PMID- 36747216 OWN - NLM STAT- MEDLINE DCOM- 20230208 LR - 20230209 IS - 1476-511X (Electronic) IS - 1476-511X (Linking) VI - 22 IP - 1 DP - 2023 Feb 6 TI - The relationship between the CUN-BAE body fatness index and incident diabetes: a longitudinal retrospective study. PG - 21 LID - 10.1186/s12944-023-01784-5 [doi] LID - 21 AB - BACKGROUND: The Clinica Universidad de Navarra-Body Adiposity Estimator (CUN-BAE) index has been recommended as an ideal indicator of body fat and exhibited significant correlation with cardiometabolic risk factors. However, whether the CUN-BAE index correlates with incident diabetes in Asian populations is unknown. Therefore, this longitudinal study was designed to evaluate the association between baseline CUN-BAE index and type 2 diabetes mellitus (T2DM). METHODS: This retrospective longitudinal study involved 15,464 participants of 18-79 years of age in the NAGALA (NAfld in the Gifu Area Longitudinal Analysis) study over the period of 2004-2015. Cox proportional hazards regression was performed to test the relationship between the baseline CUN-BAE index and diabetes incidence. Further stratification analysis was conducted to ensure that the results were robust. The diagnostic utility of the CUN-BAE index was tested by the receiver operating characteristic (ROC) curve. RESULTS: Over the course of an average follow-up of 5.4 years, 373 (2.41%) participants developed diabetes. A higher diabetes incidence was associated with higher CUN-BAE quartiles (P for trend< 0.001). Each 1 unit increase in CUN-BAE index was associated with a 1.08-fold and 1.14-fold increased risk of diabetes after adjustment for confounders in males and females, respectively (both P < 0.001). Stratification analysis demonstrated a consistent positive correlation between baseline CUN-BAE and diabetes incidence. Moreover, based on ROC analysis, CUN-BAE exhibited a better capacity for diabetes prediction than both body mass index (BMI) and waist circumference (WC) in both sexes. CONCLUSIONS: The baseline CUN-BAE level was independently related to the incidence of diabetes. Increased adiposity determined by CUN-BAE could be used as a strong nonlaboratory predictor of incident diabetes in clinical practice. CI - (c) 2023. The Author(s). FAU - Peng, Qing AU - Peng Q AD - Second Clinical Medical College, Southern Medical University, Guangzhou, China. FAU - Feng, Zihao AU - Feng Z AD - First Clinical Medical College, Southern Medical University, Guangzhou, China. FAU - Cai, Zhuojian AU - Cai Z AD - First Clinical Medical College, Southern Medical University, Guangzhou, China. FAU - Liu, Dixing AU - Liu D AD - Department of Endocrinology, Affiliated Dongguan Hospital, Southern Medical University (Dongguan People's Hospital), No. 3, South Wandao Road, Xingu Chong, Wanjiang District, Dongguan, 523059, Guangdong Province, China. FAU - Zhong, Jiana AU - Zhong J AD - Department of Endocrinology, The Dongguan Affiliated Hospital of Jinan University, Binhaiwan Central Hospital of Dongguan, Dongguan, China. FAU - Zhao, Hejia AU - Zhao H AD - School of Public Health, Southern Medical University, Guangzhou, China. FAU - Zhang, Xiuwei AU - Zhang X AD - Department of Endocrinology, Affiliated Dongguan Hospital, Southern Medical University (Dongguan People's Hospital), No. 3, South Wandao Road, Xingu Chong, Wanjiang District, Dongguan, 523059, Guangdong Province, China. FAU - Chen, Weikun AU - Chen W AD - Department of Endocrinology, Affiliated Dongguan Hospital, Southern Medical University (Dongguan People's Hospital), No. 3, South Wandao Road, Xingu Chong, Wanjiang District, Dongguan, 523059, Guangdong Province, China. 13712626959@163.com. LA - eng PT - Journal Article DEP - 20230206 PL - England TA - Lipids Health Dis JT - Lipids in health and disease JID - 101147696 SB - IM MH - Male MH - Female MH - Humans MH - *Adiposity MH - Retrospective Studies MH - *Diabetes Mellitus, Type 2/diagnosis/epidemiology/complications MH - Longitudinal Studies MH - Obesity/metabolism MH - Body Mass Index MH - Waist Circumference MH - Adipose Tissue/metabolism MH - Risk Factors PMC - PMC9901000 OTO - NOTNLM OT - Body fatness OT - CUN-BAE index OT - Insulin resistance OT - Obesity OT - Type 2 diabetes mellitus COIS- The authors declare no competing interests. EDAT- 2023/02/08 06:00 MHDA- 2023/02/09 06:00 PMCR- 2023/02/06 CRDT- 2023/02/07 00:14 PHST- 2022/12/01 00:00 [received] PHST- 2023/01/31 00:00 [accepted] PHST- 2023/02/07 00:14 [entrez] PHST- 2023/02/08 06:00 [pubmed] PHST- 2023/02/09 06:00 [medline] PHST- 2023/02/06 00:00 [pmc-release] AID - 10.1186/s12944-023-01784-5 [pii] AID - 1784 [pii] AID - 10.1186/s12944-023-01784-5 [doi] PST - epublish SO - Lipids Health Dis. 2023 Feb 6;22(1):21. doi: 10.1186/s12944-023-01784-5.