PMID- 37810434 OWN - NLM STAT- MEDLINE DCOM- 20231010 LR - 20231010 IS - 1661-8564 (Electronic) IS - 1661-8556 (Print) IS - 1661-8556 (Linking) VI - 68 DP - 2023 TI - Association of the Clinica Universidad de Navarra-Body Adiposity Estimator With Type 2 Diabetes: A Retrospective Cohort Study. PG - 1606063 LID - 10.3389/ijph.2023.1606063 [doi] LID - 1606063 AB - Objectives: Clinica Universidad de Navarra-Body Adiposity Estimator (CUN-BAE) is considered to be a more accurate indicator of body fat estimation. We aimed to investigate the association of CUN-BAE with the risk of type 2 diabetes mellitus (T2DM) and to compare the strength of the association between CUN-BAE, body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and T2DM. Methods: The data were obtained from the annual health checkup database of residents in Xinzheng, China. From January 2011 to December 2021, 80,555 subjects aged >/=45 years met the inclusion criteria. Cox proportional hazard regression models were used to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs) for CUN-BAE, BMI, WC, and WHtR in T2DM. Results: During a mean follow-up of 6.26 years, T2DM occurred in 12,967 subjects. The multivariable-adjusted HRs (95% CIs) of T2DM (highest vs. reference group) were 1.994 (1.811-2.196) for CUN-BAE, 1.751 (1.665-1.842) for WC, 1.715 (1.631-1.804) for WHtR, and 1.510 (1.436-1.588) for BMI, respectively. In addition, the risk of T2DM increased with baseline CUN-BAE (HR: 1.374; 95% CI: 1.328, 1.421), WC (HR: 1.236; 95% CI: 1.215, 1.256), WHtR (HR: 1.228; 95% CI: 1.208, 1.248), and BMI (HR: 1.175; 95% CI: 1.156, 1.195). Conclusion: Compared to BMI, WC or WHtR, CUN-BAE may more adequately reflect the adverse effects of adiposity on the risk of T2DM. CI - Copyright (c) 2023 Geng, Chen, Bai, Ding, Li and Shi. FAU - Geng, Shuoji AU - Geng S AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Chen, Xuejiao AU - Chen X AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Bai, Kaizhi AU - Bai K AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Ding, Jiacheng AU - Ding J AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Li, Haojie AU - Li H AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Shi, Songhe AU - Shi S AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. LA - eng PT - Journal Article DEP - 20230921 PL - Switzerland TA - Int J Public Health JT - International journal of public health JID - 101304551 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/epidemiology/complications MH - Adiposity MH - Retrospective Studies MH - Obesity/complications MH - Body Mass Index MH - Waist Circumference MH - Risk Factors PMC - PMC10551821 OTO - NOTNLM OT - CUN-BAE OT - body mass index OT - middle-aged and older adults OT - type 2 diabetes mellitus OT - waist circumference COIS- The authors declare that they do not have any conflicts of interest. EDAT- 2023/10/09 12:42 MHDA- 2023/10/10 06:41 PMCR- 2023/09/21 CRDT- 2023/10/09 06:03 PHST- 2023/04/04 00:00 [received] PHST- 2023/09/05 00:00 [accepted] PHST- 2023/10/10 06:41 [medline] PHST- 2023/10/09 12:42 [pubmed] PHST- 2023/10/09 06:03 [entrez] PHST- 2023/09/21 00:00 [pmc-release] AID - 1606063 [pii] AID - 10.3389/ijph.2023.1606063 [doi] PST - epublish SO - Int J Public Health. 2023 Sep 21;68:1606063. doi: 10.3389/ijph.2023.1606063. eCollection 2023.