PMID- 34648090 OWN - NLM STAT- MEDLINE DCOM- 20220215 LR - 20220215 IS - 1432-5233 (Electronic) IS - 0940-5429 (Linking) VI - 59 IP - 2 DP - 2022 Feb TI - The longitudinal effect of the atherogenic index of plasma on type 2 diabetes in middle-aged and older Chinese. PG - 269-279 LID - 10.1007/s00592-021-01801-y [doi] AB - AIMS: Atherogenic Index of Plasma (AIP) has been proposed as a novel marker of plasma atherogenicity, but its longitudinal predictive value in type 2 diabetes mellitus (T2DM) remains unclear. We aimed to assess the associations of AIP and its longitudinal transition with T2DM among middle-aged and older Chinese. METHODS: Data were extracted from four rounds of the China Health and Retirement Longitudinal Study (2011, 2013, 2015, and 2018). AIP was calculated as log(10) (triglyceride/high-density lipoprotein cholesterol). Participants were classified into high and low AIP groups at baseline, and subsequently into four transition patterns during follow-up: maintained-high, maintained-low, high-to-low, and low-to-high AIP. Multivariable Cox frailty models were applied to explore the longitudinal transition patterns of AIP on the development of T2DM. RESULTS: A total of 8760 subjects without T2DM were selected in 2011, of which 981 developed T2DM until 2018. When compared with people with maintained-low AIP patterns, those with transition patterns of maintained-high AIP, high-to-low AIP, and low-to-high AIP were at around 1.5 times higher risk of T2DM (HR(adj) = 1.69, 1.32, and 1.47, respectively, all P < 0.05). However, the risk of T2DM did not decrease in the high-to-low AIP group as compared to the maintained-high AIP group. CONCLUSIONS: Three longitudinal AIP transition patterns (maintained-high AIP, high-to-low AIP, and low-to-high AIP) were associated with the development of T2DM. Preventions are needed to combat T2DM at an early dyslipidemic stage. CI - (c) 2021. Springer-Verlag Italia S.r.l., part of Springer Nature. FAU - Yi, Qian AU - Yi Q AD - School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, 310058, Zhejiang, China. FAU - Ren, Ziyang AU - Ren Z AD - School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, 310058, Zhejiang, China. FAU - Bai, Guannan AU - Bai G AD - Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. FAU - Zhu, Siyu AU - Zhu S AD - School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, 310058, Zhejiang, China. FAU - Li, Shuting AU - Li S AD - School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, 310058, Zhejiang, China. FAU - Li, Chunlu AU - Li C AD - Medical School, University of Edinburgh, Edinburgh, UK. FAU - Wu, Hongjiang AU - Wu H AD - Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong Special Administrative Region, China. FAU - Zhu, Yimin AU - Zhu Y AD - Department of Epidemiology and Biostatistics, School of Public Health, Zhejiang University School of Medicine, Hangzhou, 310058, China. zhuym@zju.edu.cn. FAU - Song, Peige AU - Song P AUID- ORCID: 0000-0002-0196-9759 AD - School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, 310058, Zhejiang, China. peigesong@zju.edu.cn. LA - eng PT - Journal Article DEP - 20211014 PL - Germany TA - Acta Diabetol JT - Acta diabetologica JID - 9200299 RN - 0 (Cholesterol, HDL) RN - 0 (Triglycerides) SB - IM MH - Aged MH - China/epidemiology MH - Cholesterol, HDL MH - *Diabetes Mellitus, Type 2/epidemiology MH - Humans MH - Longitudinal Studies MH - Middle Aged MH - Risk Factors MH - Triglycerides OTO - NOTNLM OT - Atherogenic Index of Plasma OT - Cohort study OT - Type 2 diabetes mellitus EDAT- 2021/10/15 06:00 MHDA- 2022/02/16 06:00 CRDT- 2021/10/14 12:28 PHST- 2021/07/24 00:00 [received] PHST- 2021/09/06 00:00 [accepted] PHST- 2021/10/15 06:00 [pubmed] PHST- 2022/02/16 06:00 [medline] PHST- 2021/10/14 12:28 [entrez] AID - 10.1007/s00592-021-01801-y [pii] AID - 10.1007/s00592-021-01801-y [doi] PST - ppublish SO - Acta Diabetol. 2022 Feb;59(2):269-279. doi: 10.1007/s00592-021-01801-y. Epub 2021 Oct 14.