PMID- 38247531 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240128 IS - 2076-3921 (Print) IS - 2076-3921 (Electronic) IS - 2076-3921 (Linking) VI - 13 IP - 1 DP - 2024 Jan 16 TI - Oxidative Balance Score and New-Onset Type 2 Diabetes Mellitus in Korean Adults without Non-Alcoholic Fatty Liver Disease: Korean Genome and Epidemiology Study-Health Examinees (KoGES-HEXA) Cohort. LID - 10.3390/antiox13010107 [doi] LID - 107 AB - The oxidative balance score (OBS) is a novel composite of pro- and anti-oxidative markers for assessing the risk of cardiometabolic diseases and non-alcoholic fatty liver disease (NAFLD). However, it has not yet been established whether the OBS is related to type 2 diabetes mellitus (T2DM), especially in a population without NALFD. Therefore, we aimed to investigate the longitudinal effect of the OBS on T2DM in a large cohort of Korean adults without NALFD. Data were assessed from 9798 participants without NALFD from the Korean Genome and Epidemiology Study-Health Examinees (KoGES-HEXA) cohort. The participants were divided into three groups according to OBS tertiles, identified as T1-T3. We prospectively assessed the hazard ratios (HRs) with 95% confidence intervals (CIs) for new-onset T2DM using multivariable Cox proportional hazard regression models over 6 years following the baseline survey. During the mean 3.5 years of follow-up, 145 individuals (1.48%; 56 men and 89 women) developed T2DM. The HRs of T2DM for the OBS tertiles were 0.79 (95% CI, 0.53-1.18) and 0.60 (95% CI, 0.39-0.93) in the T2 and T3 groups after adjusting for metabolic parameters in subjects without NALFD, respectively; however, the T2 group did not show statistical significance toward a decrease in incident T2DM. A low OBS may be a useful predictive marker in new-onset T2DM for middle-aged and older subjects without NALFD. This implies that the OBS could be an additional valuable tool for assessing the incidence of T2DM among individuals without NAFLD. FAU - Moon, Mid-Eum AU - Moon ME AD - Department of Family Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. AD - Department of Family Medicine, Gangnam Severance Hospital, Seoul 06273, Republic of Korea. FAU - Jung, Dong Hyuk AU - Jung DH AUID- ORCID: 0000-0002-3411-0676 AD - Department of Family Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. AD - Department of Family Medicine, Yongin Severance Hospital, Yongin 16995, Republic of Korea. FAU - Heo, Seok-Jae AU - Heo SJ AUID- ORCID: 0000-0002-8764-7995 AD - Division of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. FAU - Park, Byoungjin AU - Park B AUID- ORCID: 0000-0003-1733-5301 AD - Department of Family Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. AD - Department of Family Medicine, Yongin Severance Hospital, Yongin 16995, Republic of Korea. FAU - Lee, Yong Jae AU - Lee YJ AUID- ORCID: 0000-0002-6697-476X AD - Department of Family Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. AD - Department of Family Medicine, Gangnam Severance Hospital, Seoul 06273, Republic of Korea. LA - eng GR - NRF- 2022R1A2C1013106/the Ministry of Science and ICT of Korea/ PT - Journal Article DEP - 20240116 PL - Switzerland TA - Antioxidants (Basel) JT - Antioxidants (Basel, Switzerland) JID - 101668981 PMC - PMC10812514 OTO - NOTNLM OT - KoGES-HEXA cohort OT - NALFD OT - oxidative balance score OT - type 2 diabetes COIS- All the authors declare that the study was performed without any commercial or financial association that might be perceived as potential conflicts of interest. EDAT- 2024/01/22 06:42 MHDA- 2024/01/22 06:43 PMCR- 2024/01/16 CRDT- 2024/01/22 04:23 PHST- 2023/11/16 00:00 [received] PHST- 2023/12/15 00:00 [revised] PHST- 2023/12/25 00:00 [accepted] PHST- 2024/01/22 06:43 [medline] PHST- 2024/01/22 06:42 [pubmed] PHST- 2024/01/22 04:23 [entrez] PHST- 2024/01/16 00:00 [pmc-release] AID - antiox13010107 [pii] AID - antioxidants-13-00107 [pii] AID - 10.3390/antiox13010107 [doi] PST - epublish SO - Antioxidants (Basel). 2024 Jan 16;13(1):107. doi: 10.3390/antiox13010107.