PMID- 37041534 OWN - NLM STAT- MEDLINE DCOM- 20230413 LR - 20230415 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 23 IP - 1 DP - 2023 Apr 11 TI - The association between fatty liver index and onset of diabetes: secondary analysis of a population-based cohort study. PG - 679 LID - 10.1186/s12889-023-15442-z [doi] LID - 679 AB - BACKGROUND: According to research, the fatty liver index (FLI) is associated with diabetes. However, few studies have been conducted to investigate the relationship between FLI and diabetes risk from various perspectives. This study comprehensively investigated the relationship between FLI and incident diabetes in a large Japanese population. METHODS: This retrospective cohort study included 14,280 participants from Murakami Memorial Hospital in Japan from 2004 to 2015. The independent and dependent variables are FLI and risk of type 2 diabetes mellitus (T2DM), respectively. To examine the link between FLI and incident T2DM, Cox proportional-hazards regression was employed. In addition, we performed a number of sensitivity studies to guarantee the validity of the results. Moreover, we conducted subgroup analyses. RESULTS: After adjusting covariates, the results showed that FLI was positively associated with the risk of T2DM (HR = 1.019, 95%CI: 1.012, 1.025). Additionally, the sensitivity analysis showed how reliable the outcomes were. And a stronger association between FLI and incident T2DM was observed in the regular exercisers (HR = 1.036, 95%CI: 1.019-1.053, P < 0.0001) and the population without ethanol consumption (HR = 1.028, 95%CI: 1.017-1.039, P < 0.0001). Besides, receiver operating characteristic (ROC) curve analysis showed that FLI was better than waist circumference, triglycerides, body mass index, and gamma-glutamyl transferase in predicting incident T2DM. CONCLUSION: FLI is positively associated with incident T2DM. CI - (c) 2023. The Author(s). FAU - Zhu, Yanqiong AU - Zhu Y AD - Department of Gastroenterology, Jiangmen Central Hospital, No.23 Haibang Street, Pengjiang District, Jiangmen, 529030, Guangdong Province, China. FAU - Hu, Haofei AU - Hu H AD - Department of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518000, Guangdong Province, China. AD - Department of Nephrology, Shenzhen Second People's Hospital, Shenzhen, 518000, Guangdong Province, China. AD - Shenzhen University Health Science Center, Shenzhen, 518000, Guangdong Province, China. FAU - Wu, Yumei AU - Wu Y AD - Department of Gastroenterology, Shenzhen Third People's Hospital, No.29 Bulan Road, Longgang District, Shenzhen, 518000, Guangdong Province, China. FAU - Rao, Yinhua AU - Rao Y AD - Department of Gastroenterology, Shenzhen People's Hospital Longhua Branch, Guangdong Province, 518000, China. FAU - Li, Qixiang AU - Li Q AD - Department of Gastroenterology, Jiangmen Central Hospital, No.23 Haibang Street, Pengjiang District, Jiangmen, 529030, Guangdong Province, China. FAU - Duan, Xuehui AU - Duan X AD - Department of Gastroenterology, Jiangmen Central Hospital, No.23 Haibang Street, Pengjiang District, Jiangmen, 529030, Guangdong Province, China. FAU - Yao, Guopeng AU - Yao G AD - Department of Gastroenterology, Jiangmen Central Hospital, No.23 Haibang Street, Pengjiang District, Jiangmen, 529030, Guangdong Province, China. FAU - Yin, Hekun AU - Yin H AD - Department of Gastroenterology, Jiangmen Central Hospital, No.23 Haibang Street, Pengjiang District, Jiangmen, 529030, Guangdong Province, China. hekunyin@163.com. FAU - Luo, Ziyi AU - Luo Z AD - Department of Gastroenterology, Shenzhen Third People's Hospital, No.29 Bulan Road, Longgang District, Shenzhen, 518000, Guangdong Province, China. 1731360398@qq.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230411 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/epidemiology MH - *Fatty Liver/complications/epidemiology MH - Cohort Studies MH - Retrospective Studies MH - ROC Curve PMC - PMC10091632 OTO - NOTNLM OT - Association OT - Fatty liver index OT - Incident diabetes COIS- The authors declare that they have no competing interests. EDAT- 2023/04/12 06:00 MHDA- 2023/04/13 06:42 PMCR- 2023/04/11 CRDT- 2023/04/11 23:35 PHST- 2022/08/21 00:00 [received] PHST- 2023/03/14 00:00 [accepted] PHST- 2023/04/13 06:42 [medline] PHST- 2023/04/11 23:35 [entrez] PHST- 2023/04/12 06:00 [pubmed] PHST- 2023/04/11 00:00 [pmc-release] AID - 10.1186/s12889-023-15442-z [pii] AID - 15442 [pii] AID - 10.1186/s12889-023-15442-z [doi] PST - epublish SO - BMC Public Health. 2023 Apr 11;23(1):679. doi: 10.1186/s12889-023-15442-z.