FAU - Qin, Pei AU - Qin P AUID- ORCID: 0000-0003-2303-0379 AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. FAU - Liu, Yu AU - Liu Y AD - Study Team of Shenzhen's Sanming Project, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Sun, Xizhuo AU - Sun X AD - Study Team of Shenzhen's Sanming Project, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Li, Honghui AU - Li H AD - Study Team of Shenzhen's Sanming Project, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Wu, Xiaoyan AU - Wu X AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. AD - Study Team of Shenzhen's Sanming Project, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Zhang, Yanyan AU - Zhang Y AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. AD - Study Team of Shenzhen's Sanming Project, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Han, Minghui AU - Han M AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Qie, Ranran AU - Qie R AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Huang, Shengbing AU - Huang S AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Li, Yang AU - Li Y AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. AD - Study Team of Shenzhen's Sanming Project, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Wu, Yuying AU - Wu Y AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. AD - Study Team of Shenzhen's Sanming Project, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. FAU - Yang, Xingjin AU - Yang X AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Feng, Yifei AU - Feng Y AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Zhao, Yang AU - Zhao Y AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Hu, Dongsheng AU - Hu D AUID- ORCID: 0000-0002-9998-8041 AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. AD - Study Team of Shenzhen's Sanming Project, The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, China. AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Hu, Fulan AU - Hu F AUID- ORCID: 0000-0002-2386-1503 AD - Department of Biostatistics and Epidemiology, School of Public Health, Shenzhen University, Shenzhen, China. LA - eng GR - 81402752/National Natural Science Foundation of China/ GR - 81673260/National Natural Science Foundation of China/ GR - 2019A1515011183/Natural Science Foundation of Guangdong Province/ GR - JCYJ20170412110537191/Science and Technology Development Foundation of Shenzhen/ GR - JCYJ20190808145805515/Science and Technology Development Foundation of Shenzhen/ PT - Journal Article DEP - 20210228 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 SB - IM MH - Adult MH - China MH - Diabetes Mellitus, Type 2/*metabolism MH - Female MH - Humans MH - *Insulin Resistance MH - Male MH - Middle Aged MH - Rural Population OTO - NOTNLM OT - 2型糖尿病 OT - dose-response OT - epidemiology OT - metabolic score for insulin resistance OT - type 2 diabetes mellitus OT - 剂量反应关系 OT - 流行病学 OT - 胰岛素抵抗代谢评分 EDAT- 2021/03/02 06:00 MHDA- 2022/01/06 06:00 CRDT- 2021/03/01 05:46 PHST- 2021/01/09 00:00 [revised] PHST- 2020/06/15 00:00 [received] PHST- 2021/01/23 00:00 [accepted] PHST- 2021/03/02 06:00 [pubmed] PHST- 2022/01/06 06:00 [medline] PHST- 2021/03/01 05:46 [entrez] AID - 10.1111/1753-0407.13161 [doi] PST - ppublish SO - J Diabetes. 2021 Sep;13(9):725-734. doi: 10.1111/1753-0407.13161. Epub 2021 Feb 28.